2022
Identifying Graduation Rates and Practices in the U.S. Department of Housing and Urban Development-Veterans Affairs Supportive Housing Program
Tsai J, Byrne T, Hill L, Flatley B, Harelik N, Deal M. Identifying Graduation Rates and Practices in the U.S. Department of Housing and Urban Development-Veterans Affairs Supportive Housing Program. Community Mental Health Journal 2022, 59: 808-811. PMID: 36417137, DOI: 10.1007/s10597-022-01057-y.Peer-Reviewed Original ResearchConceptsHousing programsSupportive housing programUrban Development-Veterans Affairs Supportive Housing (HUD-VASH) programGraduation ratesHUD-VASH programPSH programsKey themesClient independenceHUD-VASHTemplate analysis approachGraduation criteriaPolicyUnited StatesU.S. DepartmentLittle researchProgram managersPracticeGraduation practiceOnline surveyAdministrative dataThe Impact of Temporary Housing Assistance Expenditures on Subcategories of Health Care Cost for U.S. Veterans Facing Housing Instability.
Nelson R, Montgomery A, Suo Y, Cook J, Pettey W, Evans W, Greene T, Gelberg L, Kertesz S, Tsai J, Byrne T. The Impact of Temporary Housing Assistance Expenditures on Subcategories of Health Care Cost for U.S. Veterans Facing Housing Instability. Journal Of Health Care For The Poor And Underserved 2022, 33: 1821-1843. PMID: 36341665, DOI: 10.1353/hpu.2022.0140.Peer-Reviewed Original ResearchConceptsHealth care costsCare costsOutpatient substance use disorder treatmentMental healthSubstance use disorder treatmentRetrospective cohort studyOutpatient mental healthDirect medical costsInpatient mental healthUse disorder treatmentHealth care encountersBehavioral health costsHealth care servicesCohort studyHousing instabilityMultivariable differenceCare encountersMedical costsCare servicesDisorder treatmentU.S. veteransVeterans AffairsVA systemHealth costsSupportive servicesActuarial Prediction Versus Clinical Prediction of Exits From a National Supported Housing Program
Byrne T, Tsai J. Actuarial Prediction Versus Clinical Prediction of Exits From a National Supported Housing Program. American Journal Of Orthopsychiatry 2022, 92: 217-223. PMID: 35025573, PMCID: PMC10687831, DOI: 10.1037/ort0000603.Peer-Reviewed Original ResearchMeSH KeywordsHousingHumansIll-Housed PersonsPublic HousingUnited StatesUnited States Department of Veterans AffairsVeteransConceptsClinical judgmentLogistic regressionClinical predictionService utilization historiesBehavioral health diagnosesMultivariable prediction modelPositive predictive valueHUD-VASHSupported housing programsDevelopment cohortValidation cohortPredictive valueSociodemographic characteristicsClinician ratingsHealth diagnosisCohortSupportive housing programCase managersPermanent supportive housingCharacteristic curveVeteransSupportive housingPresent studyPremature exitUtilization history
2021
Temporary Financial Assistance Decreased Health Care Costs For Veterans Experiencing Housing Instability
Nelson RE, Montgomery AE, Suo Y, Cook J, Pettey W, Gundlapalli A, Greene T, Evans W, Gelberg L, Kertesz SG, Tsai J, Byrne TH. Temporary Financial Assistance Decreased Health Care Costs For Veterans Experiencing Housing Instability. Health Affairs 2021, 40: 820-828. PMID: 33939508, DOI: 10.1377/hlthaff.2020.01796.Peer-Reviewed Original ResearchConceptsTemporary financial assistanceFinancial assistanceHousing instabilityFamilies ProgramNational policy debatesSupportive servicesStable housing situationsAffair partnersPolicy debatesHousing situationCommunity organizationsExpensive inpatientHomelessnessAssistancePeopleServicesDebateOrganizationProgramPartnersImminent risk
2019
National Utilization Patterns of Veterans Affairs Homelessness Programs in the Era of Housing First
Tsai J, Byrne TH. National Utilization Patterns of Veterans Affairs Homelessness Programs in the Era of Housing First. Psychiatric Services 2019, 70: 309-315. PMID: 30651057, DOI: 10.1176/appi.ps.201800393.Peer-Reviewed Original Research
2014
Predictors of Attendance in a Group-Based Model of Case Management for Supported Housing
Tsai J, Stefanovics E, Rosenheck RA. Predictors of Attendance in a Group-Based Model of Case Management for Supported Housing. Psychiatric Rehabilitation Journal 2014, 37: 324-328. PMID: 24684180, DOI: 10.1037/prj0000059.Peer-Reviewed Original ResearchConceptsGroup attendersCase managementMore mental health symptomsMental health symptomsPredictors of attendanceMental health problemsPeer support modelClinical characteristicsGroup attendanceHealth problemsHealth symptomsVeterans AffairsPast monthAttendersMore daysSignificant differencesRegression analysisAdministrative dataMonthsGroupPredictorsGroup-based modelsAttendanceAttendance recordsSymptomsHomeless Female U.S. Veterans in a National Supported Housing Program: Comparison of Individual Characteristics and Outcomes With Male Veterans
