2024
Cost-Effectiveness of Temporary Financial Assistance for Veterans Experiencing Housing Instability
Nelson R, Chapman A, Byrne T, Chaiyakunapruk N, Suo Y, Effiong A, Pettey W, Gelberg L, Kertesz S, Tsai J, Montgomery A. Cost-Effectiveness of Temporary Financial Assistance for Veterans Experiencing Housing Instability. JAMA Network Open 2024, 7: e2443396. PMID: 39499512, PMCID: PMC11539017, DOI: 10.1001/jamanetworkopen.2024.43396.Peer-Reviewed Original ResearchConceptsSupportive Services for Veteran FamiliesTemporary financial assistanceHousing insecurityHousing-related expensesIncremental cost-effectiveness ratioQuality-adjusted life yearsMonte Carlo simulationsProbabilistic sensitivity analysesFinancial assistanceHomelessness prevention servicesHousing outcomesHomelessness preventionLoss of housingCarlo simulationsPrevent homelessnessTime horizonCombination of inputsHousing instabilityHousing interventionsEconomic evaluationVulnerable VeteransHousingHomelessnessVeteran familiesVeterans AffairsRole 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 systemDisordersTransportation As A Determinant Of Health: Evaluating The Veterans Affairs Rideshare Program For Homeless Patients
Tsai J, Szymkowiak D, Beydoun H, Dasilva L. Transportation As A Determinant Of Health: Evaluating The Veterans Affairs Rideshare Program For Homeless Patients. Health Affairs 2024, 43: 1090-1099. PMID: 39102601, DOI: 10.1377/hlthaff.2023.01332.Peer-Reviewed Original ResearchConceptsHomeless service usersService usersService useVeterans AffairsAssociated with greater useHomeless patientsNational pilotMedical appointmentsAdministrative dataDepartment of Veterans AffairsVA administrative dataVA service useAttend medical appointmentsRidesharing programUrgent care visitsGreater useHealth systemInpatient servicesNationwide health systemCare visitsHomelessnessVulnerable patientsPatient transportIndex dateServicesDisproportionate Increases in Numbers and Rates of Homelessness Among Women in the United States, 2018-2022.
Tsai J, Lampros A. Disproportionate Increases in Numbers and Rates of Homelessness Among Women in the United States, 2018-2022. Public Health Reports 2024, 333549241255805. PMID: 38899732, PMCID: PMC11569733, DOI: 10.1177/00333549241255805.Peer-Reviewed Original ResearchRates of homelessnessHousing and Urban DevelopmentUnsheltered homelessnessUS Department of Housing and Urban DevelopmentDepartment of Housing and Urban DevelopmentHomelessnessUrban developmentBirth rateVeterans AffairsDepartment of Veterans AffairsUS DepartmentPopulation groupsPrevention effortsUS Department of Veterans AffairsUnited StatesPopulation dataProportion of femalesVeteran populationYears of population dataGeneral populationAffairsWomenVeteransPopulationPeopleShallow Subsidies for Veterans Facing Housing Barriers in the VA Supportive Services for Veteran Families Program.
Nelson R, Byrne T, Suo Y, Effiong A, Pettey W, Zickmund S, Galyean P, Kimball E, Gelberg L, Kertesz S, Tsai J, Montgomery A. Shallow Subsidies for Veterans Facing Housing Barriers in the VA Supportive Services for Veteran Families Program. Journal Of Health Care For The Poor And Underserved 2024, 35: 532-544. PMID: 38828580, DOI: 10.1353/hpu.2024.a928631.Peer-Reviewed Original ResearchConceptsPermanent supportive housingMultivariable two-part regression modelTwo-part regression modelHousing instabilityHousing barriersSupportive housingFamilies ProgramQualitative interviewsSocioeconomic stabilityAllocation decisionsCharacteristics of veteransSubsidiesHigher incomeDepartment of Veterans AffairsIncomeHousingInterviewsVeterans AffairsMethod findingsHomelessnessRetrospective cohort studyOutpatient costsVeteransOlder ageCohort studyGrowing Concern About Unsheltered Homelessness Among Veterans: Clinical Characteristics and Engagement in Health Care Services
Kinney R, Szymkowiak D, Tsai J. Growing Concern About Unsheltered Homelessness Among Veterans: Clinical Characteristics and Engagement in Health Care Services. Public Health Reports 2024, 139: 582-590. PMID: 38323557, PMCID: PMC11344986, DOI: 10.1177/00333549241227155.Peer-Reviewed Original ResearchUnsheltered homelessnessHomeless ProgramHomeless veteransVA homeless programsMilitary sexual traumaVeterans AffairsPublic health approachVeteran homelessnessCollege educationHousing instabilityVA service-connected disabilityHomeless populationHealth care servicesSheltered statusUS Department of Veterans AffairsHomelessnessDepartment of Veterans AffairsHierarchical multivariable logistic regressionService-connected disabilityCorporate Data WarehouseSexual traumaCare servicesRepeated-measures analysisMultivariate logistic regressionHealth approachTemporary Financial Assistance Reduced The Probability Of Unstable Housing Among Veterans For More Than 1 Year
