Welcome to the Health Justice Clinic. We are looking forward to working with you this semester.
Our first class is Tuesday, August 28, from 4:00 until 5:50. The first few weeks are very busy as we get you oriented and trained to serve your clients. You’ll have forms to fill out, extra meetings to attend, sign-ups, and trainings. It’s important for you to attend to these tasks in a timely manner. We’ve emailed you a checklist to help you keep track of everything.
Drop/add: We will be making case assignments the first week of the semester. For this reason, we need to know asap if you are thinking of dropping the course.
Email: Throughout the semester, you’ll need to keep close watch on your Duke email. We use email constantly to communicate about the class and your client representation. You will not be able to keep up your professional obligations if you do not check your email several times daily. Your responsiveness to clinic communications will also be taken into account in your grade. Because we will often communicate by email about specific client matters, please do not forward your Duke email to another account, such as gmail.
Course Materials: All the course readings and forms are contained in the Clinic Binder, which you will receive at the initial meeting with Allison & Hannah, and which is linked below. Readings for the first class will be placed in your mail folder.
Out of Class Activities:
- You should have received an email from Allison that includes the information below:
Office hours/Supervision meetings: http://tinyurl.com/OfficeHours-Supervision-SignUp. (Sign up for one supervision meeting and 6 office hours). Office hours & supervision meetings begin the week of 8/27. Note that you will have your first meeting before our first clinic class.
- Student Schedule: http://tinyurl.com/Health-Justice-Student-Sched (add your schedule so we can find you if we need you)(there is also a paper form on which you are asked to put your schedule).
- Computer encryption: https://law.duke.edu/actech/signup/ (required if you want to do client work on your personal laptop). Encryption time slots are available the first two weeks of the semester.
- Computer (Clio) training: http://tinyurl.com/Clio-Training-Sign-Up (1-hour training on our client database, Clio)
- Office orientation: Sandra Pettiford, our office administrator, will give you a tour and orientation which takes about 20 minutes. You should sign up in the clinic office or by emailing Sandra
- Forms: You will receive a stack of forms in your mail folder. With the exception of the State Bar Forms, these forms should be filled out and turned in by Friday, August 24 at noon. Drop them by Allison's office - room 2188 in the clinic suite.
- State Bar Form & Rules: You will be certified under the North Carolina student practice rules, which requires that you complete the State Bar Form and read the NC Rules Governing Practical Training of Law Students (placed in your mail folder with first class readings), and North Carolina Rules of Professional Conduct 2018
- Office hours/Supervision meetings: http://tinyurl.com/OfficeHours-Supervision-SignUp. (Sign up for one supervision meeting and 6 office hours). Office hours & supervision meetings begin the week of 8/27. Note that you will have your first meeting before our first clinic class.
Clinic Intensive: Friday, September 7, 9:00 - 4:30. This session is mandatory. Breakfast and lunch provided. The day will include a visit to the Duke Infectious Disease Clinic and Duke Cancer Center.
Road trips provide students with the opportunity to meet with clients in HIV clinics outside the Triangle. Students always feel that these trips are a high point of the semester. The trips are a great way to help you quickly gain confidence and experience. All travel and client time is counted toward your clinic hours. For each trip, one of the Supervising Attorneys takes a group of about 3-8 students to interview new clients and to prepare and execute advance directives such as a Power of Attorney, Health Care Power of Attorney, Living Will, Standby Guardianship Designation. We also do intakes for Wills. We encourage you to sign up for a road trip. So far, we have road trips scheduled on these dates:
Friday, September 28: Hickory (Fairgrove Primary Health)
Journal due Dates:
9/3, 10/1, 11/5, and a final entry by the end of the semester. Please submit the journals by email to both Allison & Hannah, by 8 am on the due date (all Mondays). Final journal is due before your end of semester exit interview.
Quiz Due Dates:
Readings & Assignments
Clinic Binder Sections:
Advance Directives Manuscript
Advance Directives Articles, Statutes, and Forms
Planning for Children (Standby Guardianship) Manuscript
Standby Guardianship Forms
Social Security Readings
Social Security Law
Social Security Forms
Tuesday, August 28: Introduction to Health Justice Clinic
- Clinic Course Requirements (hard copy was placed in your in mail folder - insert into your binder)
- Journal Memo (in mail folder - insert into your binder)
- Readings packet, (hard copies placed in mail folder -- read/skim as directed)
- NPR, August 16, 2015: Though Not a Death Sentence, HIV/AIDS Still Holds a Powerful Stigma
- Washington Post, November 24, 2017, "'I don't feel like I'm a threat anymore.' New HIV guidelines are changing lives
- Browse American Cancer Society: Cancer Treatments & Side Effects
Monday, September 3 (Labor Day Holiday)- 8:00 am - Journal 1 Due
email Journal to both Hannah and Allison
We are available to do supervision meetings on Labor Day, even though it's a holiday. If you have a Monday supervision meeting, let Allison & Hannah know whether you need to reschedule.
