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LawWorks Clinic Round Table
Law School Clinics and Measuring Health Impacts: Experiences from the UCL Centre for Access to Justice
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What are we trying to do:
Student legal clinic based in a Health Centre in Newham Offers advice, casework, and representation in primarily housing and benefits Model is currently flexible: Open on drop-in, appointment, or referral (from GP) basis Longer term research project looking at the impact of advice on health.
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Challenges and Considerations
Research vs Service Evaluation Why is this question important? What are the implications? Ethics Patient Wellbeing
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Is it research? Are you asking questions you wouldn’t normally ask in providing a service? Are you trying to establish generalisable findings? Do you want to publish this information in peer reviewed journals or as a REF submission? If the answer is yes: then this is research and will require ethics approval
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Ethics UNIVERSITIES wishing to conduct research will need to go through their individual ethics committees. Generally you will need to submit copies of your consent forms, detailed research protocols, and a research participation information sheet Students should be trained on taking informed consent
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What can you get out of a service evaluation:
Anything you can pull out of your case files and information gathered as part of your normal service provision: Legal Needs Client demographics Types of health issues, prevalence of health issues
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Examples of Service Evaluation Data:
Table 11 Employment in those with health related legal problems Frequency Ratio Unable to work 9 47% Unemployed and looking for work 3 16% Full time 2 11% Part time Looking after family at home 1 5% Unknown Total 19 Health Problem Reported Count Anxiety 11 28% Chronic Pain (back, pelvis, arthritis, headaches, fibromyalgia) 8 21% Depression 7 18% Neurological 3 8% Stroke 2 5% Cardiovascular 1 3% Respiratory GI Cancer Diabetes OCD Personality Disorder Disabled Schizophrenia 0% Bipolar Total 39 Table 10 Health related legal problem Frequency Ratio Physical & Mental Health 8 25% Mental Health 7 22% Physical Health 3 9% Not related to health 14 44%
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If you want to incorporate health into your clinic:
Be clear on if you are doing research or service evaluation. What are you trying to achieve? If in doubt, contact your University’s Ethics Committee Have a policies in place and ensure students are briefed well.
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