New York Times Highlights Access to Justice, the Self-Represented, Technology and LawHelp Interactive

In a recent Year of Big Ideas in Social Change piece, the Times highlights almost the full area of what we all do:

Another example [of using tech to democratize] is civil legal aid. Even though people involved in civil cases can lose their apartments, their children and their jobs, the law does not guarantee them the services of a lawyer. In fact, it’s very difficult for low-income Americans to get one.

Many states are now considering laws that would make counsel a right in civil cases. Until that happens, we need other ways to get legal help to self-represented people.

Technology is coming to the rescue.

New online legal forms from groups like LawHelp Interactive allow people to fill out forms without having to understand the law. The software interviews them with plain-English questions, and then completes the forms in the language required by the court.

I think that final paragraph is probably the best description of the concept I have seen (although ideally I would like people to understand at least some of the law.)

Its lovely that this is now thought to be a “Big Idea.”  For so long we have been told that the media are not interested in forms, so do not waste you time.  The lesson is clear, link the innovation to a broad concept and vision.

I would suggest that every state with a Law Help Interactive project can use this to trumpet their state’s leadership in the “big idea” department.

It is also worth noting that this is one of the few times the media has used the “legal aid” moniker in such a way that its broad scope is very clear.

Congratulations.

Posted in Access to Justice Boards, Court Management, Document Assembly, expungement, Forms, Legal Aid, Technology | Comments Off on New York Times Highlights Access to Justice, the Self-Represented, Technology and LawHelp Interactive

Media Coverage for “Roles Beyond Lawyers” Spreads

There is already some media coverage for the Roles Beyond Lawyers Report.

In the shocking but likely event that some of your constituencies might find the Wall Street Journal or WNYC more reliable than my blog, here are links to their stories.

Wall Street Journal (paywall, nothing like consistency).  (“Unrepresented Civil Litigants Fare Better With Nonlawyers, Study Shows, Trained legal helpers can aid with paperwork or answer questions from a judge but can’t argue in court” [Note the first sentence is ambiguous, and might be read to suggest that nonlawyers do better than lawyers.  There is no such assertion in the study.])

Nice WNYC quotes, in text and audio, from one of the the program’s key movers:

The navigator pilot, which started in 2014, is run by Fern Fisher, the deputy chief administrative judge for the city’s court system. She said she saw the need for more tenant assistance when she was a housing court judge in Manhattan.

“People freeze when they are in front of judges,” she said. “And it’s important that the judge have all the facts before him or her, so he or she can figure out the best way to resolve the case.”

And:

Teresa Anderson kept her apartment with help from University Settlement navigators. The 46-year-old single mother lost her job after getting sick in 2007 and suffering black-outs. She then had trouble paying the rent, about $800 a month, on her one-bedroom apartment in Brownsville. She said she would borrow money and get sued for eviction many times over the next few years, but never qualified for a free attorney.

Then, she met a navigator who helped her get a grant to cover her back rent. The navigator also found a pro bono lawyer who could keep the case going until Anderson got disability payments and a section eight housing voucher to help her pay the rent going forward. Eventually, Anderson prevailed and was able to keep her apartment.

“She fought for me when I gave up fighting,” she said of her former navigator, who joined her in court for every appearance and paid for her car service. “It’s kind of emotional, because in the years that we did work together, I’ve never seen anybody go that hard for me.”

Spreading roles beyond lawyers is going to take leadership, energy, and courage.  Hopefully this kind of coverage will help build that.

P.S.  ABA Journal coverage here.

Posted in Access to Justice Generally, Court Management, Media, Non-Lawyer Practice | Comments Off on Media Coverage for “Roles Beyond Lawyers” Spreads

The First “Roles Beyond Lawyers” Full Evaluation Report Moves Us to a Whole New Stage of Expanding the Use of Nonlawyers

The Public Welfare Foundation,  American Bar Foundation and the National Center for State Courts have just released their report on the “Roles Beyond Lawyers” Navigators program in New York.  Its finding of positive impacts from all three of the pilot projects that are part of this program is likely to be highly influential. (Disclosure: As reported on this blog, I have been deeply involved in many aspects of this program.)

As the Executive Summary and Recommendations puts it:

The need for such [roles beyond lawyers] innovations is clear. At the time this evaluation was conducted, approximately 90 percent of tenants facing eviction in New York City did not have a lawyer, while the vast majority of landlords did.3 Research from the National Center for State Courts shows that in 70 percent of non- domestic civil cases in urban counties, one party is unrepresented while the other has lawyer representation.4

The first comprehensive evaluation of programs providing assistance through staff or volunteers without full formal legal training provides important evidence that these initiatives can influence the experiences of unrepresented litigants in positive ways and can also shape the outcomes of court cases, including legal and real-life outcomes.

