2024
Barriers to Mental Health Care in US Military Veterans
Lewis C, Fischer I, Tsai J, Harpaz-Rotem I, Pietrzak R. Barriers to Mental Health Care in US Military Veterans. Psychiatric Quarterly 2024, 95: 367-383. PMID: 38940875, DOI: 10.1007/s11126-024-10078-7.Peer-Reviewed Original ResearchMental health careMental health treatmentHealth careHealth treatmentReduce barriersUS veteransNegative beliefsInstrumental barriersNational Health and ResiliencePromote engagementMental health servicesPopulation-based effortsUS military veteransNationally representative dataMultivariate logistic regressionPerceived stigmaHealth servicesSocial supportPsychiatric needsVeterans StudyPractical barriersLow purposeConclusionsNearly halfMilitary veteransCare
2023
Intentional Self-Harm Among US Veterans With Traumatic Brain Injury or Posttraumatic Stress Disorder: Retrospective Cohort Study From 2008 to 2017
Rawat B, Reisman J, Pogoda T, Liu W, Rongali S, Aseltine R, Chen K, Tsai J, Berlowitz D, Yu H, Carlson K. Intentional Self-Harm Among US Veterans With Traumatic Brain Injury or Posttraumatic Stress Disorder: Retrospective Cohort Study From 2008 to 2017. JMIR Public Health And Surveillance 2023, 9: e42803. PMID: 37486751, PMCID: PMC10407646, DOI: 10.2196/42803.Peer-Reviewed Original ResearchConceptsTraumatic brain injurySelf-harm diagnosisVeterans Health AdministrationPrior traumatic brain injuryPosttraumatic stress disorderVHA health careIndex dateVHA utilizationHealth care encountersPTSD diagnosisUS veteransBrain injuryPrevalence of TBICharlson Comorbidity Index scoreUS Veterans Health AdministrationStress disorderComorbidity Index scoreRetrospective cohort studyAdjusted odds ratioHealth careSuicide prevention effortsVHA visitCohort studyPotential confoundersInjury codesEvaluating Veterans Response Teams and Police Interventions on Veterans' Health Care Utilization
Tsai J, Gonzalez C, Szymkowiak D, Stewart K, Dillard D, Whittle T, Woodland P. Evaluating Veterans Response Teams and Police Interventions on Veterans' Health Care Utilization. Journal Of Public Health Management And Practice 2023, 29: 387-391. PMID: 36867527, DOI: 10.1097/phh.0000000000001718.Peer-Reviewed Original ResearchConceptsHealth care utilizationCare servicesCare utilizationVA health care servicesUse of outpatientSubstance abuse treatment servicesInpatient mental healthVA health careUrgent care servicesAncillary care servicesHealth care servicesResponse teamsTreatment servicesRehabilitation servicesMental healthHealth careHomeless ProgramSimilar increaseInterventionVeteransDepartmentOutpatientsMonthsCare
2022
“Millionaire Murrays”: A Qualitative Study of Formerly Homeless Veterans Who Became Economically Successful
Tsai J, Radwan CK. “Millionaire Murrays”: A Qualitative Study of Formerly Homeless Veterans Who Became Economically Successful. Psychiatric Rehabilitation Journal 2022, 45: 362-368. PMID: 36201810, DOI: 10.1037/prj0000538.Peer-Reviewed Original ResearchConceptsQualitative studyCriminal justice systemGreat economic successJustice systemSocial servicesHousing stabilityEconomic successHomeless veteransHomeless individualsHuman flourishingOverarching themesQualitative techniquesLife experiencesHomelessnessSemistructured interviewsRecruitment effortsRock bottomEmpirical studyInterviewsEventual successExternal factorsHousingServicesHealth careSuccess
2021
Mental Health Care Use Among U.S. Military Veterans: Results From the 2019–2020 National Health and Resilience in Veterans Study
Kline AC, Panza KE, Nichter B, Tsai J, Harpaz-Rotem I, Norman SB, Pietrzak RH. Mental Health Care Use Among U.S. Military Veterans: Results From the 2019–2020 National Health and Resilience in Veterans Study. Psychiatric Services 2021, 73: 628-635. PMID: 34775790, DOI: 10.1176/appi.ps.202100112.Peer-Reviewed Original ResearchConceptsMental health careMental health care utilizationHealth care utilizationSubstance use disordersCare utilizationU.S. military veteransMental dysfunctionNational HealthUse disordersHealth careVeterans StudyMental health care usePrimary health care providersHealth care useMilitary veteransHealth care providersUse of careHierarchical logistic regressionCare usePosttraumatic stress disorder (PTSD) symptom severitySleep disordersCare providersDisorder symptom severityU.S. veteransNeed factorsMental Health and Substance Use Patterns Associated With Lifetime Suicide Attempt, Incarceration, and Homelessness: A Latent Class Analysis of a Nationally Representative Sample of U.S. Veterans
