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. 2024 Apr 16;19(4):e0297424.
doi: 10.1371/journal.pone.0297424. eCollection 2024.

Legal Services for Veterans (LSV): Protocol for evaluating the grant-based LSV initiative supporting community organizations' delivery of legal services to veterans

Bo Kim  1   2 , Beth Ann Petrakis  3 , Ida Griesemer  1 , Samantha K Sliwinski  1 , Amanda M Midboe  4   5 , Rebecca A Raciborski  6   7 , Thomas H Byrne  3   8 , Madolyn B Gingell  9 , Jessica Blue-Howells  9 , Sean C Clark  9 , Jack Tsai  9   10 , Kim L L Harvey  1 , D Keith McInnes  3   11
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Legal Services for Veterans (LSV): Protocol for evaluating the grant-based LSV initiative supporting community organizations' delivery of legal services to veterans

Bo Kim et al. PLoS One. .

Abstract

Background: 1.8 million Veterans are estimated to need legal services, such as for housing eviction prevention, discharge upgrades, and state and federal Veterans benefits. While having one's legal needs met is known to improve one's health and its social determinants, many Veterans' legal needs remain unmet. Public Law 116-315 enacted in 2021 authorizes VA to fund legal services for Veterans (LSV) by awarding grants to legal service providers including nonprofit organizations and law schools' legal assistance programs. This congressionally mandated LSV initiative will award grants to about 75 competitively selected entities providing legal services. This paper describes the protocol for evaluating the initiative. The evaluation will fulfill congressional reporting requirements, and inform continued implementation and sustainment of LSV over time.

Methods: Our protocol calls for a prospective, mixed-methods observational study with a repeated measures design, aligning to the Reach Effectiveness Adoption Implementation Maintenance (RE-AIM) and Integrated Promoting Action on Research Implementation in Health Services (i-PARIHS) frameworks. In 2023, competitively selected legal services-providing organizations will be awarded grants to implement LSV. The primary outcome will be the number of Veterans served by LSV in the 12 months after the awarding of the grant. The evaluation has three Aims. Aim 1 will focus on measuring primary and secondary LSV implementation outcomes aligned to RE-AIM. Aim 2 will apply the mixed quantitative-qualitative Matrixed Multiple Case Study method to identify patterns in implementation barriers, enablers, and other i-PARIHS-aligned factors that relate to observed outcomes. Aim 3 involves a mixed-methods economic evaluation to understand the costs and benefits of LSV implementation.

Discussion: The LSV initiative is a new program that VA is implementing to help Veterans who need legal assistance. To optimize ongoing and future implementation of this program, it is important to rigorously evaluate LSV's outcomes, barriers and enablers, and costs and benefits. We have outlined the protocol for such an evaluation, which will lead to recommending strategies and resource allocation for VA's LSV implementation.

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Conflict of interest statement

The authors have declared that no competing interests exist.

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References

    1. The Justice Gap: The Unmet Civil Legal Needs of Low-income Americans 2023. https://justicegap.lsc.gov/.
    1. Timko C, Taylor E, Nash A, Blonigen D, Smelson D, Tsai J, et al.. National Survey of Legal Clinics Housed by the Department of Veterans Affairs to Inform Partnerships with Health and Community Services. J Health Care Poor Underserved. 2020;31(3):1440–56. doi: 10.1353/hpu.2020.0104 - DOI - PMC - PubMed
    1. Tsai J, Jenkins D, Lawton E. Civil Legal Services and Medical-Legal Partnerships Needed by the Homeless Population: A National Survey. Am J Public Health. 2017;107(3):398–401. doi: 10.2105/AJPH.2016.303596 - DOI - PMC - PubMed
    1. Tsai J, Middleton M, Villegas J, Johnson C, Retkin R, Seidman A, et al.. Medical-Legal Partnerships At Veterans Affairs Medical Centers Improved Housing And Psychosocial Outcomes For Vets. Health Aff (Millwood). 2017;36(12):2195–203. doi: 10.1377/hlthaff.2017.0759 - DOI - PubMed
    1. SSVF Legal Services Frequently Asked Questions 2023. https://www.va.gov/HOMELESS/ssvf/docs/Legal_Services_FAQ.pdf.