2024
Association of multiple sclerosis with psychiatric disorders and homelessness among veterans in the United States Department of Veterans Affairs healthcare system.
Silveira S, Beydoun H, Tsai J. Association of multiple sclerosis with psychiatric disorders and homelessness among veterans in the United States Department of Veterans Affairs healthcare system. CNS Spectrums 2024, 1-8. PMID: 39576134, DOI: 10.1017/s1092852924002165.Peer-Reviewed Original ResearchSubstance use disordersPsychiatric disordersUse disorderMental illnessDiagnosis of cannabis use disorderAssociated with diagnosisDiagnosis of alcohol use disorderCannabis use disorderPosttraumatic stress disorderStimulant use disorderAlcohol use disorderHealthcare systemService-connected disability ratingDepartment of Veterans Affairs healthcare systemSample of veteransPrevalence of mental illnessCharlson Comorbidity IndexGroup of veteransManagement of mental illnessVeterans Affairs Healthcare SystemVA healthcare systemMS diagnosisSchizophrenia/schizoaffective disorderCorporate Data WarehouseDepressive disorderGambling and Substance Use Disorders in U.S. Military Veterans: Prevalence, Clinical Characteristics, and Suicide Risk
Stefanovics E, Potenza M, Tsai J, Pietrzak R. Gambling and Substance Use Disorders in U.S. Military Veterans: Prevalence, Clinical Characteristics, and Suicide Risk. Journal Of Gambling Studies 2024, 40: 2119-2139. PMID: 39342537, DOI: 10.1007/s10899-024-10359-7.Peer-Reviewed Original ResearchSubstance use disordersU.S. military veteransMental health treatmentGambling groupSUD-onlySuicide riskHealth treatmentMilitary veteransNon-suicidal self-injuryLifetime substance use disorderNational Health and ResilienceRisk of substance use disordersSUD-only groupSelf-report measuresMental health difficultiesAdverse childhood experiencesMental health burdenPast-year gamblingSelf-injurySuicidality/self-harmVeterans StudyUse disorderNicotine dependenceTrauma variablesBehavioral correlatesRole of homelessness and psychiatric disorders in suicide deaths among veterans: A four-way decomposition analysis
Beydoun H, Szymkowiak D, Pietrzak R, Beydoun M, Treadwell R, Tsai J. Role of homelessness and psychiatric disorders in suicide deaths among veterans: A four-way decomposition analysis. Psychiatry Research 2024, 340: 116120. PMID: 39121758, DOI: 10.1016/j.psychres.2024.116120.Peer-Reviewed Original ResearchMental health disordersFour-way decomposition analysisSubstance useHealth disordersPsychiatric disordersMortality riskSuicide deathsHomeless veteransVeterans AffairsSubstance use disordersU.S. Department of Veterans AffairsDepartment of Veterans AffairsPredictors of suicide deathVA healthcare systemFully-adjusted modelsMental health characteristicsEffects of homelessnessProportion of suicide deathsSuicide riskUse disorderHealth characteristicsRetrospective cohort studySuicideHealthcare systemDisordersPatterns of Psychiatric Medication Prescriptions for Veterans in Treatment Courts and Other Specialty Courts
Tsai J, Christian N, Szymkowiak D. Patterns of Psychiatric Medication Prescriptions for Veterans in Treatment Courts and Other Specialty Courts. Journal Of Psychiatric Practice 2024, 30: 119-129. PMID: 38526399, DOI: 10.1097/pra.0000000000000769.Peer-Reviewed Original ResearchConceptsCriminal justice-involvedVeterans Treatment CourtsSubstance use disordersPsychiatric medicationsPrescribed psychiatric medicationsTreatment courtsPsychiatric medication prescriptionSpecialty courtsClasses of psychiatric medicationsService-connected disability ratingVA health care servicesBehavioral health issuesJustice-involvedPsychiatric diagnosisUse disorderCourtPsychiatric prescribingPsychiatric prescriptionsClasses of medicationsVeteransService engagementMedication prescriptionsDisordersMedicationHealth care servicesThe Use of Mobile Medical Units for Populations Experiencing Homelessness in the United States: A Scoping Review