Edwards ER, Barnes S, Govindarajulu U, Geraci J, Tsai J. Mental Health and Substance Use Patterns Associated With Lifetime Suicide Attempt, Incarceration, and Homelessness: A Latent Class Analysis of a Nationally Representative Sample of U.S. Veterans. Psychological Services 2021, 18: 619-631. PMID: 32852993, DOI: 10.1037/ser0000488.Peer-Reviewed Original ResearchConceptsSubstance use disordersUse disordersSuicide attemptsMental healthLatent class analysisBehavioral health disordersSubstance use patternsLifetime suicide attemptsHigh-risk eventsU.S. military veteransNationally Representative SampleNeeds of veteransDepressive disorderRepresentative sampleHealth disordersU.S. veteransClass analysisClinical resourcesBehavioral healthHealth patternsDisordersDisorder classesHealth careMilitary veteransSubstantial proportion
2020
Demographic Correlates of Veterans’ Adverse Social Determinants of Health
Montgomery AE, Tsai J, Blosnich JR. Demographic Correlates of Veterans’ Adverse Social Determinants of Health. American Journal Of Preventive Medicine 2020, 59: 828-836. PMID: 33220754, DOI: 10.1016/j.amepre.2020.05.024.Peer-Reviewed Original ResearchConceptsAdverse social determinantsSocial determinantsCumulative burdenDemographic characteristicsVeterans Health Administration health careVeterans Health Administration facilitiesMultiple logistic regressionAnalysis of predictorsElectronic health recordsPatient populationFemale sexDecreased oddsUnmarried statusHispanic ethnicityClinical careEpidemiologic investigationsPatient experienceNegative binomial regressionAdministration facilitiesLogistic regressionMinority raceDisability statusVeteran servicesHealth recordsHealth careNational Survey of Legal Clinics Housed by the Department of Veterans Affairs to Inform Partnerships with Health and Community Services.
Timko C, Taylor E, Nash A, Blonigen D, Smelson D, Tsai J, Finlay AK. National Survey of Legal Clinics Housed by the Department of Veterans Affairs to Inform Partnerships with Health and Community Services. Journal Of Health Care For The Poor And Underserved 2020, 31: 1440-1456. PMID: 33416704, PMCID: PMC8215811, DOI: 10.1353/hpu.2020.0104.Peer-Reviewed Original ResearchConceptsVA health care providersMental healthVA health careClients' mental healthHealth care providersHealth care accessClinic staff membersService access barriersHealth system interactionsHealth care recordsCare accessCare providersCare recordsHealth outcomesClinicMost clinicsVeterans AffairsHealth inequitiesSubstance useAccess barriersVA benefitsHealth careNational surveyCommunity agenciesVeterans
2019
Experiences and Knowledge of US Department of Veterans Affairs Clinical Services, Research, and Education: Results From a National Survey of Veterans
Tsai J, Mehta K, Hunt-Johnson N, Pietrzak RH. Experiences and Knowledge of US Department of Veterans Affairs Clinical Services, Research, and Education: Results From a National Survey of Veterans. Journal Of Public Health Management And Practice 2019, 27: 173-185. PMID: 31592984, DOI: 10.1097/phh.0000000000001053.Peer-Reviewed Original ResearchConceptsPrimary health care providersOpioid use disorderVA health careHealth care providersClinical servicesChronic painCare providersUse disordersVA servicesVeterans Affairs Health Care SystemHealth careHealth care systemOverall high satisfactionMajority of veteransOne-quarterUS veteransComprehensive careVeteran characteristicsEligibility criteriaPsychosocial characteristicsCare systemVeteransComprehensive managementCareActive duty
2018
Characteristics and Health Needs of Veterans with Other-than-Honorable Discharges: Expanding Eligibility in the Veterans Health Administration
Tsai J, Rosenheck RA. Characteristics and Health Needs of Veterans with Other-than-Honorable Discharges: Expanding Eligibility in the Veterans Health Administration. Military Medicine 2018, 183: e153-e157. PMID: 29420757, DOI: 10.1093/milmed/usx110.Peer-Reviewed Original ResearchConceptsMental health care needsHealth care needsMore mental health problemsHealth care servicesMental health problemsCare needsVeterans AffairsCare servicesHealth problemsShort Form Health SurveyVA health care servicesMental health care servicesMental healthForm Health SurveyVeterans Health AdministrationHealth of veteransWorse mental healthEmotional problemsVA careHealth SurveyHealth AdministrationHealth statusHealth needsBivariate comparisonsHealth care
