Basic Elements of Effective Centralized Telephone Intake and
Delivery SystemsLegal Services Corporation
The importance of effective intake systemsA
successful intake system is the foundation for the efficient, effective
and comprehensive delivery of legal services. As the point at which the
client first makes contact with the legal services program, the intake
system seeks to ensure that potential clients have access to services and
that individuals needing assistance receive a prompt response. The intake
system must perform several different functions, including assessment of
the applicant's eligibility for services and, most significantly,
determination of the nature of the client's problem. Those cases in which
extended legal representation or in-depth assistance is necessary are
referred to the grantee's case handlers, to a pro bono program or to other
providers in the community. In many cases, however, limited legal
assistance can be provided to the client immediately. Nationally, more
than two-thirds of the cases handled by the Corporation's grantees are for
advice and counsel, brief service or referral, assistance which often can
be provided through the intake system itself
The Corporation
believes that these tasks can be performed most effectively through a
centralized, telephone-based system. Telephone intake and delivery have
been used successfully by prepaid insurance plans, unions, programs for
the elderly, and many other legal providers, including a growing number of
legal services programs. The Corporation's Inspector General, in a report
on Increasing Legal Services Delivery Capacity Through Information
Technology, has also concluded that computer-assisted client intake
and legal assistance telephone helplines could significantly increase
delivery capacity.
In 1996, LSC and Legal Counsel for the
Elderly/AARP, in conjunction with the National Legal Aid and Defender
Association, the Management Information Exchange and the ABA SPAN Project,
sponsored a series of regional conferences on Centralized Telephone Intake
and Delivery. Nearly 250 people, representing more than 40 percent of
current grantees, attended these trainings. The conferences were followed
with sessions at the annual NLADA conference. Excellent materials were
prepared and are available from the Technical Assistance/Hotline
Clearinghouse Project (see p. 15). A national conference, which will focus
on Pro Se Delivery, Technology and Ethics as well as Intake
Systems, is being planned for later this year.
The materials in
this brochure build upon and supplement the information presented at the
1996 conferences, as well as provide introductory materials for those who
are less familiar with the concept. We highlight some of the basic
elements common to successful telephone intake and delivery systems,
present updates from recipients who have implemented this type of system,
answer some commonly asked questions about the operation of such systems
by LSC grantees, and outline the steps to consider in selecting computer
software and hardware. We conclude with a short bibliography of available
resources.
As the reports from the field indicate, the design and
operation of these systems vary considerably, based on local needs and
resources. Programs have also found that a successful intake system is a
work in progress, subject to continuing reevaluation and modification.
Problems have arisen with regard to technology and other issues.
Nonetheless, programs that use telephone intake and delivery systems
report significant improvement in such areas as client access, program
efficiency, quality of services and client satisfaction
We hope
that the information in these pages will help you to consider, plan and
implement a centralized telephone intake system for your service
area
Elements of Effective Centralized Telephone Intake and
Delivery Systems
The following elements are common to
effective intake systems. These elements can be modified, as necessary,
for particular programs or for regional or multi-provider systems
Centralized telephone access
- All persons seeking legal assistance can call one number (an 800
number for clients outside the local service area).Callers are screened
for eligibility (based on income, residence and type of problem) and are
put through to an intake specialist (see below), according to an
established schedule with set times to receive or return client calls.
Clients can speak with an intake specialist at the time of their call or
receive a return call within two days.
- "Emergencies," which are defined, are given priority. Drop-ins are
given a time to call, or are seen, and copies are made of their papers.
- Appointments are made for clients with special needs and for others
who need a face-to-face interview.
- There are established procedures for dealing with more calls than
the system can handle.
- The client community knows that the program has a telephone intake
system which provides prompt access to legal
services.
Specialized intake and delivery
- The objective of client intake is to provide high quality legal
assistance in as many advice and brief service cases as possible by
telephone. The intake specialist functions as a problem solver, seeking
to resolve and conclude cases, not just as a person who qualifies
callers for services.
