I thank the authors for their interest in our work and in the social determinants of stress and health more broadly. In our article, we advocated a multifactorial approach to improve infant outcomes. We agree that the medical-legal partnership (MLP) model has shown promise for mitigating structural barriers1,2 and reducing perceived stress3 in pediatric and family medicine practices. Therefore, it could potentially serve as one intervention in that multifactorial approach through which chronic preconception stress could be alleviated to result in better health for mothers and infants. We look forward to seeing rigorous evaluation of the MLP model for this topic.
References
- 1.Klein MD, Beck AF, Henize AW, Parrish DS, Fink EE, Kahn RS. Doctors and lawyers collaborating to HeLP children—outcomes from a successful partnership between professions. J Health Care Poor Underserved. 2013;24(3):1063–1073. doi: 10.1353/hpu.2013.0147. [DOI] [PubMed] [Google Scholar]
- 2.Weintraub D, Rodgers MA, Botcheva L et al. Pilot study of medical-legal partnership to address social and legal needs of patients. J Health Care Poor Underserved. 2010;21(2 suppl):157–168. doi: 10.1353/hpu.0.0311. [DOI] [PubMed] [Google Scholar]
- 3.Ryan AM, Kutob RM, Suther E, Hansen M, Sandel M. Pilot study of impact of medical-legal partnership services on patients’ perceived stress and wellbeing. J Health Care Poor Underserved. 2012;23(4):1536–1546. doi: 10.1353/hpu.2012.0179. [DOI] [PubMed] [Google Scholar]