2017
Characteristics and Health Needs of Veterans in Jails and Prisons: What We Know and Do Not Know about Incarcerated Women Veterans
McCall JD, Tsai J. Characteristics and Health Needs of Veterans in Jails and Prisons: What We Know and Do Not Know about Incarcerated Women Veterans. Women's Health Issues 2017, 28: 172-180. PMID: 29217313, DOI: 10.1016/j.whi.2017.10.009.Peer-Reviewed Original ResearchConceptsVA health careWomen veteransHealth careChronic obstructive pulmonary diseaseVA health care servicesVeterans Affairs administrative dataHealth issuesObstructive pulmonary diseaseMultivariable logistic regressionCriminal justice characteristicsWomen's health issuesVeteran ProgramHealth care servicesPulmonary diseaseSeizure disorderReproductive ageEye problemsMood disordersWomen's healthVA servicesCare servicesU.S. veteransHealth needsLogistic regressionPreliminary diagnosisOne-Year Incidence and Predictors of Homelessness Among 300,000 U.S. Veterans Seen in Specialty Mental Health Care
Tsai J, Hoff RA, Harpaz-Rotem I. One-Year Incidence and Predictors of Homelessness Among 300,000 U.S. Veterans Seen in Specialty Mental Health Care. Psychological Services 2017, 14: 203-207. PMID: 28481605, DOI: 10.1037/ser0000083.Peer-Reviewed Original ResearchConceptsSpecialty mental health clinicsMental health clinicsHealth clinicsRetrospective cohort study designVeterans AffairsSpecialty mental health careCohort study designVA medical recordsDrug use disordersMental health careVA homeless servicesClinical predictorsProspective studyMedical recordsDisorders ClinicInternational ClassificationUse disordersVA facilitiesU.S. veteransEarly signsStudy designVA effortsClinicHealth careIncidence
2016
Partnerships Between Health Care and Legal Providers in the Veterans Health Administration
Tsai J, Middleton M, Retkin R, Johnson C, Kenneally K, Sherman S, Rosenheck RA. Partnerships Between Health Care and Legal Providers in the Veterans Health Administration. Psychiatric Services 2016, 68: 321-323. PMID: 27903138, DOI: 10.1176/appi.ps.201600486.Peer-Reviewed Original ResearchConceptsVeterans Health AdministrationMedical-legal partnershipsLarge safety net health care systemHealth AdministrationSafety net health care systemVHA medical centersSerious mental illnessHealth care teamHealth care systemCare teamMedical CenterMental illnessSocial determinantsCare systemVulnerable populationsHealth careVeteransAdministrationCareInnovative service modelIllnessInterest in Technology-Based Therapies Hampered by Access: A Survey of Veterans With Serious Mental Illnesses
Klee A, Stacy M, Rosenheck R, Harkness L, Tsai J. Interest in Technology-Based Therapies Hampered by Access: A Survey of Veterans With Serious Mental Illnesses. Psychiatric Rehabilitation Journal 2016, 39: 173-179. PMID: 26985680, DOI: 10.1037/prj0000180.Peer-Reviewed Original ResearchConceptsSerious mental illnessMental illnessMental health-related problemsCommunity care centersAlcohol use disorderComputerized therapyTechnology-based interventionsHealth-related problemsGeneral population surveyMultivariable analysisInequitable careCare centerSociodemographic barriersUse disordersPsychiatric diagnosisIllnessPTSD diagnosisUnderserved populationsHealth careVeteransTechnology use patternsTherapyLower ratesService gapsDiagnosis
2015
Homeless Veterans Eligible for Medicaid Under the Affordable Care Act
Tsai J, Kasprow WJ, Culhane D, Rosenheck RA. Homeless Veterans Eligible for Medicaid Under the Affordable Care Act. Psychiatric Services 2015, 66: 1353-1356. PMID: 26423104, DOI: 10.1176/appi.ps.201500377.Peer-Reviewed Original ResearchConceptsRisk veteransVA service-connected disabilityVeterans Affairs (VA) health careHealth careHomeless veteransVA health careService-connected disabilitySubstance use disordersAffordable Care ActUse disordersExpansion of MedicaidPsychiatric conditionsHealth needsMedicaidCare ActVeteransPotential interplayCareRisk of homelessnessU.S. Female Veterans Who Do and Do Not Rely on VA Health Care: Needs and Barriers to Mental Health Treatment