Christian N, Havlik J, Tsai J. The Use of Mobile Medical Units for Populations Experiencing Homelessness in the United States: A Scoping Review. Journal Of General Internal Medicine 2024, 39: 1474-1487. PMID: 38528232, PMCID: PMC11169337, DOI: 10.1007/s11606-024-08731-9.Peer-Reviewed Original ResearchMobile medical unitsPoint-in-time countsUnited StatesScoping reviewProvision of primary careRandomized controlled trialsEffective treatment of substance use disordersUnsheltered homelessnessHomeless populationCommunity-based healthcare servicesHomelessnessMedical unitsProvision of healthcareProvision of medical servicesCare delivery modelsNature of research activityControlled trialsPatient-centered measuresSevere mental illnessHealth outcomesPrimary careHealthcare utilizationHealthcare servicesMental illnessSubstance use disordersSystematic Review of Financial Interventions for Adults Experiencing Behavioral Health Conditions
Tsai J, Kinney R, Elbogen E, Gluff J. Systematic Review of Financial Interventions for Adults Experiencing Behavioral Health Conditions. Psychiatric Services 2024, 75: 570-579. PMID: 38321921, DOI: 10.1176/appi.ps.20230271.Peer-Reviewed Original ResearchBehavioral health conditionsSubstance use disordersRandomized controlled trialsHealth conditionsPsychosocial outcomesImprove health care utilizationMental disordersSystematic reviewHealth outcome domainsHealth care utilizationRepresentative payee programQuality assessment toolObjectively measured outcomesImpact of interventionsFindings of randomized controlled trialsReduce substance usePeer-reviewed literatureCare utilizationOutcome domainsRepresentative payeeshipSecondary analysisUse disorderAssessment toolControlled trialsSubstance useA systematic review of approaches to improve medication adherence in homeless adults with psychiatric disorders
Hird R, Radhakrishnan R, Tsai J. A systematic review of approaches to improve medication adherence in homeless adults with psychiatric disorders. Frontiers In Psychiatry 2024, 14: 1339801. PMID: 38260790, PMCID: PMC10800888, DOI: 10.3389/fpsyt.2023.1339801.Peer-Reviewed Original ResearchMedication adherenceAssertive community treatmentLong-Acting Injectable MedicationsPsychiatric disordersInjectable medicationsAdherence enhancementCommunity treatmentHomeless adultsSystematic reviewPsychiatric medication adherenceSubstance use disordersFull-text reviewModified therapeutic communityPeer-reviewed journalsInpatient interventionLarge RCTsSelf-designed scaleHomeless individualsOutpatient interventionInpatient carePharmacy clinicObservational studyInclusion criteriaUse disordersPeer-reviewed studies
2023
Risk of dementia among veterans experiencing homelessness and housing instability
Roncarati J, DeVone F, Halladay C, Tsai J, Jutkowitz E. Risk of dementia among veterans experiencing homelessness and housing instability. Journal Of The American Geriatrics Society 2023, 72: 382-389. PMID: 38053404, PMCID: PMC10922215, DOI: 10.1111/jgs.18680.Peer-Reviewed Original ResearchADRD diagnosisCox proportional hazards modelHousing instabilityRisk of dementiaProportional hazards modelSubstance use disordersAge-related disordersHigh riskHazards modelUse disordersAlzheimer's diseaseGreater riskOlder ageHealth systemCohortSupportive housing programPermanent supportive housing programNine-year periodVeteransWraparound servicesHigher hazardDementiaSignificant proportionDiseaseDiagnosisCo-occurring Medical Multimorbidity, Mental Illness, and Substance Use Disorders Among Older Criminal Legal System-Involved Veterans