Chapman A, Scharfstein D, Byrne T, Montgomery A, Suo Y, Effiong A, Velasquez T, Pettey W, Dalrymple R, Tsai J, Nelson R. Temporary Financial Assistance Reduced The Probability Of Unstable Housing Among Veterans For More Than 1 Year. Health Affairs 2024, 43: 250-259. PMID: 38315929, DOI: 10.1377/hlthaff.2023.00730.Peer-Reviewed Original ResearchConceptsSupportive Services for Veteran FamiliesTemporary financial assistanceFinancial assistanceUnstable housingHousing outcomesHousing instabilityReduce homelessnessHousing stabilityVeterans AffairsVeteran familiesElectronic health record systemsDepartment of Veterans AffairsHealth record systemsHousingTemporaryAssistanceVeteransLanguage processingClinical notesHomelessnessLong-term effectsRecording systemAffairsProbabilityOutcomesA mixed-methods study of VA video connect utilization among veterans with diabetes experiencing housing instability during the pandemic
Kinney R, Copeland L, Tsai J, Abbott A, Wallace K, Walker L, Weber J, Katsos S, McInnes D. A mixed-methods study of VA video connect utilization among veterans with diabetes experiencing housing instability during the pandemic. Digital Health 2024, 10: 20552076241282629. PMID: 39381825, PMCID: PMC11459566, DOI: 10.1177/20552076241282629.Peer-Reviewed Original ResearchHousing instabilityVeterans AffairsDiabetes careU.S. Department of Veterans AffairsDepartment of Veterans AffairsVA administrative dataCare delivery modeMixed-methods studySemi-structured interviewsVA providersEngaging veteransRoutine diabetesTelehealth programCare utilizationCare availabilityIn-personAdministrative dataIncreased educationTelehealthSelf-identifyCareDelivery modeEquitable accessMultivariate regression analysisVeteransExamining Homeless-Experienced Adults’ Smoking Cessation Treatment Use Pre- and Post-Entry into Permanent Supportive Housing
Harris T, Panadero T, Hoffmann L, Montgomery A, Tsai J, Gelberg L, Gabrielian S. Examining Homeless-Experienced Adults’ Smoking Cessation Treatment Use Pre- and Post-Entry into Permanent Supportive Housing. Substance Use Research And Treatment 2024, 18: 29768357241271567. PMID: 39398362, PMCID: PMC11468604, DOI: 10.1177/29768357241271567.Peer-Reviewed Original ResearchPermanent supportive housingHomeless-experienced VeteransCessation treatment utilizationPrimary care engagementHomeless-experienced adultsPost-housingSupportive housingCessation treatmentCare engagementPre-housingVeterans AffairsHomeless service settingsClinic referralsDepartment of Veterans AffairsAssess smoking statusTreatment utilizationAssociated with utilizationMultivariate logistic regression modelGeneral adult populationLogistic regression modelsCessation careCessation servicesSmoking ratesMental healthChi-square test
2023
Temporary Financial Assistance for Housing Expenditures and Mortality and Suicide Outcomes Among US Veterans
Nelson R, Montgomery A, Suo Y, Effiong A, Pettey W, Gelberg L, Kertesz S, Tsai J, Byrne T. Temporary Financial Assistance for Housing Expenditures and Mortality and Suicide Outcomes Among US Veterans. Journal Of General Internal Medicine 2023, 39: 587-595. PMID: 37884831, PMCID: PMC10973310, DOI: 10.1007/s11606-023-08337-7.Peer-Reviewed Original ResearchCause mortalityHealth outcomesSuicidal ideationSuicide attemptsCox proportional hazards regression approachVeterans AffairsRetrospective national cohort studyNational cohort studyRisk of deathImportant health outcomesImproved health outcomesUnique veteransAnalysis cohortOverall cohortCohort studyMean durationUS veteransTreatment weightingSuicide morbidityPrevention componentsMortalityInverse probabilitySuicide outcomesOutcomesSupportive services
2022
The 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 servicesEstablishing a Research Agenda for Suicide Prevention Among Veterans Experiencing Homelessness
Robinson M, Holliday R, Monteith LL, Blosnich JR, Elbogen EB, Gelberg L, Hooshyar D, Liu S, McInnes DK, Montgomery AE, Tsai J, Grassmeyer R, Brenner LA. Establishing a Research Agenda for Suicide Prevention Among Veterans Experiencing Homelessness. Frontiers In Psychology 2022, 13: 683147. PMID: 35197892, PMCID: PMC8860179, DOI: 10.3389/fpsyg.2022.683147.Peer-Reviewed Original ResearchSuicide preventionVeterans AffairsDelphi processSignificant public health concernPublic health concernHealth services researchIterative Delphi processVeterans Experiencing HomelessnessRisk populationsUnderstanding of barriersHealthcare providersRisk periodEmergency interventionHealth concernPreventionPotential research prioritiesVeteransServices researchDelphi methodologySuicideResearch prioritiesRiskRisk assessmentDevelopment meetingsHomelessness
