1. Poverty, Health, and Law: Addressing the social determinants of HIV/AIDS through medical-legal partnership Ali Brock, MS-II

2. Project Overview • Proposal: to co-author a chapter to be published in Poverty, Health, and Law: Reading and Cases for Medical-Legal Partnership • Team • Deb Weimer, JD - University of MD School of Law • Ann Hilton-Fisher, JD - AIDS Legal Council of Chicago • Jayson Cooley, L2 - Roger Williams School of Law • Dr. Jody Rich, MD, MPH – Warren Alpert Medical School and Miriam Hospital Immunology Center • Editor: Liz Tobin Tyler, JD - Director of Public Service and Community Partnerships at the Roger Williams School of Law

3. Background and Definitions • Medical-legal partnership (MLP) • A collaboration that strives to to improve health and wellness of vulnerable populations by integrating legal services into the medical setting • Social determinants of health (SDH) • Per the World Health Organization, the conditions in which people are born, grow, live, work, and age

4. Goals • For the book • Provide relevant case studies and best practices for MLP among vulnerable populations • Facilitate collaborative learning between medical and law students • For the chapter • Elucidate relationship between SDH and HIV • Highlight the urgent need for MLP among individuals infected and affected by HIV

5. Chapter Outline • Medical Sections • Development of the US HIV/AIDS epidemic • Clinical course of HIV and antiretroviral drugs • Relationship between SDH and HIV among vulnerable populations • Legal Sections • Confidentiality and disclosure • Employment rights and protections • Public Benefits: eligibility and access • Considerations for families and children • Planning for incapacitation and death • Best practices for MLP, discussion questions, and case studies presented throughout

6. My Role • Unexpected, challenging, and also perfect • Researched and wrote medical sections • Created chapter outlines, assigned sections and word counts, established (and re-established!) deadlines • Integrated sections, opinions, and revisions from co-authors • Liaison between writing team and book editor

7. Related Activities • June: attended the 2010 International Network for Justice Health • July: together with a colleague, assisted Dr. Rich in editing a special edition of Substance Abuse • October: developed and presented a lecture on poverty and HIV to Roger Williams law students • Ongoing: see patients with Dr. Rich at the Adult Correctional Institute

8. Thank you • RI AHEC • Dr. Jody Rich • Liz Tobin-Tyler • Co-authors • Jessica Hart, MS-II