Health-justice partnerships: innovation in service delivery to support mental health

Purpose: This paper aims to introduce the concept of “health-justice partnership” (HJP), the provision of legal assistance for social welfare issues in health-care settings. It discusses the role of these partnerships in supporting health and care for people with mental health issues. Design/methodology/approach: The authors describe an example of an HJP; discuss the rationale and evidence for this approach in relation to mental health; and reflect on implementation challenges and future directions in the UK. The authors draw on both health and legal literature to frame the discussion. Findings: Social welfare legal needs have negative impacts on mental well-being and are more likely to occur among people with mental health conditions. Integrating legal assistance with healthcare services can improve access to support for those with unmet need. High-quality research has demonstrated positive impacts for mental health and well-being as a result of HJP interventions. Both further research and wider strategies are required to support implementation of HJPs in practice. Originality/value: Legal assistance is rarely positioned as a health intervention, yet it is an effective tool to address social welfare issues that are harmful to mental health and to which people experiencing mental health are at greater risk. This paper highlights the importance of the HJP movement as an approach for supporting people with mental health issues.

[1]  J. Banks,et al.  Recessions and Health: The Long‐Term Health Consequences of Responses to the Coronavirus , 2020, Fiscal studies.

[2]  M. Whitehead,et al.  Effects on mental health of a UK welfare reform, Universal Credit: a longitudinal controlled study , 2020, The Lancet. Public health.

[3]  M. Marmot Health equity in England: the Marmot review 10 years on , 2020, BMJ.

[4]  Mandy Cheetham,et al.  Impact of Universal Credit in North East England: a qualitative study of claimants and support staff , 2019, BMJ Open.

[5]  H. Genn When Law is Good for Your Health: Mitigating the Social Determinants of Health through Access to Justice , 2019, Current Legal Problems.

[6]  M. White,et al.  Does domiciliary welfare rights advice improve health-related quality of life in independent-living, socio-economically disadvantaged people aged ≥60 years? Randomised controlled trial, economic and process evaluations in the North East of England , 2019, PloS one.

[7]  Suzie Forell Mapping a new path: the health justice landscape in Australia, 2017 , 2018 .

[8]  M. Khondoker,et al.  Impact of co-located welfare advice in healthcare settings: prospective quasi-experimental controlled study , 2017, British Journal of Psychiatry.

[9]  R. Raine,et al.  Co-located welfare advice in general practice: A realist qualitative study. , 2017, Health & social care in the community.

[10]  J. Donovan,et al.  Seeking help in times of economic hardship: access, experiences of services and unmet need , 2017, BMC Psychiatry.

[11]  G. Thornicroft,et al.  Qualitative analysis of mental health service users’ reported experiences of discrimination , 2016, Acta psychiatrica Scandinavica.

[12]  S. Sowden,et al.  A qualitative study of the impact of the UK ‘bedroom tax’ , 2015, Journal of public health.

[13]  E. Goyder,et al.  Citizens advice in primary care: a qualitative study of the views and experiences of service users and staff. , 2011, Public health.

[14]  C. Exley,et al.  "Done more for me in a fortnight than anybody done in all me life." How welfare rights advice can help people with cancer , 2010, BMC health services research.

[15]  J. Mackintosh,et al.  Older people's experience of proactive welfare rights advice: qualitative study of a South Asian community , 2009, Ethnicity & health.

[16]  G. Scambler,et al.  Can welfare-rights advice targeted at older people reduce social exclusion? , 2008, Ageing and Society.

[17]  P. Pleasence,et al.  The Health Cost of Civil-Law Problems: Further Evidence of Links Between Civil-Law Problems and Morbidity, and the Consequential Use of Health Services , 2008 .

[18]  M. Zevon,et al.  Medically related legal needs and quality of life in cancer care , 2007, Cancer.

[19]  M. White,et al.  The acceptability and impact of a randomised controlled trial of welfare rights advice accessed via primary health care: qualitative study , 2006, BMC public health.

[20]  P. Greasley,et al.  Establishing a welfare advice service in family practices: views of advice workers and primary care staff. , 2005, Family practice.

[21]  M. White,et al.  The impact of welfare advice in primary care: a qualitative study , 2004 .

[22]  Geraldine Nosowska A delay they can ill afford: delays in obtaining Attendance Allowance for older, terminally ill cancer patients, and the role of health and social care professionals in reducing them. , 2004, Health & social care in the community.

[23]  Sherr,et al.  A stitch in time: Accessing and funding welfare rights through health service primary care , 2004 .

[24]  K. Jones,et al.  A citizens' advice service in primary care: improving patient access to benefits , 2000, Primary Health Care Research & Development.

[25]  A. Sharples,et al.  Citizens Advice Bureaux in general practice: an illuminative evaluation. , 2000, Health & social care in the community.

[26]  R. Emsley,et al.  Debt Counselling for Depression in Primary Care: an adaptive randomised controlled pilot trial (DeCoDer study). , 2017, Health technology assessment.

[27]  F. Burton Legal Aid, Sentencing and Punishment of Offenders Act 2012 (2012, c. 10) , 2015 .