Tsai J, Rosenheck RA, Kane V. Homeless Female U.S. Veterans in a National Supported Housing Program: Comparison of Individual Characteristics and Outcomes With Male Veterans. Psychological Services 2014, 11: 309-316. PMID: 24730678, DOI: 10.1037/a0036323.Peer-Reviewed Original ResearchConceptsFemale veteransHomeless female veteransMale veteransPosttraumatic stress disorderHUD-VASHGood working allianceSupported housing programsGender differencesNoncombat traumaU.S. veteransStress disorderCombat exposureSupportive housing programCase managersMore womenHomeless veteransFamily-oriented servicesVeteransIncarceration historyAdministrative dataOutcomesFamily membersDisordersProportion of femalesCurrent studyTiming and Momentum in VA’s Path Toward Housing First
Tsai J. Timing and Momentum in VA’s Path Toward Housing First. Psychiatric Services 2014, 65: 836-836. PMID: 24881688, DOI: 10.1176/appi.ps.650601.Peer-Reviewed Original Research
2013
Client satisfaction with a new group-based model of case management for supported housing services
Tsai J, Reddy N, Rosenheck RA. Client satisfaction with a new group-based model of case management for supported housing services. Evaluation And Program Planning 2013, 43: 118-123. PMID: 24413143, DOI: 10.1016/j.evalprogplan.2013.12.004.Peer-Reviewed Original ResearchConceptsCase managementCommunity-based case managementIndividual case managementSupportive housing servicesPeer support modelCase management modelSupportive housing programHomeless adultsSignificant differencesPeer supportSupportive housingClient satisfactionGroupUrban Development-Veterans Affairs Supportive Housing (HUD-VASH) programGroup-based modelsManagementAttendersSatisfactionCareNational Comparison of Literally Homeless Male and Female VA Service Users: Entry Characteristics, Clinical Needs, and Service Patterns
Tsai J, Kasprow WJ, Kane V, Rosenheck RA. National Comparison of Literally Homeless Male and Female VA Service Users: Entry Characteristics, Clinical Needs, and Service Patterns. Women's Health Issues 2013, 24: e29-e35. PMID: 24342077, DOI: 10.1016/j.whi.2013.09.007.Peer-Reviewed Original ResearchHomeless Veterans in Supported Housing: Exploring the Impact of Criminal History
Tsai J, Rosenheck RA. Homeless Veterans in Supported Housing: Exploring the Impact of Criminal History. Psychological Services 2013, 10: 452-458. PMID: 24079354, DOI: 10.1037/a0032775.Peer-Reviewed Original ResearchConceptsCriminal historyHousing programsCriminal chargesCriminal justice systemUrban Development-Veterans Affairs Supportive Housing (HUD-VASH) programSupportive housing programExtensive criminal historiesHUD-VASH programHomeless veteransSupported housing programsJustice systemSupported HousingPublic intoxicationDisorderly conductHousingHUD-VASHNational datasetMultisite sampleVagrancyEmploymentSubstance abusePoor statusParticipantsProgramAbuseIncarceration Histories of Homeless Veterans and Progression Through a National Supported Housing Program
Tejani N, Rosenheck R, Tsai J, Kasprow W, McGuire J. Incarceration Histories of Homeless Veterans and Progression Through a National Supported Housing Program. Community Mental Health Journal 2013, 50: 514-519. PMID: 23728839, DOI: 10.1007/s10597-013-9611-9.Peer-Reviewed Original ResearchMeSH KeywordsAdultFemaleHealth StatusHumansIll-Housed PersonsMaleMental HealthPrisonersPublic HousingVeteransConceptsSupported housing programsAlcohol and drug use disorders among homeless veterans: Prevalence and association with supported housing outcomes
Tsai J, Kasprow WJ, Rosenheck RA. Alcohol and drug use disorders among homeless veterans: Prevalence and association with supported housing outcomes. Addictive Behaviors 2013, 39: 455-460. PMID: 23490136, DOI: 10.1016/j.addbeh.2013.02.002.Peer-Reviewed Original ResearchMeSH KeywordsAdultAlcohol-Related DisordersComorbidityFemaleHumansIll-Housed PersonsMaleMental Health ServicesMiddle AgedOutcome Assessment, Health CarePublic HousingQuality of LifeResidential TreatmentSelf ReportSocioeconomic FactorsSubstance-Related DisordersUnited StatesUnited States Department of Veterans AffairsVeteransConceptsDrug use disordersSubstance use disordersUse disordersHomeless veteransOutcomes 6 monthsHUD-VASHPrevalence of alcoholAlcohol use disorderClinical outcomesClinical statusDrug disordersBaseline differencesSubstance abuseSubstance useDisordersStrong associationPrevious monthMore nightsResidential treatmentVeteransMonthsProgram entryUrban Development-Veterans AffairsOutcomesPrevalence
2012
Outcomes of a Group Intensive Peer-Support Model of Case Management for Supported Housing