The so-called “navigators”, as described in the Report, “provide information, assist litigants in accessing and completing court-required simplified forms, attend settlement negotiations and accompany unrepresented litigants into the courtroom. If judges address direct factual questions to a Navigator, the Navigator is authorized to respond.”

In summary, the level and type of impact depends upon the training and supervision of the navigators.  There are three separate projects within the overall program, each with different goals, characteristics and outcomes, as follows, quoting the Executive Summary and Recommendations:

  • The Access to Justice Navigators Pilot Project is built around trained volunteer Navigators “for-the- day.” These Navigators assist unrepresented litigants in understanding and moving through nonpayment or debt collection proceedings. Access to Justice Navigators currently operate in a variety of housing courts and in consumer debt cases in civil court in New York City. Surveys of litigants revealed that litigants who received the help of any kind of Navigator were 56 percent more likely than unassisted litigants to say they were able to tell their side of the story.
  • The Housing Court Answers Navigators Pilot Project involves trained volunteer Navigators “for- the-day,” operating in the Brooklyn Housing Court. These Navigators provide individualized assistance with tenants’ preparation of a legal document, the “answer” to the landlord’s petition for nonpayment of rent, in which the tenant responds to the petition by asserting defenses. Litigants assisted by Housing Court Answers Navigators asserted more than twice as many defenses as litigants who received no assistance. A review of case files reveals that tenants assisted by a Housing Court Answers Navigator were 87 percent more likely than unassisted tenants to have their defenses recognized and addressed by the court. For instance, judges ordered landlords to make needed repairs about 50 percent more often in Navigator-assisted cases.
  • The University Settlement Navigators Pilot Project employs trained caseworkers who are employees of a nonprofit organization. These Navigators, operating in the Brooklyn Housing Court, are Navigators “for-the-duration,” working the case from initial appearance through resolution and beyond. This pilot project’s aim is to prevent evictions by providing both the in-court services that all Navigators are able to provide as well as an ongoing relationship with litigants in which the Navigator both accompanies the unrepresented litigant to all of the court activities related to her case and assists the tenant outside of court in connecting with benefits and services for which she may be eligible. In cases assisted by these University Settlement Navigators, zero percent of tenants experienced eviction from their homes by a marshal. By contrast, in recent years, one formal eviction occurs for about every 9 nonpayment cases filed citywide.

(I personally found it hard to sort out these different programs, and find this Table from the full Report helpful.)

While I strongly encourage readers to study both the Executive Summary and Recommendations and the Full Report, perhaps the most important language is from these general findings, again quoting:

  1. People without formal legal training can provide meaningful assistance and services to litigants who are not represented by a lawyer.
  2. These services can impact several kinds of outcomes, ranging from litigants’ understanding of court processes and empowerment to present their side of the case, to providing more relevant information to the decision-maker, to formal legal outcomes and the real-life outcomes experienced by assisted litigants and their families.
  3. The tasks Navigators are actually able to perform, and thus their impact, are influenced by the philosophy and attitude of the court in which the services are provided, including the attitudes of case processing staff and judges.
  4. Contributions of Navigators’ work to legal outcomes and real-life outcomes such as eviction prevention are likely similarly influenced by court environment and by the range of services and benefit programs available in the jurisdiction. The availability of such services and benefits to which Navigators can connect litigants is a major mechanism of Navigator impact. Some jurisdictions, such as New York City, have significantly more such resources than most.
  5. The impact of Roles Beyond Lawyers programs on legal outcomes can be greatly assisted by the availability and use of plain language, standardized legal forms, such as the Answer form, and of software programs (what in New York are called “DIY” programs) that help litigants prepare legal documents such as answers. Such programs have been developed for many jurisdictions, facilitating the replication of Roles Beyond Lawyers programs.

Given the momentum building for comprehensive 100% access to justice that integrates a wide variety of components, it is hard to escape the conclusion that various forms of navigator program will soon become the norm as part of the 100% approach.

An important additional fact is that the evaluation used a general Framework for such evaluations, that I would highly recommend for broad use beyond this specific kind of evaluation.  (SRLN comment on Framework here.)  Indeed, forthcoming will be a parallel Report on the Washington State Limited License Legal Technicians program, using the same evaluation Framework.

So, what I would be doing right now to help to make this happen would depend on my role in the legal system.

As a Chief Justice or State Court Administrator, I would be stimulated by this Report to consider if it would be useful, as former Chief Justice Lippman did in New York, to establish a procedure for considering options such as those reported on here as part of my strategy for moving forward the 100% access resolution.

Were I a chief judge or administrator of a court, I would be similarly considering whether I might have the relationships and authority to issue a Standing Order (NY Administrative Order here) to launch such an experiment in my jurisdiction.

As a bar leader, I would be wondering how to explore the role of the bar in such an experiment (in Washington State, the Limited License Legal Technician program is regulated by the WSBA under delegated authority from the Washington Supreme Court ,) and also noting the support of the bar in New York for its program.