- The intake specialist has a good knowledge of the various areas of
law affecting poor people, and may also specialize in certain subject
areas. She or he is skilled in conducting information gathering and
giving legal advice by telephone, receiving training to further develop
these skills. These positions, among the most critical in the program,
can be staffed by experienced paralegals or attorneys.
- The size of the intake unit varies depending on the size of the
provider/service area, and can be based on or attached to substantive
law units.
- A volunteer component (e.g., law students, pro bono attorneys) may
be part of the intake unit.
- As necessary, the intake specialist does further research,
investigation or activity concerning the client's problem ("brief
service" cases).
- Clients are promptly informed of the services they will receive.
- The intake unit is supervised by an experienced attorney, who
reviews the problems and solutions with intake staff on a regular basis.
The supervising attorney may review case print-outs each day to assure
the thoroughness, accuracy and consistency of the assistance provided
and to maintain and enhance quality of
services.
Effective use of Technology
- The intake specialist records all necessary client statistical data
and information concerning the problem directly into the computer while
speaking with the client.
- The intake specialist can close the case by entering closing
information into the computer.
- The program uses case management software which facilitates this
process.
- The program has arrangements with social services sites in outlying
areas so that persons can fax documents to, or receive them from, the
intake specialist.
Forms/Information/Referrals
- The intake unit has developed and maintains standard form letters
concerning disposition of the case, requesting more information from the
clients, making referrals, etc.
- The unit maintains informational and self-help materials (including
letters which can be customized) relating to the various legal issues
affecting clients, and sends information to advice or brief service
clients as appropriate. Clients can also order materials by phone.
- The program maintains a comprehensive referral list of other legal
and social service agencies that may be able to assist the client, and
coordinates with other resources and providers in local
communities.
Further legal assistance
- Cases potentially requiring more than counsel and advice or brief
service assistance are assigned or transferred to the designated
specialty unit (e.g., housing, family law) or advocate.
- The advocate interviews the client, determines after review the
level of assistance to be provided, prepares the retainer agreement and
other paperwork, and handles the case.
System
adjustment/Client satisfaction
Regular review by the supervising attorney helps identify recurring
or systemic problems affecting clients.
Questionnaires are periodically and randomly sent to clients to
assess the effectiveness of the intake system and of the assistance and
materials provided. Staff or volunteers may also make follow-up calls.
This information can be used to help the program make necessary
modifications.
News from the field
- Neighborhood Legal Services in Buffalo, NY, is one of the
pioneers in centralized telephone intake and delivery. By adopting a
telephone intake model to handle cases involving advice and counsel,
brief service and referrals, NLS has greatly increased the number of
clients it is able to serve. In 1988, the program opened 3,800 cases, in
1994, 9,500. Besides serving more clients, NLS' model has freed up
advocates to represent more clients in court and before administrative
tribunals and to conduct more community legal education and complex
litigation than ever before. NLS also developed a software program for
intake and case management which, among other things, generates a series
of standardized forms and letters to accompany its provision of brief
service assistance
- Legal Services of Northern California uses three distinct
types of hotline systems in serving a large geographical area. Since
1992, each of LSNC's six regional offices has operated its own telephone
intake and delivery system, staffed by office paralegals. Statistical
and case information is entered directly into the computer (real time
intake) by the paralegal. LSNC also operates a centralized Senior Legal
Hotline serving 39 counties in Northern California. This system provides
only advice, brief service and referral, referring ongoing cases to LSNC
field offices and other entities. Client surveys of both systems have
shown very high levels of client satisfaction. Finally, because of its
excellent reputation and its experience with hotlines, LSNC recently
received a large grant to provide telephone advice and brief services to
HMO and PPO enrollees in the greater Sacramento area
- Legal Aid Society of Albuquerque implemented a modified
intake and advice system in January, 1996, which is designed to provide
information, advice and brief service as a primary program service.