Tsai J, Rosenheck RA. Outcomes of a Group Intensive Peer-Support Model of Case Management for Supported Housing. Psychiatric Services 2012, 63: 1186-1194. PMID: 22983658, DOI: 10.1176/appi.ps.201200100.Peer-Reviewed Original ResearchConceptsIntensive case managementCase managementPeer support modelGeneral medical problemsCase management supportRecovery-oriented approachBaseline characteristicsMedical problemsOne-yearSubstance useCase managersHomeless veteransSite one yearUrban Development-Veterans AffairsAdministrative dataOutcomesProgram admissionDefault modeGreater increaseGroup meetingsSection 8 housing vouchersService deliveryManagementAdmissionConsumer Choice over Living Environment, Case Management, and Mental Health Treatment in Supported Housing and Its Relation to Outcomes
Tsai J, Rosenheck RA. Consumer Choice over Living Environment, Case Management, and Mental Health Treatment in Supported Housing and Its Relation to Outcomes. Journal Of Health Care For The Poor And Underserved 2012, 23: 1671-1677. PMID: 23698681, DOI: 10.1353/hpu.2012.0180.Peer-Reviewed Original ResearchLongitudinal Association of Therapeutic Alliance and Clinical Outcomes in Supported Housing for Chronically Homeless Adults
Tsai J, Lapidos A, Rosenheck RA, Harpaz-Rotem I. Longitudinal Association of Therapeutic Alliance and Clinical Outcomes in Supported Housing for Chronically Homeless Adults. Community Mental Health Journal 2012, 49: 438-443. PMID: 22820927, DOI: 10.1007/s10597-012-9518-x.Peer-Reviewed Original ResearchConceptsPrimary mental health providersMental health providersTherapeutic allianceHealth providersClient outcomesCase managersHigh therapeutic allianceClinical outcomesBaseline differencesLongitudinal associationsHomeless adultsGroup differencesOutcomesMonthsSocial supportHomeless clientsTherapeutic relationshipAssociationParticipantsProvidersConduct disorder behaviors, childhood family instability, and childhood abuse as predictors of severity of adult homelessness among American veterans
Tsai J, Rosenheck RA. Conduct disorder behaviors, childhood family instability, and childhood abuse as predictors of severity of adult homelessness among American veterans. Social Psychiatry And Psychiatric Epidemiology 2012, 48: 477-486. PMID: 22797134, DOI: 10.1007/s00127-012-0551-4.Peer-Reviewed Original ResearchConceptsSeverity of homelessnessFamily instabilityAdult homelessnessHousing programsUrban Development-Veterans Affairs Supportive Housing (HUD-VASH) programSupportive housing programChildhood family instabilityChildhood abuseHUD-VASH programHomeless veteransFederal effortsHomelessnessSocial relationshipsHousingHomeless episodesLess social supportAbuseSocial supportAdverse childhoodConduct-disordered behaviorMethodsUsing dataNon-homeless veteransChildhood problemsAmerican veteransLifeDoes Housing Chronically Homeless Adults Lead to Social Integration?
Tsai J, Mares AS, Rosenheck RA. Does Housing Chronically Homeless Adults Lead to Social Integration? Psychiatric Services 2012, 63: 427-434. PMID: 22549528, DOI: 10.1176/appi.ps.201100047.Peer-Reviewed Original ResearchComparison of Outcomes of Homeless Female and Male Veterans in Transitional Housing
Tsai J, Rosenheck RA, McGuire JF. Comparison of Outcomes of Homeless Female and Male Veterans in Transitional Housing. Community Mental Health Journal 2012, 48: 705-710. PMID: 22294507, DOI: 10.1007/s10597-012-9482-5.Peer-Reviewed Original ResearchMeSH KeywordsAdultAge FactorsAgedFemaleFollow-Up StudiesHumansIll-Housed PersonsInterviews as TopicMaleMental DisordersMiddle AgedOutcome Assessment, Health CarePublic HousingResidential TreatmentRisk FactorsSex CharacteristicsSocioeconomic FactorsSubstance-Related DisordersTreatment OutcomeUnited StatesUnited States Department of Veterans AffairsVeteransConceptsMale veteransFemale veteransComparison of outcomesEpisodes of treatmentMore psychiatric symptomsSubstance use disordersQuality of lifeBaseline differencesHomeless female veteransOutcome measuresPsychiatric symptomsUse disordersMulti-site studyMental healthSubstance useMale participantsVeteransOverall gender differencesFemale participantsTransitional housingOutcomesGender differencesTransitional housing programsDifferent outcomesParticipants
2011
A Typology of Childhood Problems among Chronically Homeless Adults and Its Association with Housing and Clinical Outcomes
Tsai J, Edens EL, Rosenheck RA. A Typology of Childhood Problems among Chronically Homeless Adults and Its Association with Housing and Clinical Outcomes. Journal Of Health Care For The Poor And Underserved 2011, 22: 853-870. PMID: 21841283, DOI: 10.1353/hpu.2011.0081.Peer-Reviewed Original Research