As a legal aid administrator or board member, I would already be exploring how the additional flexibility such an approach would give non-lawyer staff could be leveraged to increase coverage without extra resources, and looking into the court and social service partnerships that would support this.

As a law school dean, I would be looking into the possibility of also following the Washington state model, and taking to opportunity to play an educational role in this approach.

If I were part of a social service program, I would be hoping to expand what my staff could do, particularly in court.

And, finally, if I were a member of a state access to justice Commission, I would be moving urgently to make such a project, bringing together all of the above, a high priority as part of the 100% agenda.

Posted in Access to Justice Generally, Non-Lawyer Practice, Research and Evalation, Rules Reform, Self-Help Services, Social Workers | 2 Comments

Please Follow the Lead of Our Retirement Community Network and Spread the Access to Justice Immigration Tool

I am so proud of our retirement community network, Kendal, and hope that other community networks of all kinds will follow.

In response to the urging that we should make sure that our communities should help any of our staff families and friends who might need help, they have posted on their blog the recent blog on our Collington Residents site about tools to help people with immigration issues find out their options, get help, and take action.  Here is the Kendal posting.

We are all part of many networks that go beyond our traditional access to justice groups.  Lets do all we can do to make sure that everybody who might be helped knows about the tool.  Here is the full ATJ post.

Thanks for doing all that you can.

Posted in Immigration, Technology | Comments Off on Please Follow the Lead of Our Retirement Community Network and Spread the Access to Justice Immigration Tool

The CIA Finding on Russian Election Interference Suggests a New Needed Role For Roberts to Chair a “Warren Commission” Type Inquiry

While there is a long history of countries (including ours) finding ways to mess with their opponent’s political system, this is sui generis, and leads to a thousand thoughts on where this takes us and leaves us.

The Threat of Illegitimacy and a Response

This is, actually,most parallel to the Kennedy assassination, in which fears of external influence were deeply believed, and deeply destabilizing.  President Johnson prevailed upon Chief Justice Earl Warren to take leadership of the Commission he established because he believed that Warren’s institutional and personal credibility would resolve doubts.  While the effort was far from fully successful, at least it was sufficiently so as to maintain the stability o our political system.

We need an equivalent non-partisan, completely credible, and fully supported process.  If Chief Justice Roberts can not be trusted, then we need a new Chief Justice, although I suspect that he is sufficiently an institutionalist that he can be trusted.  Given the increasing fear developing in the “traditional” GOP about this whole issue, it may well be that they would go all in.  Trump of course, could not b part of it, nor his minions, rather however it is set up, it must be done so all the agencies cooperate, without intervention from the White House.  I suspect that this has to be set up and in place before the inauguration.  I suspect that this first Commission would focus only on getting the facts out.

Assuming that Election Impact is Found, There are Ways to Shape US-Internal Consequences

What the consequences for our government leadership are to be has to be depends on the facts.  The problem will be getting in place a system capable of responding to the findings of the Commission.  Assuming that the finding is that there was an effort to get Trump in, and that we can not be sure if this is a cause-in-fact of the result, we are in a terrible place, although one compromise might then be that the party result remains the same, but a new Republican has to be chosen, untainted by any whiff of involvement, encouragement, or lack of concern.  The problem in terms of getting rid of him may be that Trump will not have committed an impeachable offense.

If, on the other hand, the result is found to be caused by the intervention — not impossible given current statistical tools — then may we need an urgent constitutional one time re-write to permit a new election.  That would need a broad national consensus, but if all the prior presidents joined in support, maybe it it could happen.  (And, since we know that Reagan is immortal, his ghost could chime in.)

Of course, it is also not impossible that an “innocent” President Trump would none the less commit an impeachable offense in the attempt to cover up the illegitimacy of his presidency.  It is also possible, as discussed here, that the “unable” language of the 25th Amendmentwould apply, particularly if Trump’s tendency to be out of touch with reality were exacerbated by the investigation and deterioration of this political situation.

Really Weird Things Could be Found

Supposing, for example, that it turned out that the emails found on Weiner’s computer that led to the FBI intervention in the election had been placed there by the Russians.  Or that hacking had created conflicts between Republican Presidential candidates that had not been there before.  (To think of more ideas, just speculate about what Nixon’s gang would have done if they had had high level hacking capacity.)

The Long Term Threat Goes Far Beyond Elections

Anyone in the leadership elite should be terrified by this.  Think what it threatens to corporations, banks, universities, the media, etc.  They are subject to just the same kind of disruption and potential blackmail as the political players at issue.  They are already deeply fearful of Trump, and this might give them a bit more spine.