After substantial staff input, LASA changed its staffing pattern,
assigning staff to one of three units: intake, advice and referral, or
litigation and advocacy. LASA also upgraded its computer system and
software to support its intake system, allowing data entry at the
earliest point of contact and minimizing use of paper files for most
cases
- LASA's receptionist screens callers for eligibility,
residence and type of problem, and checks conflicts. The caller then
receives a same day call-back from the intake attorney or paralegal, who
conducts a telephone interview, recording information in the client data
base. The intake worker provides counsel and advice or brief service
assistance, or refers the case to the litigation and advocacy unit or
the pro bono program, as appropriate. During the first half of 1996,
LASA increased overall service to clients by 51%, while the number of
cases litigated, including negotiated settlements, has remained constant
when compared with 1995<
- Legal Aid Society of Orange County's(California) new Hotline,
staffed by paralegals and law students under attorney supervision,
provides services daily from 9-5 and four evenings each week. The
Hotline provides advice and counsel and referrals, and is the gateway
for more in-depth services, provided by LASOC staff, pro bono and lawyer
referral service programs and a series of LASOC self-help clinics on
topics including family law, bankruptcy and landlord/tenant matters. The
Hotline and clinics have greatly expanded access to LASOC's most
essential services
- LASOC obtained a telephone system for its intake system and
other operations which utilizes Feature Group D, providing 800-line
services for as low as 2 cents per minute. LASOC also upgraded its data
base system, allowing real time access to its data base from all four of
its offices
- Legal Aid Society of Hawaii implemented a Hotline Intake
System with the goal of eliminating the need to replicate the critical
but costly intake function in each of its nine offices, thereby freeing
up staff time in the offices to assist clients on more complex cases.
LASH's Hotline performs three functions: to conduct intake program-wide;
to provide advice and brief services for seniors; and to act as a
central referral source for the other legal services providers in the
State for clients seeking legal assistance. LASH obtained funding from
two foundations to pay for most of the expense of the Hotline. Staffing
includes permanent and contract employees, law students, pro bono
lawyers and lay volunteers. Over the past year, the number of clients
served has increased by 40% and client surveys indicate a very high
degree of satisfaction with services received
- Central Mississippi Legal Services, serving Jackson and rural
communities, instituted centralized telephone intake in February, 1996,
with two primary objectives: 1) to preserve client accessibility while
reducing the circuit riding of limited staff, and 2) to maintain or
increase the quantity of service without diverting staff attorney time
from complex or impact cases. Presently conducting telephone intake in
each of its branch offices, CMLS hopes to centralize intake throughout
the service area in 1997 in one unit staffed by an attorney, a paralegal
and volunteers. At the outset, staff had reservations regarding
telephone intake, and modifications have been made to the system as CMLS
monitors its progress and effectiveness. Staff, however, have come to
embrace centralized telephone intake as an integral part of the delivery
system, and client satisfaction has been overwhelmingly
positive.
Questions concerning provision of legal assistance by
telephone
Does the provision of telephone advice by paralegals employed in a
legal services office constitute unauthorized practice of law?
In a legal services office, paralegals give advice under the
supervision of an attorney or within the accountability structure of the
office. As a result, the advice given by the paralegal is subject to
review by an attorney, and the office malpractice coverage attaches. The
office must make reasonable efforts to ensure that the paralegal's
conduct is compatible with the professional obligations of the office's
lawyers. See, generally, ABA Model Rules of Professional Conduct, Rule
5.3 and local ethical rules.
