2025
Federal Priorities to Address Homelessness as a Community Health Problem
Tsai J. Federal Priorities to Address Homelessness as a Community Health Problem. Family & Community Health 2025, 48: 57-69. DOI: 10.1097/fch.0000000000000419.Peer-Reviewed Original ResearchHousing instabilityCommunity health problemsGender minority individualsFederal agenciesFederal prioritiesInter-agency collaborationUS federal agenciesHousing assistanceNative American communitiesMinority individualsHomelessnessInter-agencyAmerican communityHealth problemsGovernment supportUnsheltered individualsHousingAgenciesUnited StatesNational recognitionCommunityLearning agendaCOVID-19 pandemicAgendaGovernment
2024
Identifying diagnosed major chronic diseases associated with recent housing instability among aging adults: data from the ‘All of Us’ research program
Beydoun H, Vieytes C, Beydoun M, Lampros A, Tsai J. Identifying diagnosed major chronic diseases associated with recent housing instability among aging adults: data from the ‘All of Us’ research program. Journal Of Public Health 2024, fdae300. PMID: 39586798, DOI: 10.1093/pubmed/fdae300.Peer-Reviewed Original ResearchUs Research ProgramHousing instabilityAging adultsChronic diseasesOdds ratioChronic disease preventionAssociated with lower oddsPsychiatric diagnosisConfidence intervalsElectronic health recordsAssociated with psychiatric diagnosesEstimate odds ratiosCardiovascular diseaseMultivariate logistic regression modelDiverse group of adultsLogistic regression modelsTreatment of chronic diseasesCross-sectional dataHealth recordsHealthcare utilizationLower oddsGroup of adultsYears of ageDiagnosed diabetesCancer diagnosisCorrelates of six-month housing instability among U.S. adults by veteran status: Exploratory study using data from the All of Us Program
Beydoun H, Vieytes C, Beydoun M, Lampros A, Tsai J. Correlates of six-month housing instability among U.S. adults by veteran status: Exploratory study using data from the All of Us Program. PLOS ONE 2024, 19: e0314339. PMID: 39576824, PMCID: PMC11584138, DOI: 10.1371/journal.pone.0314339.Peer-Reviewed Original ResearchConceptsHousing instabilityVeteran statusNon-veteran populationsNon-veteransSocial determinants of healthHealth insurance availabilityU.S. adultsRate of HIDeterminants of healthHomeless servicesUs Research ProgramAssociated with lower likelihoodLifetime cigarette smokingAssociation of HICross-sectional dataWorse healthSix-month prevalenceSocial determinantsLogistic regression modelsLifetime alcohol consumptionInsurance availabilitySubstance useHealth characteristicsHigher incomeRacial disparitiesCost-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 AffairsExpanding identification of housing instability and referral to homeless programing: VA suicide risk screening and evaluation as a critical intercept
Holliday R, Polzer E, Monteith L, Matarazzo B, Tsai J. Expanding identification of housing instability and referral to homeless programing: VA suicide risk screening and evaluation as a critical intercept. General Hospital Psychiatry 2024 PMID: 39068130, DOI: 10.1016/j.genhosppsych.2024.07.007.Peer-Reviewed Original ResearchScreening rates for hepatitis B and C among low‐income US veterans: Data from the National Veteran Homeless and Other Poverty Experiences Study
Beydoun H, Tsai J. Screening rates for hepatitis B and C among low‐income US veterans: Data from the National Veteran Homeless and Other Poverty Experiences Study. Journal Of Viral Hepatitis 2024, 31: 601-613. PMID: 38984865, DOI: 10.1111/jvh.13981.Peer-Reviewed Original ResearchVeterans Health AdministrationEver-screeningVeteran homelessnessScreening ratesVeterans Health Administration electronic health recordScreening test useHousing instabilityPoverty experienceLimited healthcare accessLow-income veteransElectronic health recordsCross-sectional dataHousehold incomeHistory of alcohol useEmployment typeHealthcare accessScreening behaviorHealth recordsHomelessnessLifetime screeningNon-HispanicDrug useHigh-priority areasAlcohol useHealth AdministrationIs the Risk of Alzheimer’s Disease and Related Dementias Among U.S. Veterans Influenced by the Intersectionality of Housing Status, HIV/AIDS, Hepatitis C, and Psychiatric Disorders?