Tsai J, Mota NP, Pietrzak RH. U.S. Female Veterans Who Do and Do Not Rely on VA Health Care: Needs and Barriers to Mental Health Treatment. Psychiatric Services 2015, 66: 1200-1206. PMID: 26174948, DOI: 10.1176/appi.ps.201400550.Peer-Reviewed Original ResearchConceptsMental health service useMental health careU.S. female veteransPosttraumatic stress disorderHealth service useVA health careFemale veteransRacial-ethnic minority groupsVeterans AffairsHealth careVA patientsService useMale veteransMental health service utilizationFemale VA patientsVA service usersHealth service utilizationHealth-related functioningMental health-related functioningHealth care needsMental health treatmentSubstance use disordersMale VA patientsHigh treatment costsClinical characteristicsBarriers and Facilitators Related to Mental Health Care Use Among Older Veterans in the United States
Blais RK, Tsai J, Southwick SM, Pietrzak RH. Barriers and Facilitators Related to Mental Health Care Use Among Older Veterans in the United States. Psychiatric Services 2015, 66: 500-506. PMID: 25639990, DOI: 10.1176/appi.ps.201300469.Peer-Reviewed Original ResearchConceptsMental health careMental health care utilizationHealth care utilizationOlder veteransPsychiatric disordersCare utilizationHealth careLifetime drug use disordersMental health care useMental health service utilizationNon-Hispanic veteransVeterans ages 60Lifetime posttraumatic stress disorderHealth service utilizationHealth care useCurrent psychiatric symptomsCurrent psychiatric disorderDrug use disordersMinority of veteransMental health servicesCurrent suicidal ideationPosttraumatic stress disorderOlder U.S. veteransCare useNational HealthE-mental health preferences of Veterans with and without probable posttraumatic stress disorder
Whealin JM, Seibert-Hatalsky LA, Howell JW, Tsai J. E-mental health preferences of Veterans with and without probable posttraumatic stress disorder. The Journal Of Rehabilitation Research And Development 2015, 52: 725-738. PMID: 26562090, DOI: 10.1682/jrrd.2014.04.0113.Peer-Reviewed Original ResearchConceptsPosttraumatic stress disorderMental health servicesMental healthHealth servicesStress disorderOperation Iraqi Freedom/Operation Enduring Freedom veteransProbable posttraumatic stress disorderInternet-based interventionsMental health careMental health care practiceMental health interventionsMental health resourcesOperation Enduring Freedom veteransHealth care practicesEnduring Freedom veteransCare practicesU.S. veteransHealth interventionsNational Guard membersHealth resourcesHealth careLogistical barriersVeteransHealth preferencesGuard members
2014
Asian American and Pacific Islander Military Veterans in the United States: Health Service Use and Perceived Barriers to Mental Health Services
Tsai J, Whealin JM, Pietrzak RH. Asian American and Pacific Islander Military Veterans in the United States: Health Service Use and Perceived Barriers to Mental Health Services. American Journal Of Public Health 2014, 104: s538-s547. PMID: 25100419, PMCID: PMC4151899, DOI: 10.2105/ajph.2014.302124.Peer-Reviewed Original ResearchConceptsMental health servicesHealth service useHealth servicesService useHealth careMental health careBetter mental healthHigher socioeconomic statusPopulation-weighted sampleVeteran populationPacific Islander veteransAA veteransEthnic groupsHealth differencesMental healthSocioeconomic statusPerceived BarriersMilitary veteransMultivariable statisticsVeteransVeteran statusNational surveyRecent veteransRandom sampleCare
2013
Medicaid Expansion: Chronically Homeless Adults Will Need Targeted Enrollment And Access To A Broad Range Of Services
Tsai J, Rosenheck RA, Culhane DP, Artiga S. Medicaid Expansion: Chronically Homeless Adults Will Need Targeted Enrollment And Access To A Broad Range Of Services. Health Affairs 2013, 32: 1552-1559. PMID: 24019359, DOI: 10.1377/hlthaff.2013.0228.Peer-Reviewed Original ResearchConceptsMedicaid expansionHomeless adultsService useHealth statusHealth servicesVeterans Affairs (VA) health careAffordable Care Act Medicaid expansionHealth service useMental health servicesTargeted enrollmentCase managementHealth careHealth coverageMedicaidAdultsComprehensive servicesThree-quartersStatusPercentHomeless peopleImportant opportunityCare