The US is Ultimately Less Vulnerable Than Authoritarian Countries

While the interrelated epidemic of false news has made it harder to know what to believe, countries are far more vulnerable to this kindof thing when people basically don’t believe anything they get from media — which is what happened when you have centrally controlled media.  While their elections are not so much subject to disruption than ours, simply because they do not have them in any real sense, the economy, the inner network of real decision makers, the academic and media worlds, are totally subject to interference.  Those countries are not controlled not by a publicly derived and legitimated consensus, but by complex signals in a highly uncertain world, which if properly penetrated, can be caused to collapse.

Protecting Ourselves in the Future

Largely ignored is the simple truth that the best defense again hacking is transparency.

(Note:  This is also posted in my Politics and Humor blog.)

P.S. I would particularly urge you to share this with your networks, particularly anyone you know in media.

Posted in Supreme Court | Comments Off on The CIA Finding on Russian Election Interference Suggests a New Needed Role For Roberts to Chair a “Warren Commission” Type Inquiry

Timely and Powerful New Immigration Planning and Action Tool

The Immigration Action Network and Pro Bono Net have just launched a major new online tool to help those facing immigration issues.  It is obviously overwhelmingly timely, as people we know, who working with us, or provide services to us day to day, face potentially frightening challenges.

Hi all – We just launched an ambitious new platform called immi (English: www.immi.org | Spanish: www.immi.org/es) to help immigrants understand their legal options, find legal help and protect their future.

Immi includes an in-depth online screening tool with individualized results for family-based immigration, asylum, TPS/DED, SIJS, U/T visas, VAWA, DACA and more, as well as know your rights resources and a search tool to help immigrants find local nonprofit legal assistance.

Please explore, blog, link to, and help us get the word out using our simple social sharing tools: https://www.immi.org/info/share.html.

I would urge everyone to treat this not just as a professional piece of information, but as a personal sharing obligation to anyone it might help, or anyone who might know someone it could help.  It is one way of standing with those at risk.

Posted in Access to Justice Generally, Immigration, Self-Help Services, Technology | 1 Comment

How to Compare the Appropriateness of Potential ATJ Indicators

David Udell has challenged me to identify, from the recent indicators report, some of the “best indicators.”  Before I even think about doing that, I have tried to identify eleven criteria for a perfect indicator.

  1. The data is already being collected, even if not yet being processed and compared.
  2. There is a strong intuitive relationship between the indicator and the results/outcomes that we really care about.
  3. It is an indicator that will be sensitive to differences among subgroups under study.
  4. It it can be used to compare results in broadly different environments.
  5. It leads relatively easily to policy and management prescriptions.
  6. It is relatively cheap and easy to collect.
  7. It has broad legitimacy among multiple groups such as funders, providers, service recipients and the public, and it is not perceived as being too related to a particular institutional or other agenda.
  8. It is not too easily subject to being gamed.
  9. It is quantitative and subject to actual measurement and analysis.
  10. It aligns well with other actual or suggested measures, acting as a proxy for them.
  11. It, together only with a very small number of other indicators, provides a reliable overall view of the functioning of the system from all points of view and reflecting the needs of constituencies.

I would encourage those with really specific knowledge of their substantive areas to work together to identify five or so measures within that area that might do a better job of meeting those criteria, with the hope that together those five would meet the criteria in number 11.

Suggestions for improvements in this list would b much appreciated, including any ideas on how to get the list down to ten.  (I assume that everyone knows the story about Moses coming down from Mount Sinai, and announcing:   “First the good news, I got him down to ten.  Now the bad news, adultery is still on the list.“)

Take care.

Posted in Access to Justice Generally, Funding, Justice Index, Outcome Measures, Research and Evalation, Series: Outcome Measures, SRL Statistics | Comments Off on How to Compare the Appropriateness of Potential ATJ Indicators

Report on Symposium on Indicators — A Process That Will Go On

Back abut a thousand years ago, on September 15, 2016, an important Symposium on indicators was organized by Risa Kaufman and David Udell.  They jointly blogged about it yesterday:

On September 15, 2016, access to justice experts from the academic and nonprofit communities gathered for a Consultation with U.S. government officials to recommend “access to justice indicators” to guide data collection for tracking and promoting access to justice in the United States.

The Consultation, the first held between U.S. government officials and civil society experts on access to justice indicators, is a step towards U.S. implementation of Goal 16 of the 2030 Sustainable Development Goals, or SDGs.

Participating in the Consultation were fifteen officials from agencies in the White House Legal Aid Interagency Roundtable (WH-LAIR), as well as thirty access to justice experts from the academic and nonprofit communities.