Tuesday, September 4: Advance Directives
DUE by email to ALLISON, 8 am: Advance Directives quiz
Readings, from these Clinic Binder Sections:
Advance Directives Manuscript
Advance Directives Readings & Forms, including ---
Advance Directives Statutes : these are primarily for your future reference. Browse them now -- you may need to look at them to answer some of the quiz questions.
-NCGS Chapter 32C, Powers of Attorneys
-NCGS Chapter 32A Health Care Powers of Attorney and
-NCGS 90-320 et seq, Living Wills (Right to a Natural Death)
Articles - in mail folder & sent via email
- Browse Advance Directives Forms in binder (also available on Advance Directives web page)
- Part 2 (Power of Attorney)
- Advance Directives Slides (POA and HCPOA/LW)
Friday, September 7 - Clinic Intensive, 9:00 - 4:30
Working with Clients with Serious Illness, Wills, Office Procedures
We will have a joint session with all clinics students in the morning. Then we'll grab bag lunches and then head over to Duke Hospital for visits to the Duke Infectious Diseases Clinic and Duke Cancer Center.
- Guest Speaker, Vickie Leff, MSW, LCSW, Duke Palliative Care
Wills Readings, from Binder:
Wills Exhibits, from binder, including statutes, forms, client education materials. Skim the statutes -- you don't have to read them-- they are for your reference. You will need to refer to the statutes to answer one or more of the Wills Quiz questions.
Plain English Translations to help you talk with your clients about documents
- Intake Sheet (in clinic binder)
- Office Manual
Tuesday, September 11 -- Disability 1 & Interviewing
DUE by email to Allison, 8:00 am, Wills Quiz
- Cochran, DiPippa & Peters, The Counselor-at-Law: A Collaborative Approach to Client Interviewing and counseling, Chapters 3-4.
- Plain English Translations to help you talk with your clients about documents
Disability Readings from Binder:
"Disability Readings," Section, pp. 1-36
- The Determination of Disability within the Social Security System
- Tom Bush, Chart: The Two Disability Programs & Diagram of Sequential Evaluation
- Medicaid and Persons with Disabilities
- HIV as a Chronic Disease (you can skim this article)
"Social Security Law" Section, pp. 3-4
- Definition of Disability: § 404.1513 Medical and other evidence of your impairment(s)
- Evaluation of Disability: § 404.1520(b) Evaluation of disability in general
- Disability Slides:
Disability 1 Slides
Wednesday, September 12 - Friday September 14-- Simulated Interviews
With a partner, you will interview a simulated documents client (Allison or Hannah). You will receive feedback immediately after the interview. Afterwards, you will review a recording of the interview and give yourself feedback.
Sign up here
Before the interview, you may find it helpful to review this recording of mock documents interview: Jacob Whiteside interview
Tuesday, September 18 - Documents Explanation & Standby Guardianship
- Video Lectures -- look at these before class:
Overview of Care & Custody of Minors
Standby Guardianship Video - Part 1
- Standby Guardianship Video - Part 2
- To accompany the video lectures: Standby Guardianship powerpoint.
Readings, from the Clinic Binder - Standby Guardianship Forms
Manuscript: Permanancy Planning for Children of HIV Infected Parents
Standby Guardian Flow Chart
Standby Guardian Checklist
Checklist of Planning Considerations
- Standby Guardianship Brochure
Browse Standby Guardian Forms
Browse the statute, NCGS 35A-1370, Standby Guardians for Minor Children which is included in the materials. If you have a standby guardianship case, you will need to read this carefully.
Documents Explanation Exercise:
You will be given a prepared set of documents prior to class. Please review these documents and be prepared to explain them to your "client" and answer her questions.