Is a program required to obtain retainer agreements for each client
for whom it provides legal assistance by telephone
No. 45 CFR Section 1611.8(b) provides: A recipient is not required
to execute a written retainer agreement when the only service provided
is brief advice and consultation. It is not necessary to obtain a
retainer agreement for legal services which are counsel and advice(CSR
closing code A), brief services(CSR code B) or referred after legal
assessment(CSR code C), when the only service provided is in the nature
of brief advice and consultation. This includes cases where limited
additional assistance, e.g., a letter or phone call, is undertaken as
part of the provision of brief advice and consultation, whether such
legal assistance is provided by telephone or in person. There may be
situations, however, in which the program chooses to obtain a retainer
agreement. Cases necessitating further or ongoing activity (e.g.,
negotiated settlement with or without litigation) require a retainer
agreement.
Is a program required to obtain written certification of citizenship
or verification of eligible alien status prior to providing legal
assistance by telephone?
LSC-funded programs may not provide legal assistance for or on
behalf ofan ineligible alien. PL 104-134. However, the program's normal
intake procedures and referral of ineligible aliens are specifically
excepted from this prohibition. Section 1626.3
No written or
documentary verification is required when the only service provided for
an eligible alien or citizen is brief advice and consultation by
telephone. The term brief advice is limited to advice provided by
telephone and does not include a continuous representation of a client.
Sections 1626.6(a) and 1626.7(a)
Section 1626.6 (a): A recipient
shall require all applicants for legal assistance who claim to be
citizens to attest in writing in a standard form provided by the
Corporation that they are citizens of the United States unless the only
service provided for a citizen is brief advice and consultation by
telephone which does not include continuous
representation
Section 1626.7(a): An alien seeking representation
shall submit appropriate documents to verify eligibility, unless the
only service provided for an eligible alien is brief advice and
consultation by telephone which does not include continuous
representation of a client
This exception allows limited contacts
in order to facilitate the provision of telephone assistance, as
distinguished from continuing or ongoing representation
Is a program required routinely to inform telephone clients about or
mail them a copy of its client grievance procedure
No. Section 1621.3(b) requires that the program provide information
about its client grievance procedure to a client at the time of the
initial visit. If a client expresses dissatisfaction with the quality of
legal assistance or the manner in which it is provided, the program
should inform the client of the opportunity to submit a complaint and
mail the client a copy of the program's grievance procedure. In
addition, programs are encouraged to periodically survey client
satisfaction. Such process is another way of identifying problems and
informing clients of the grievance procedure
The disadvantages of
giving legal advice by telephone include not seeing the client or the
client's documents and the risk of missing important issues.
How can programs deal with these issues?
As necessary, programs should arrange to have the client mail, fax
or drop off documents, or to have another person read the document to
the intake specialist. Where credibility may be an issue, and in more
complex cases, programs should schedule face-to-face interviews.
Telephone intake staff should be experienced and trained, and intakes
should be reviewed promptly by supervising attorneys for identification
of possible issues and for correctness of legal advice given. Advice
given should be documented in the case record and can be memorialized in
a letter to the client
Is a program required to obtain a plaintiff's signed statement of fact
prior to calling or writing to the adverse party or otherwise engaging in
settlement negotiation on behalf of a client?
This requirement does not apply to the provision of advice and brief
services, e.g., by clarifying the facts, obtaining additional
information or preparing documents or correspondence; nor does it apply
to attempts to resolve matters through negotiations where there is no
contemplation of litigation. It does apply to situations where the
program is entering into pre-litigation settlement negotiations. Section
1636.2(a)
May a program provide advice or brief referral assistance on an issue
that is not within its priorities?
Programs are required to establish and maintain specific priorities
for all the types of matters or cases they handle, and may not handle
cases other than in accordance with those priorities, except in defined
emergency situations. Sections 1620.3(a), 1620.6(c). However, apart from
substantive priorities, recipients may determine that provision of
advice and brief services via centralized telephone intake is a program
priority. Programs can also make referrals on cases outside their
priorities, including cases that, after legal assessment, are determined
to be cases outside their priorities. Part 1620.
May a program provide telephone assistance to a person incarcerated in
a prison?