The bloggers point out that this process can help in:

  • Prioritizing “access to justice” as a societal goal, and establishing the relationship between access to justice and poverty reduction
  • Creating incentives for federal, state, and local officials to expand access to justice
  • Producing data and findings that empower reformers to expand access to justice in public institutions and in areas of law and policy in which they possess expertise
  • Building a field of research (and researchers) on access to justice
  • Expanding sources of funding for civil legal aid, indigent defense services, and courts
  • Implementing the “100% access to effective legal assistance” resolution adopted in 2015 by Chief Justices and Chief Court Administrators, and
  • Strengthening human rights treaty reviews and the Universal Periodic Review with respect to barriers to access to justice in the United States.

Perhaps the most important short term output of the gathering will be this set of suggestions for indicators at both the specific and general level offered by the speakers (of which I was one.)

My own overview tended to the reaction that this is a very valuable beginning, but one that needs much work to create an integrated picture.  It is to be hoped that even while that integrated picture is being developed, individual Federal agencies will start to look at the information they are gathering so that they will be able to focus on making available to the public that information that is considered most important.

I think that those looking at the whole pack will find it very useful in analyzing the kinds of information that are thought to be useful, rather than just a list of data fields.  Among those are:

  • Information about services and assistance actually provided to obtain access to justice
  • Measures of need (in terms of what services would meet those needs)
  • Measures of ways that services are provided
  • Measures of impact of success and failure to meet those needs
  • Measures of outcomes in the systems at issue
  • Measures of costs of participation in systems of access and decision-making

I will blog in more detail about the thoughts I developed in response to the challenge of creating an integrated system of data and an integrated measure for access to justice in the future.

In any event, this process will go on, nationally and internationally.  It is just likely to have different players playing roles with different emphasis.

For the time being, I would just underline that we have to involve litigants in the process of deciding what measures are important.  Few of the papers submitted, including mine, showed evidence of such an effort.

Posted in Access to Justice Generally, Dept. of Justice, Federal Agencies, Justice Index, Metrics, Outcome Measures, Research and Evalation, SRL Statistics | Comments Off on Report on Symposium on Indicators — A Process That Will Go On

Mary McClymont Announces Her Late 2017 Departure as President of Public Welfare Foundation

Sometimes a blogger has the joy of sharing good newss.  But sometimes you have to be the sharer of sad news.

Today, Mary McClymont has announced that she will be leaving as President of the Public Welfare Foundation, effective when a replacement is in place, probably late 2017.

While, of course, we know that Mary will continue to make massive and unique contributions to the world, and particularly to a just world, wherever and whatever she does, for those of us in the access to justice world, this can not be seen as anything other than a loss for the future.

I have had the honor and prieledge to work closely with Mary for the last few years, and while I have dealt with many funders in a variety of contexts, I simply have never  worked with one with the same sensitivity to the balance between leadership and respect for those with whom one is working.  It is always a complex issue.  I have sometimes quipped that many funders would refuse to tell you what they want, but expect you to figure it out and do it, while Mary would always tell you what she thought, but urge you do to what you felt right.  That requires an astonishing confidence and ability to trust.

There will be, I am sure, much appropriate marking of Mary’s achievements in the next year, but the core point is that Mary was never constrained by the consensus.  Rather she has always pushed at the boundaries, whether in her support of exploration of “Roles Beyond Lawyers,” her funding of development of outcome measures, her broad 100% access view, the creation of the communications strategy, or the general insistence that collaboration should be more than lip-service with its huge impact at all levels, to name just a few.

I hope that this development will spur stakeholders to take full advantage of Mary’s convening and persuasive skills in the next year to ensure a solid and indestructible foundation on which 100% access to Justice will be built.

The full text of Mary’s letter to the grantees is below:

December 2, 2016
 
Dear Friends and Colleagues:
 
I wanted you to know that I have shared with the Public Welfare Foundation’s Board of Directors my decision to step down as president  late next year to transition to a new chapter in my life.  I will leave the Foundation once my successor has been selected and is on board, by late 2017.  No time is ideal to step away, but I wanted to give ample notice so the Foundation can carry out a smooth transition.
 
Parting from what I consider to be  the “best job around” is not easy but  as I now enter the start of my seventh year here,  I will be leaving at a point when I believe  the Foundation is doing remarkable and important work—with a  strong, engaged board of directors  deeply  committed to the values and the ongoing programs of the Foundation;  and  with a smart, capable and  energetic staff  implementing our mission so effectively.
 
My colleagues and I are most gratified to see you, our outstanding grantees, winning victories and making a real difference in the world day after day. The challenges raised by recent political developments make it abundantly clear this work is needed more than ever. I know the Foundation stands ready to do all it can to resolutely support the work.    
 
It has been my very good fortune to lead this organization on a set of social justice issues of great importance to our society.   Our operating philosophy to carry out our “justice” mission is near and dear to my heart: Pushing for transformative change however we can best and most strategically help make it happen,   and on social and economic justice concerns that, unfortunately, don’t often get the attention they merit

My plan is to step away from a full-time professional commitment.  I communicated this to the Board before the election. Especially now, though,  I remain  ever more committed to find additional ways I can contribute to social justice and human rights work,  both internationally and  domestically.
 