Han B, Bronson J, Washington L, Yu M, Kelton K, Tsai J, Finlay A. Co-occurring Medical Multimorbidity, Mental Illness, and Substance Use Disorders Among Older Criminal Legal System-Involved Veterans. Medical Care 2023, 61: 477-483. PMID: 37204150, PMCID: PMC10330246, DOI: 10.1097/mlr.0000000000001864.Peer-Reviewed Original ResearchConceptsMedical multimorbidityMental illnessOlder veteransCLS involvementCo-occurring mental illnessVeterans Health Administration facilitiesMultivariable logistic regression modelConcurrent mental illnessPatterns of multimorbidityDisease-specific carePoor health outcomesSubstance use disordersLogistic regression modelsHigh prevalenceHigh riskLow prevalenceMultimorbidityAppropriate careUse disordersHealth outcomesIllnessAdministration facilitiesPrevalenceHealth recordsVeteransEpidemiology and psychiatric correlates of cancer among homeless and unstably housed veterans in the VA healthcare system
Tsai J, Szymkowiak D, Zullig L. Epidemiology and psychiatric correlates of cancer among homeless and unstably housed veterans in the VA healthcare system. Cancer Epidemiology Biomarkers & Prevention 2023, 32: 617-624. PMID: 36791363, DOI: 10.1158/1055-9965.epi-22-1154.Peer-Reviewed Original ResearchConceptsSuicidal ideation/behaviorSubstance use disordersUse disordersVA health care systemVeterans Affairs administrative dataCommon primary siteCancer diagnosisIntrahepatic bile ductsRisk of cancerVA healthcare systemAlcohol use disorderCorrelates of cancerTypes of cancerHealth care systemIncident cancerTreatment of cancerBile ductIncidence rateHigh prevalenceLower riskPsychiatric correlatesPsychiatric characteristicsPsychiatric disordersPrimary sitePsychiatric conditions
2022
Prevalence and Clinical Characteristics of Recreational and At-Risk/Problematic Gambling in a National Sample of U.S. Military Veterans
Stefanovics E, Potenza M, Tsai J, Pietrzak R. Prevalence and Clinical Characteristics of Recreational and At-Risk/Problematic Gambling in a National Sample of U.S. Military Veterans. Journal Of Gambling Studies 2022, 39: 1077-1097. PMID: 36378356, DOI: 10.1007/s10899-022-10165-z.Peer-Reviewed Original ResearchConceptsCurrent psychiatric diagnosisU.S. military veteransUse disordersPsychiatric diagnosisMilitary veteransU.S. veteransDrug use disordersMental health treatmentSubstance use disordersChi-square testClinical characteristicsTrauma burdenNational HealthAdjusted associationsRoutine screeningClinical measuresRecreational gamblingCurrent prevalenceMale veteransHealth treatmentHigher household incomeSuicidal ideationVeterans StudyLogistic regressionExtensive involvementCriminal Legal Involvement Among Recently Separated Veterans: Findings From the LIMBIC Study
Elbogen EB, Amuan M, Kennedy E, Blakey SM, Graziano RC, Hooshyar D, Tsai J, Nelson RE, Vanneman ME, Jones AL, Pugh MJ. Criminal Legal Involvement Among Recently Separated Veterans: Findings From the LIMBIC Study. Law And Human Behavior 2022, 46: 385-394. PMID: 36227321, DOI: 10.1037/lhb0000497.Peer-Reviewed Original ResearchConceptsSerious mental illnessSubstance use disordersMilitary dischargeRisk factorsPersonality disorderUse disordersTransition Assistance ProgramMental illnessCo-occurring mental disordersCo-occurring substance use disordersVeterans Affairs (VA) health careLongitudinal cohort studyTraumatic brain injuryNeighborhood-level risk factorsPhysical health conditionsDisadvantaged neighborhoodsLegal involvementLarger longitudinal studyCohort studyMultivariable analysisBrain injuryNeighborhood of residenceHigh riskLarge effect sizesMental disordersPerceived Purpose in Life, Mental Health, and Suicidality in Older U.S. Military Veterans: Results From the National Health and Resilience in Veterans Study
Fischer IC, Tsai J, Harpaz-Rotem I, McCutcheon VE, Schulenberg SE, Pietrzak RH. Perceived Purpose in Life, Mental Health, and Suicidality in Older U.S. Military Veterans: Results From the National Health and Resilience in Veterans Study. American Journal Of Geriatric Psychiatry 2022, 31: 87-93. PMID: 36253289, DOI: 10.1016/j.jagp.2022.09.010.Peer-Reviewed Original ResearchConceptsMental disordersNational HealthU.S. veteransVeterans StudyHigher PILSubstance use disordersOlder U.S. veteransU.S. military veteransMajor depressiveSelf-report assessmentsLower oddsCurrent prevalenceUse disordersMost veteransSuicide attemptsMental healthGeneralized anxietySuicidalityDisordersMilitary veteransVeteransPosttraumatic stressHealthOddsRepresentative sampleDisentangling Associations Between Military Service, Race, and Incarceration in the U.S. Population
