title: Pilot study of impact of medical-legal partnership services on patients' perceived stress and wellbeing.
abstract: Medical-legal partnerships (MLPs) bring legal services into health care settings to address patients' unmet legal needs. This pilot project examined whether MLP services impact patients' perceptions of stress and wellbeing.
  
  
  METHODS
  Providers referred patients with legal concerns to the Tucson Family Advocacy Program (TFAP), an MLP within a family medicine clinic. Stress levels and wellbeing were assessed before and after legal services using self-administered 10-item Perceived Stress Scale (PSS-10) and Measure Yourself Concerns and Wellbeing (MYCaW) instruments.
  
  
  RESULTS
  Sixty-seven participants completed pre- and post-service questionnaires. Within this group, the mean PSS-10 score decreased 8.1 points. Wellbeing scores improved by 1.8 points. Individual changes in perceived stress were strongly related to participants' level of concern regarding the particular legal issues addressed.
  
  
  CONCLUSIONS
  Services in patient-centered medical homes to address unmet legal needs have the potential to reduce perceived stress and improve overall wellbeing. Additional studies concerning MLPs and patient outcomes are needed.
authors.affiliation: Tucson Family Advocacy Program, University of Arizona, Department of Family and Community Medicine, USA.
authors.forename: Anne M
authors.initials: AM
authors.lastname: Ryan
authors.forename: Randa M
authors.initials: RM
authors.lastname: Kutob
authors.forename: Emily
authors.initials: E
authors.lastname: Suther
authors.forename: Mark
authors.initials: M
authors.lastname: Hansen
authors.forename: Megan
authors.initials: M
authors.lastname: Sandel
mesh_terms: D000328:Adult; D001130:Arizona; D003153:Community Health Services / Q000379:methods / Q000458:organization & administration*; D006301:Health Services Needs and Demand; D006801:Humans; D016365:Liability, Legal; D008603:Mental Health; D010865:Pilot Projects; D011203:Poverty / Q000331:legislation & jurisprudence / Q000523:psychology*; D013315:Stress, Psychological / Q000453:epidemiology / Q000517:prevention & control*