In January, you will hear more about the Board’s search process.  I know it will be deliberate and inclusive of a wide range of input.  Meanwhile, in the year ahead, I will be fully engaged with all of you to protect our gains and to advance our progressive goals.   I am so grateful to all of you who have made and continue to make this opportunity so fulfilling and such a joy for me, personally and professionally.

Posted in Access to Justice Generally, Funding, Personal, Public Welfare Foundation | Comments Off on Mary McClymont Announces Her Late 2017 Departure as President of Public Welfare Foundation

Nothing Ever Changes – Queen Elizabeth I Had To Intervene to Protect Against Professional Monopoly Over-Protection By Physicians

I am reading a wonderful book called The Gardens of the British Working Class.  It is one of those books that seems to be about what some would call a “little thing,” but is really about all of life.  The author, Margaret Willes tells a wonderful story (starting at page 38) as to which we would all recognize the issues and circumstances, both for medicine and law:

Towards the end of Henry VIII’s reign, in 1543, an act was passed allowing those experienced in he nature of herbs, roots and waters to practice and use them as a gesture of Christian charity.  This caused much consternation in some quarters. .  .  .  The College of Physicians summoned a series of women before their court for administering medicines and giving advice.  But in one instance, when a poor woman Margaret Kennix, was accused of supplying her friends and neighbors with herbal remedies, the Queen intervened in person.  In a letter sent to the College secretary via Secretary Walsingham, the Queen declared:

“It is her Majesty’s pleasure that the poor woman should be permitted by you quietly to practice and minister to the curing of diseases and wounds, by means of certain simples, in the application whereof it seems God hath given her an especial knowledge.  I shall therefore desire you to take order amongst yourselves for the readmitting of her into the quiet exercise of of her small talent, lest by the renewing of her complaint to her Majesty through your hard dealing towards her, you procure further inconvenience thereby to yourselves.”

How perfect.  I particularly love the subtlety of the implicit threat that the College of Physicians should not take actions by which “you procure further inconvenience thereby to yourselves.”  Something tells me that they had no need of class action remedies in those days.

The incident also makes me wonder if, in her day to day administration of the realm, Queen Elizabeth may have been more of a feminist than we realize.  My popular culture impression is that “she had to act as a man to be a queen.”  It would be a great PhD thesis to look through those day to day records, with this incident in mind, to see if the truth may not be much more complicated and interesting.  And, I wonder what Walsingham and others thought about her attitude.

Posted in Anti-Trust, Bar Associations, De-Regulation, History, Medical System Comparision, Non-Lawyer Practice, Systematic Change | 3 Comments

Washington Post Explains Why Last Minute Regs Are Worth It

The Washington Post explains here why even last minute regs are worth the effort.

While Republicans are already warning that they will reverse some of the rules Obama will issue during the last months of his presidency, White House officials are determined to move ahead, reasoning that having more rules in place will force the new administration to choose which ones are worth the time and effort of reversal.  .  .

A GOP Senate leadership aide, who spoke on the condition of anonymity to discuss a process that is still underway, said every committee is working to identify what rules under its jurisdiction might be reversed. Given the fact that each rule reversal takes up 10 hours of floor time in the Senate and that senators must also confirm key political nominees and pass a budget, the aide estimated that Congress was likely to overturn between five and seven of Obama’s last rules.

For the administration, that means full speed ahead.

So, the lesson from now for the future is that if, in eight or more years we are again in a position of having an access-to-justice engaged President leave office, we should do a better job to being ready to take advantage of this time.  Surely, much could have been done with the right preparation.

P.S. There is a complex statutory structure, not described in this article, that facilitates reversal of more recently enacted regulations, but that does not undercut the basic point of this post.

Posted in Access to Justice Generally, Dept. of Justice, Federal Agencies, Planning, White House | Comments Off on Washington Post Explains Why Last Minute Regs Are Worth It

Launching My New Patient Partnering Blog

I am launching www.patientpartnering.net, my new patient voice blog.

As many of you know, I have had one marrow cancer for about four years, and this, together with the excellent care and patient participation opportunities I have gotten at Johns Hopkins, has led me to become involved in the “patient voice movement” in health care.  As I have noted before, there are huge parallels with the “litigant voice” issue in the legal system, with which we are all engaged, one way and another.

So, I am now launching a parallel blog to accesstojustice.net, specifically patientpartnering.net.  You can join this patient partnering blog by putting your email in the box in the left column.

I describe the philosophy of the new blog as follows:

What I mean by [the phrase] is that the process includes the patient as a full partner, with our own skill and expertise, as well as direct reportable knowledge. The patient provides information about what they are feeling medically and in terms of how they are being treated, in all senses of the word. They make suggestions about how to improve not only their situation, but that of others. They keep their eyes open and try to see patterns in fellow patients and ask if those may generally be true, or worth researching. They talk to other patients and help build a community that gives feedback. Their input includes everything from their own situation to the overall health care system. In other words, they are partners, not just the beneficiaries of being at the center of care.