2021
Psychopharmacoepidemiology of antidepressant medications among homeless and unstably housed service users in the Veterans Affairs healthcare system
Tsai J, Szymkowiak D, Iheanacho T. Psychopharmacoepidemiology of antidepressant medications among homeless and unstably housed service users in the Veterans Affairs healthcare system. Human Psychopharmacology Clinical And Experimental 2021, 37: e2829. PMID: 34799872, DOI: 10.1002/hup.2829.Peer-Reviewed Original ResearchConceptsCare settingsOutpatient mental health visitsVA service-connected disabilityVeterans AffairsVeterans Affairs Healthcare SystemAntidepressant prescription patternsMental health visitsEmergency department visitsNorepinephrine reuptake inhibitorsMental health care settingsPrimary care settingHealthcare systemService-connected disabilityHealth care settingsAntidepressant medicationAntidepressant prescriptionsPrescription patternsDepartment visitsHealth visitsReuptake inhibitorsMultivariable analysisFemale sexTricyclic antidepressantsClinical challengePsychiatric diagnosisPrevalence of Alzheimer's disease and related dementias among veterans experiencing housing insecurity
Jutkowitz E, Halladay C, Tsai J, Hooshyar D, Quach L, O'Toole T, Rudolph JL. Prevalence of Alzheimer's disease and related dementias among veterans experiencing housing insecurity. Alzheimer's & Dementia 2021, 18: 1306-1313. PMID: 34757668, PMCID: PMC10257219, DOI: 10.1002/alz.12476.Peer-Reviewed Original ResearchConceptsADRD diagnosisAcute careAlzheimer's diseaseLong-term care useMore acute careNursing home admissionCommunity-based careAD/ADRDHome admissionCare useOverall prevalenceVeterans AffairsPrevalenceDiseaseDiagnosisHomeless veteransVeteransCareHousing statusDementiaRiskHousing insecurityAdmissionADRD
2020
Antipsychotic Medication Prescriptions for Homeless and Unstably Housed Veterans in the Veterans Affairs Health Care System.
Tsai J, Szymkowiak D, Radhakrishnan R. Antipsychotic Medication Prescriptions for Homeless and Unstably Housed Veterans in the Veterans Affairs Health Care System. The Journal Of Clinical Psychiatry 2020, 82 PMID: 33296148, DOI: 10.4088/jcp.20m13372.Peer-Reviewed Original ResearchConceptsAntipsychotic prescriptionsSevere mental illnessAntipsychotic medicationHealth care systemMedication prescriptionsPrescription practicesMental illnessVeterans Affairs Health Care SystemNational VA administrative dataVeterans AffairsVA health care servicesVA health care systemSecond-generation antipsychotic medicationsCare systemAntipsychotic medication prescriptionMore antipsychotic prescriptionsPsychotropic medication prescriptionsSecond-generation antipsychoticsVA administrative dataMore antipsychotic medicationsHealth care servicesClinical characteristicsClozapine treatmentInjectable medicationsMedicationsNational 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
Introduction
Tsai J. Introduction. 2019, 1-11. DOI: 10.1007/978-3-030-31664-8_1.Peer-Reviewed Original ResearchAwareness of Suicide Prevention Programs Among U.S. Military Veterans
Tsai J, Snitkin M, Trevisan L, Kraus SW, Pietrzak RH. Awareness of Suicide Prevention Programs Among U.S. Military Veterans. Administration And Policy In Mental Health And Mental Health Services Research 2019, 47: 115-125. PMID: 31529286, DOI: 10.1007/s10488-019-00975-6.Peer-Reviewed Original ResearchMeSH KeywordsAdolescentAdultAge FactorsAgedAwarenessComorbidityFemaleHealth PromotionHealth StatusHotlinesHumansMaleMental HealthMiddle AgedPatient Acceptance of Health CareSex FactorsSocial AdjustmentSocial StigmaSocial SupportSocioeconomic FactorsStress Disorders, Post-TraumaticSuicidal IdeationSuicide PreventionSuicide, AttemptedUnited StatesVeteransYoung AdultConceptsSuicide prevention programsVeterans Crisis LinePrevention programsVeterans AffairsVA centersMedical conditionsSuicide preventionPrimary healthcare providersPosttraumatic stress disorderMajority of veteransU.S. military veteransHistory of suicidalityCrisis lineVeteran populationHealthcare providersSuicidal ideationU.S. veteransPast homelessnessStress disorderAnxiety disordersVeteran suicideMilitary veteransTargeted outreachVeteransPreventionNational 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
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