Tsai J, Edwards E, Cao X, Finlay AK. Disentangling Associations Between Military Service, Race, and Incarceration in the U.S. Population. Psychological Services 2022, 19: 431-442. PMID: 35878068, DOI: 10.1037/ser0000537.Peer-Reviewed Original ResearchConceptsLifetime incarcerationPsychosocial characteristicsSubstance abuse factorsSubstance use disordersU.S. adult populationVeteran statusBorderline personality disorderRisk adultsMale genderUse disordersHistory of homelessnessAdult populationU.S. adultsBehavioral healthMental healthCivilian settingsPersonality disorderU.S. populationSociodemographic backgroundAdultsIncarceration historyAbuse factorsVeteransPrevalence of incarcerationStructured interviewsEvictions and tenant‐landlord relationships during the 2020–2021 eviction moratorium in the US
Tsai J, Huang M, Blosnich JR, Elbogen EB. Evictions and tenant‐landlord relationships during the 2020–2021 eviction moratorium in the US. American Journal Of Community Psychology 2022, 70: 117-126. PMID: 35030643, DOI: 10.1002/ajcp.12581.Peer-Reviewed Original Research
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 proportionIncidence of Homelessness among Veterans Newly Diagnosed with Alzheimer's Disease and Related Dementias.
Jutkowitz E, DeVone F, Halladay C, Hooshyar D, Tsai J, Rudolph JL. Incidence of Homelessness among Veterans Newly Diagnosed with Alzheimer's Disease and Related Dementias. Rhode Island Medical Journal 2021, 104: 20-25. PMID: 33926154, PMCID: PMC8514122.Peer-Reviewed Original ResearchConceptsADRD diagnosisUse disordersAlzheimer's diseaseAdjusted hazard ratioYears of ageSubstance use disordersAlcohol use disorderPost-traumatic stress disorderVeterans Affairs administrative recordsHazard ratioLiver diseaseLung diseaseIncidence rateRelated dementiaYounger ageGreater riskDiseaseStress disorderIncidenceVeteransDisordersDementiaDiagnosisADRDAge
2020
Frequent Episodic Utilizers of Veterans Health Administration Homeless Programs Use: Background Characteristics and Health Services Use
Szymkowiak D, Montgomery AE, Tsai J, O'Toole TP. Frequent Episodic Utilizers of Veterans Health Administration Homeless Programs Use: Background Characteristics and Health Services Use. Journal Of Public Health Management And Practice 2020, 28: e211-e218. PMID: 33208718, DOI: 10.1097/phh.0000000000001252.Peer-Reviewed Original ResearchConceptsEpisodic useVHA Homeless ProgramsHomeless ProgramStepwise multivariate logistic regressionRetrospective cohort studyHealth service useMultivariate logistic regressionSubstance use disordersDiagnosis of psychosisHistory of incarcerationMilitary sexual traumaCohort studyAcute careEmergency departmentVHA servicesRisk factorsMore episodesMAIN OUTCOMEInpatient unitProgram useService useUse disordersVeterans Health Administration Homeless ProgramsLogistic regressionObservation periodA Randomized Controlled Trial of Video Psychoeducation for Electroconvulsive Therapy in the United States
Tsai J, Huang M, Rosenheck RA, Wilkinson S. A Randomized Controlled Trial of Video Psychoeducation for Electroconvulsive Therapy in the United States. Psychiatric Services 2020, 71: 562-569. PMID: 32151214, DOI: 10.1176/appi.ps.201900448.Peer-Reviewed Original ResearchConceptsElectroconvulsive therapyProportion of participantsSeverity of depressionSubstance use disordersEffective psychiatric treatmentPatient psychoeducationControlled TrialsFemale genderBrief psychoeducationBrochure groupPsychiatric treatmentUse disordersU.S. adultsForms of psychoeducationPsychoeducationEducational interventionInformational brochureSignificant differencesTherapyTreatmentTrialsDepressionNational sampleInterventionPositive changes