This listing of the most recent posts in that new blog should give a strong sense of how much the two topic areas are related (or rather should be), and how much we would all gain from cross fertilization.  Indeed, I would urge ATJ folks to become active in patient councils, which are already in place in over 30% of hospitals.

Recent Patient Partnering Posts

The Great Research News About Impact of An Hallucinogen on Cancer Patient Depression and Anxiety Raises a Side Question About Extent of the Problem and the Diagnostic Process December 1, 2016

The Roots of Patient Partnering Are in Hospice and In Midwifery — And Where Else? November 28, 2016

More Ideas on Research Driven By The Patient Experience November 19, 2016

NQF “Strategies for Change – A Collaborative Journey to Transform Advanced Illness Care” Released November 16, 2016

Perspectives on Research Directions November 14, 2016

Patient First Technology November 13, 2016

An Important Thought on Patient-Partnered Research – Different Environments November 13, 2016

Should There Be a New Medical Role to Fill the Gap Between Specialists and PCPs for Those With Ongoing Serious Illness? November 13, 2016

As always, I welcome comments and contributions to both blogs.

Posted in Medical System Comparision, This Blog | Comments Off on Launching My New Patient Partnering Blog

Important — Now Out, The WH-LAIR Report Is Actually Not Bittersweet Reading — It Is Hopeful For The Future But You Have to Read It Carefully

To be honest and direct, even though the first White HHouse-LAIR Annual Report (Legal Aid InterAgency Rountable) is “must reading,” it might feel at first like it might be hard to read, because it’s difficult not to think in terms of opportunities lost.  (Fact Sheet Here.)

So, I am going to suggest how to read it as an optimistic resource for the future, and as a guidepost for how the access to justice movement can move forward in both short and long terms, regardless of changes in political climate.

Indeed, the immense achievements of LAIR under the leadership of DOJ’s Karen Lash, with the strong support of Access to Justice Counselor Lisa Foster, and AG and the White House Policy Council, reminds us that those achievements are not necessarily going to be reversed, and more important, that if we think and act right cam be continued and built on, although probably not necessarily in the same way.

As the Report says:

The Report demonstrates that the 22 members of WH-LAIR have taken significant steps to integrate civil legal aid into their programs designed to serve low-income and vulnerable individuals, where doing so can improve their effectiveness and increase access to justice. The strategies that agencies deploy to advance WH-LAIR’s mission largely fall into four categories: 1) leveraging resources to strengthen Federal programs by incorporating legal aid; 2) developing policy recommendations that improve access to justice; 3) facilitating strategic partnerships to achieve Federal enforcement and outreach objectives; and 4) advancing evidence-based research, data collection, and analysis.

 

The Report as a whole reflects the broad definition of legal aid made by the President in his Memorandum establishing the Rountable:

Equal access to justice also advances the missions of an array of Federal programs, particularly those designed to lift Americans out of poverty or to keep them securely in the middle class. But gaps in the availability of legal aid—including legal representation, advice, community education, and self-help and technology tools—for America’s poor and middle class threaten to undermine the promise of justice for all and constitute a crisis worthy of action by the Federal Government.

 

It states, at page 6, that “Civil legal aid is provided by nonprofit organizations, pro bono volunteers, law schools, and court-based programs.”

 

I encourage all to read the report for examples most close to your heart — and those you are seeking to persuade to keep on track with the access to justice agenda.

Perhaps most key in this area is Part II of the Report which discuses priority by priority, the work of LAIR in bringing the access to justice perspective to the promotion of existing and largely bi-partisan Federal priorities, and also its work to meet the needs of groups that are in need of special protection.

More generally, let me suggest that the Report is a guideline for the future in the following critical ways:

1.  A Bipartisan Set of Goals

The goals and achievements of LAIR are not in service of elements of the Obama agenda that is seen as controversial.  Rather they support goals and policies that are agreed (although it would be false to assert than there are never differences about how to support those goals.)

2.  A Broadly Supported Set of Means

The LAIR approach is broad, and includes innovations and ideas that come from a wide variety of political perspectives. That they are highly similar to the Conference of Chief Justices Resolution underlines this key fact.  They are not limited to traditional “lawyer first” approaches.

3.  Deeply Embedded in Non-Controversial Systems of Long Standing

For example,  making sure that Child Support Enforcement is integrated with access is  not only uncontroversial, but reflects cooperation with a system that reaches into every state and multiple agencies within those states.