Tuesday, September 25 - Disability 2
Due to Hannah by 8:00 am - Disability Quiz
Slides: Disability 2
"Disability Readings," pp.37-60
- Health Justice Project Social Security Protocols (you may skim this for class, but must read it carefully when working on your disability case)
- Guidelines for Reviewing and Charting Medical Records
- Medical Chart Example
- Factual Investigation - Essential Information
- Using Affidavits in Disability Cases
- "Disability Readings," pp. 61-79
-Tom Bush, Social Security Practice - RFC and Medical-Vocational Guidelines
- -Vocational Terms Quick References
- -DOT Materials (pay special attention to Sample Entry, p. 75)
"Social Security Law," pp. 7-9; 57-60
- § 404.1525 Listing of Impairments in appendix II Adult Disability Listings (browse Cancer (13.00), HIV (14.00) and Mental Health (12.00) Listings)
- § 404.1527 Evaluating opinion evidence
- § 404.1528 Symptoms, signs, and laboratory findings
- § 404.1529 How we evaluate symptoms, including pain
SSR 96-4p: Symptoms, Medically Determinable Physical and Mental Impairments,
and Exertional and Nonexertional limitations
"Social Security Law," pp.10-14, pp. 35-43
- § 404.1545 Your Residual Functional Capacity
- § 404.1562 Medical-vocational profiles showing an inability to make an adjustment to other work
- § 404.1564 Your education as a vocational factor
- § 404.1565 Your work experience as a vocational factor
- § 404.1566 Work which exists in the national economy
- § 404.1567 Physical exertion requirements
- § 404.1568 Skill requirements
- Appendix II: Medical-Vocational Guidelines (“The GRIDS”) (browse and plot your client)
- POMS DI 90070.050–DAA Material Determinations
- POMS DI 25020.010 Mental Limitations
Browse -- "Social Security Forms," pp. 7-26; 55-60
- Disability Interview Form Part I, II (skim and consider why we are asking these questions)
- Disability Checklist
- Doctor/Therapist Questionnaires (browse)
- Social Security Disability Report Appeal (form SSA-3441)
Friday, September 28 - Road Trip to Fairgrove Primary Health, Hickory -- 8:00 am - 4:00 pm
Monday, October 1 - Journal 2 due by 8 am
Email to both Allison and Hannah
Tuesday, October 2 - Theory of a Disability Case
In this class, we will work as a group to develop a theory of a disability case. You will review a client file and apply the five step sequential evaluation. You will complete the five-step sequential evaluation for the client, and turn in your analysis before class.
We will organize our discussion around the five steps. Bring your notes to class to facilitate discussion
- -Client disability file - saved in Clio under the "case" "AIDS Training"
- - Review Social Security disability listings, grids, vocational materials, and law to consider possible theories for the client's case.
-POMS - Medical-Vocational Terms, Physical Limitations, Mental Limitations, (Binder, SS Law)
-Components of the Definition Trailer (Binder, Social Security Readings, pp. 77-79)
- -Social Security Forms, Case Theory Worksheet, p. 65
Week of October 8 -- Fall Break
Tuesday, October 16 - Case Rounds: Client interviews and relationships
Prepare a 1-2 page discussion of one or more client interviews, noting what went well, what was challenging, and any reflections you want to share. You may (or not) reference the Gerdy article. Note that this assignment will NOT be graded. The writing is just meant as a springboard for in class discussion.
Post to the "Health Justice Training" case in Clio by 5:00 pm on Monday, October 15
Tuesday, October 23 - Confidentiality/Discrimination
N.C. Gen. Stat. 130A-143 (Confidentiality)
N.C. Gen. Stat. 130A-25 (Enforcement)
Privacy: Hall v Post.
HIPAA consumer summary;
HIPPA Privacy Rule detailed summary (Lengthy - browse if interested)
HHS Office of Civil Rights - Health Information Privacy Enforcement Examples Involving HIV
Browse: Pro Public Series on Medical Privacy
Read Small-Scale violations of Medical Privacy Often Cause the Most Harm
N.C. Gen. Stat. 130A-148(i) (NC Discrimination)
Americans with Disabilities Act
US Department of Justice, ADA and HIV/AIDS
ADA - Selected Sections (browse if interested)
Department of Justice HIV/AIDS enforcement actions
Family and Medical Leave Act
- Department of Labor Fact Sheet #28, FMLA
Tuesday, October 30 -- Case Rounds -- The disability challenge
This week we'll discuss our disability cases. Please read some of the news articles about Social Security disability in this google doc: Disability Media
Prepare a 1-2 page discussion of (one of) your disability or Medicaid cases. You can talk about challenges, strategy, interviewing, the client's predicament, the emotional impact of the case -- whatever you'd like. Upload to Clio Health Justice Training Case by 5:00 pm Monday., October 29. Please read your classmate's submissions before class.
Monday, November 5 - Journal 3 due by 8 am
Email to both Allison and Hannah