The Medical-Legal Partnership Project (MLPP) is a medical-legal collaborative that improves the health and welfare of low-income children and their families.
Proactive legal assistance provided in a health care setting makes legal services easily accessible for the children and families we serve. Our offices are on-site at Connecticut Children’s Medical Center, Saint Francis Hospital & Medical Center, The Hospital of Central Connecticut, Charter Oak Health Center, and Yale-New Haven Hospital.
We provide traditional legal representation with a comprehensive approach to the healthcare and mental health care needs of each child.
We are changing the culture of pediatric health care. Our attorneys partner with pediatric providers in low income communities to improve children’s access to appropriate care.
Our representation reduces social and environmental factors – such as substandard housing, inadequate income and benefits, disability rights, access to education and health care – that adversely affect children’s health.
Our partnerships with medical providers allow us to collaboratively address medical and legal issues discovered and treated in the clinical setting. We provide education, training and collaborative advocacy. We work with regional and national partners to replicate and proliferate medical-legal collaborations throughout the country.
The Partnership represents clients in matters relating to:
The Partnership provides training and education on issues affecting children’s health outcomes to medical, social work, and legal providers throughout the community. The multidisciplinary nature of these training opportunities provides “cross training” by medical experts for legal advocates. Some of the training opportunities include:
When Alina looks at you, you see a quiet teenager with soft brown eyes. When you look more closely, her eyes reveal a lack of focus that gives pause for great concern.Alina’s family moved from Puerto Rico to Massachusetts two years ago. Her stepfather had been offered work and the family found housing close to his job. After only a few weeks, the extreme domestic violence the family had suffered in Puerto Rico began again; Alina’s stepfather beat both the girls and their mother. Alina was raped repeatedly, and her mother finally took action, escaping with the girls to seek refuge with a cousin’s family in Hartford.
Alina’s history of abuse at the hands of her stepfather, and the domestic violence she continually witnessed as a young girl, contributed to problems that had begun to manifest years earlier. She suffered from ongoing seizures and began to experience auditory hallucinations. Alina’s doctor, a pediatrician at Connecticut Children’s Medical Center (CCMC), was very concerned about her physical and mental health status. She was looking for a way to help the family get assistance from the Department of Social Services (DSS). The mother’s application to DSS had been denied and Alina’s application for disability from the Social Security Administration (SSA) had been rejected. Alina’s pediatrician called the Center’s Medical Legal Partnership for help.
We immediately contacted DSS and explained the family’s need for assistance. Years of violence had left the mother with disabling trauma, making it very difficult for her to find full time work. Alina was so emotionally disabled that she could not attend school on a regular basis and needed her mother’s constant care.
Our successful legal advocacy helped Alina’s family receive emergency assistance from DSS. At Alina’s SSA disability hearing, we submitted a brief that included evidence of Alina’s psychiatric impairments, including records from medical and psychiatric facilities in Connecticut and Massachusetts. We also obtained Alina’s educational records, which documented significant learning disabilities exacerbated by her psychiatric condition. As the day of the SSA hearing approached, we were concerned about the stress Alina’s mother would suffer when she testified to the domestic violence, sexual abuse and psychotic episodes that led to the application for disability. Fortunately, the Court ruled in favor of the appeal based on submitted documentation and Alina’s mother did not have to testify.
Alina’s physical and emotional challenges continue, but she’s moving in a positive direction. We recently helped Alina secure an appropriate educational setting and we continue to carefully monitor the family’s progress.
With the bravado only an eleven year old can muster, Marco decided his wheelchair could navigate the pile of rocks at the bottom of the hill. Gaining speed as he approached, Marco hit the rocks and was dumped onto the roadway. The story could have a simpler resolution if Marco had been on a bicycle, but Marco suffers from Spinal Muscular Atrophy Type II – he has no lower body strength and only limited motion in the top half of his body. A broken wheelchair was only the latest problem for Marco and his mother, Millie.
Marco’s medical problems meant that Millie had to carry him when he had to use the bathroom or the shower. While not a perfect system, this worked when Marco was little, but he now weighs almost 100 pounds. This past summer, Millie fell when lifting Marco and they both wound up in the emergency room.
Marco receives ongoing care from the Connecticut Children’s Medical Center Orthopedic Department. Clinicians recommended installation of a lift system in the house – a track installed on the ceiling that allows the user to sit in a sling and navigate through relevant rooms – to prevent further danger to Marco and Millie.
To the dismay of the family and Connecticut Children’s Orthopedic Department, the request for the lift system (durable medical equipment) was denied by Millie’s Medicaid/HMO insurance carrier. Marco’s orthopedist called the Center’s Medical-Legal Partnership for guidance. We spoke extensively with the clinicians and the family to assess the insurance denial and secure this important equipment for the family. Connecticut’s legal standard for such equipment is medical necessity, defined as “health care provided to correct or diminish the adverse effects of a medical condition.”
After taking pictures, making diagrams and gaining a new appreciation for the practical as well as legal definition of medical necessity, we filed an Appeal of Denial with the State of Connecticut Department of Social Services. Within days, an attorney from the Medicaid HMO called and agreed to discuss a resolution for the family.
Marco has many hurdles to face, including a spinal fusion in the very near future. Some challenges will be eased with the installation of the newly-approved lift equipment that will make his life, and his mother’s, easier and much safer.
Jay E. Sicklick
(860) 714-1412 Fax: (860) 570-5256
Senior Staff Attorney
(860) 714-1412 Fax: (860) 545-9234
Dr. Sarah Schlegel