4.  This Is About “Unrigging” the System

Whatever you may feel about this election, is is impossible to reject the idea that the people called for the system to be “unrigged.”  The LAIR Report shows that there are lots of ways that government can make sure that the voice of the people, both individually and collectively, can be heard.  Moreover, the courts should be changed so that they can become one of the forums in which there is open debate about the form that the “unrigging” should take place.  Without access to justice and legal aid, broadly defined, that can not happen.

5.  Because of Its Variety, an Integrated LAIR Approach is about all the Excluded, including the Middle Class

One of the primeval screams of the election was from those who felt squeezed in the middle.  Yet the broad definition of legal aid, reflected also in the Justice for All Strategic Planning Initiative, means that everyone who is at risk of exclusion can and should be helped by LAIR-type initiatives.

6.  An Approach That is Highly Applicable to the States

As yet,the integration of agencies into access to justice has hardly even started in most states, and, perhaps most importantly of all, this is a huge opportunity, regardless of what happens in Washington.  While Access to Justice Commissions are wonderful, they tend to be limited to integrating the courts, bar and traditional legal aid, and the participation even of administrative agencies is highly limited.

The Federal model has shown the extent to which government priorities can be advanced by integrating the access to justice/legal aid perspective, and that applies, with perhaps even more force, at the state and even local level.

Let’s hope ways can be found to make sure that happens

So, read the Report, cheer it on, and use it as a planning tool, whether you are at state, local or national levels.

Posted in 100% Access Strategy and Campaign, Access to Justice Generally, Court Management, Law Schools, Legal Aid, LSC, White House | 1 Comment

A Confession and a Manifesto for Client/Litigant Driven Outcome Measures in Access to Justice

As a patient, I would be outraged by the idea that medical professionals alone (link to 2001 paper) should decide the outcome measures that would be used to decide the benefit and utility of medical innovations.

But, without a squeak of protest, objection, or insight, I have written favorably about, and been involved with designs of outcome measure approaches that are designed entirely by courts, legal aid, and academics, without any client or litigant input.  I suspect that personally I have been guilty, as a lawyer, of believing that “of course,” I and people like me know what makes a difference for our clients.  After all I was meant to be their “advocate.”

So let me now urge that outcome measures design processes should have litigant and client voices built in from the start, and that those voices should be heard throughout the measure design process.  For example, what do tenants care about?  Staying in the house? not being homeless? not losing their job? not owing money? staying off the landlord eviction registry? staying in the neighborhood, keeping the family together?

Similarly, how would family law litigants measure the success of the case as a whole?  Custody?  Money? lack of conflict? Feelings about other family members? Autonomy?

Also to be a asked is if the relative weightings vary for different litigants, and what kind of systems would allow for appropriate variation in weightings.

I think a process should probably begin with a litigant/client focus group to get a sense of the range of outcomes that matter, and that from that point on every state in the measure design process should involve litigant perspectives.  The final stage, that may be about weighting of outcomes, should be driven largely by clients and litigants.

It is true that the so-called “public trust and confidence” research does focus on litigant valuing of process outcomes.  But even there, I suspect that the process was to hypothesize that litigants valued these goals,  and then confirmed that by surveying, rather than going from the first and asking people what they cared about.  In any event, the outcome weighting process here would be critical.

I hope that this insight can be integrated into the outcomes to be developed in the Justice for All Strategic Planning processes, and in the outcome measures required to be developed in the next few years by LSC grantees.

Of course it takes more time to do it this way, but that is just another argument for building common measures, rather than starting from scratch each time.  It would be good to start by hearing mch more about those programs and courts that have engaged in this kind of approach.

It is noteworthy that within HHS there is an entire institute dedicated to Patient-Centered Outcomes Research (PCORI).

 

Posted in 100% Access Strategy and Campaign, Court Management, LSC, Medical System Comparision, Metrics, Outcome Measures, Research and Evalation, Series: Outcome Measures | 2 Comments

LSC TIG Conference, the Website Assessment and Portals

LSC has announced its January 2017 TIG Conference. The draft agenda is here.

While there is much of great interest, I would just like to point out that one very good reason for many, including particularly those involved in websites and/or applications for Portal Grants, to attend is the track dedicated to access to justice Website Assessment process.

As folks know, The Ford Foundation has funded a full evaluation and assessment of the websites network and there will be much to learn about the Report of the Evaluation from that process.

I understand that the evaluation included a 100 point assessment of each of the websites. I also understand that there will be a “Playbook” released that will include concrete steps that states can follow to improve their sites.

Given the role that websites are likely to play in establishing staewwide access to justice  portals, this is surely a particularly opportune time.

The Portal RFP responses will be due only six days after the TIG Conference ends, so you’d better be there if you want to integrate the Report insights into the RFP response!

 

Posted in 100% Access Strategy and Campaign, Access to Justice Generally, LSC, Self-Help Services, Technology | Comments Off on LSC TIG Conference, the Website Assessment and Portals