Yes. The new restriction applies to participation in litigation on
behalf of prisoners, and administrative proceedings challenging the
conditions of incarceration, not to the provision of limited counsel and
advice or brief service assistance. Section 1637.3.
May a program speak with a client concerning a welfare reform law?
Yes.. The restriction applies to representation or otherwise
participating in any other way in an effort to reform a welfare system.
Therefore, the program may advise the client of the scope and effect of
a welfare reform law, but may not advise the client in any effort to
change or challenge a welfare reform law. Part 1639
Steps
to consider in selecting software and hardware
Listed below
are some general steps to consider in selecting software for a centralized
telephone intake system (hotline) and computer hardware. The circumstances
of your program may require you to consider additional steps or allow you
to skip a step. Below these steps are some points to keep in mind when
discussing intake system software and hardware requirements with vendors
- Involve staff in the discussions, testing, and selection of the
hotline. Get their input on how a hotline can benefit the program, and
on how the hotline might function
- Decide whether and how the hotline will be integrated with other
program systems such as case management and timekeeping systems.
- Contact legal services programs that use a hotline. Discuss
characteristics of their system, including network requirements,
computer hardware requirements, improvements that may be needed, access
to technical support, and the cost of system upgrades
- Obtain demonstration diskettes of intake systems that are of
interest to you
- After reviewing the diskettes and speaking with others, contact the
vendor to discuss the system, computer hardware requirements, computer
network requirements, and the need for the intake system to be
integrated with other existing program applications such as timekeeping
and case management systems
- Test the complete hotline system for a trial period (Demonstration
diskettes may not allow you to examine some of the critical features of
the application.)
- Get staff reactions and comments to the system. Only
after a thorough review of the system, discussions with staff, and
discussions with programs that have experience with the system should
you consider purchasing
Suggestions to consider in
your discussions about hotline systems
- Determine if the system can be integrated with your existing case
management and timekeeping systems. Determine if the vendor will charge
extra for integrating the systems
- Ask about the specific hardware (desktop computers and
network servers), network software (Novell, LANtastic, etc.), and
other software applications (Windows, Excel, Foxpro, etc.)
required for proper operation of the hotline.
- Obtain a list of current users of the hotline software. Ask about
- Cost and reliability of technical support
- The cost of system upgrades
- The cost and time required for training staff
- The computer hardware used to run the system
- Networking requirements
- Compatibility with case management, accounting, and timekeeping
systems
- The ability to generate reports the program needs for grant and
other purposes
- The cost of having existing files transferred into the new system
- The ease of use of the system for advocates and support staff (User
friendly
- The commitment to keeping the software up-to-date
- The total investment, including money and staff time, to complete
and maintain the system.
Resources
The National Clearinghouse for Legal Services (NCLS) and the
Coordinated Advice and Referral Program (CARPLS), with support from a
grant from Legal Counsel for the Elderly/AARP, are operating the
Technical Assistance/Hotline Clearinghouse Project. This project
assists legal services programs in implementing and operating centralized
telephone intake systems by collecting and disseminating information about
hotlines and other intake systems around the country and providing ongoing
technical assistance by telephone. You can receive copies of materials by
contacting NCLS' web site (ncls@interaccess.com) or through HandsNet
(HN2713) or, to order a diskette of materials, telephoning NCLS at
312-263-3830. Requests for technical assistance by telephone should be
directed to CARPLS at 312-738-9494, ext. 303.
The July, 1995,
Management Information Exchange (MIE) Journal has an excellent series of
articles on hotlines and other intake systems. The November, 1996, MIE
Journal has an article describing the Hotline Clearinghouse Project. The
December, 1996, Clearinghouse Review also has a description of the
Project, as well as an index of the documents and materials which are
available through the Clearinghouse
The Legal Services Corporation
is also available as a resource. You may contact the Program Officer
working with your state, or Alan Lieberman at (202) 336-8851.
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