Beydoun H, Szymkowiak D, Kinney R, Beydoun M, Zonderman A, Tsai J. Is the Risk of Alzheimer’s Disease and Related Dementias Among U.S. Veterans Influenced by the Intersectionality of Housing Status, HIV/AIDS, Hepatitis C, and Psychiatric Disorders? The Journals Of Gerontology Series A 2024, 79: glae153. PMID: 38869510, PMCID: PMC11519038, DOI: 10.1093/gerona/glae153.Peer-Reviewed Original ResearchADRD riskU.S. veteransHousing statusPsychiatric disordersRisk of Alzheimer's diseaseStably housed veteransMental health disordersStatistically significant mediatorCausal mediation analysisYears of follow-upADRD diagnosisADRD casesOlder veteransEligible veteransADRDHealthcare servicesRetrospective cohort studyHealth disordersYears of ageHousing instabilityCohort studyHIV/AIDSVeteransAlzheimer's diseaseSubstance useShallow 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 analysisVeterans
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 proportionDiseaseDiagnosisThe use of hotels/motels to address homelessness among veterans during the COVID-19 pandemic: lessons from the supportive services for veteran families program
Montgomery A, Zickmund S, Byrne T, Galyean P, Suo Y, Pettey W, Velasquez T, Gelberg L, Kertesz S, Tsai J, Nelson R. The use of hotels/motels to address homelessness among veterans during the COVID-19 pandemic: lessons from the supportive services for veteran families program. Journal Of Social Distress And The Homeless 2023, 33: 305-315. DOI: 10.1080/10530789.2023.2187522.Peer-Reviewed Original ResearchHotels/motelsQualitative interviewsCOVID-19 pandemicSupportive servicesHousing instabilityProgrammatic responsesVeteran householdsFinancial assistanceHomelessnessFamilies ProgramService leadershipVulnerable groupsOngoing public health concernProgram providersPoor health outcomesMethods studyVulnerable populationsCOVID-19InterviewsMotelsQuantitative dataAssistanceServicesPandemicPolicy
2022
Experiences with Eviction, House Foreclosure, and Homelessness Among COVID-19 Infected Adults and Their Relation to Mental Health in a Large U.S. City
Tsai J, Grace A, Vazquez M. Experiences with Eviction, House Foreclosure, and Homelessness Among COVID-19 Infected Adults and Their Relation to Mental Health in a Large U.S. City. Journal Of Community Health 2022, 48: 218-227. PMID: 36369286, PMCID: PMC9651872, DOI: 10.1007/s10900-022-01166-5.Peer-Reviewed Original ResearchThe 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 servicesProviders' reflections on infrastructure and improvements to promote access to care for Veterans experiencing housing instability in rural areas of the United States: A qualitative study
Cusack M, Montgomery AE, Harris T, Roncarati J, Brecht T, Antonellis C, Byrne T, Tsai J, True G. Providers' reflections on infrastructure and improvements to promote access to care for Veterans experiencing housing instability in rural areas of the United States: A qualitative study. Health & Social Care In The Community 2022, 30: e6356-e6365. PMID: 36250724, DOI: 10.1111/hsc.14077.Peer-Reviewed Original ResearchConceptsHousing instabilityRural areasHomeless service providersFederal infrastructure investmentUnited StatesConcerns of providersRecent legislative actsSemi-structured telephone interviewsService deliveryLegislative actsProviders’ reflectionsQualitative studyInfrastructure investmentTemplate analysisService accessService providersStaff workAnalysed transcriptsHealth disparitiesRelated servicesBroadband InternetU.S.AccessAdditional resourcesTelephone interviews
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
2020
Prevalence of Hoarding Behavior Among Formerly Homeless Persons Living in Supported Housing.
Greig A, Tolin D, Tsai J. Prevalence of Hoarding Behavior Among Formerly Homeless Persons Living in Supported Housing. The Journal Of Nervous And Mental Disease 2020, 208: 822-827. PMID: 33002938, DOI: 10.1097/nmd.0000000000001205.Peer-Reviewed Original ResearchLongitudinal study of the housing and mental health outcomes of tenants appearing in eviction court
Tsai J, Jones N, Szymkowiak D, Rosenheck RA. Longitudinal study of the housing and mental health outcomes of tenants appearing in eviction court. Social Psychiatry And Psychiatric Epidemiology 2020, 56: 1679-1686. PMID: 32926182, DOI: 10.1007/s00127-020-01953-2.Peer-Reviewed Original ResearchConceptsMental health outcomesHealth outcomesMental healthMajor depressive disorderMental health treatmentMental health symptomsGeneralized anxiety disorderPosttraumatic stress disorderMental health issuesHousing instabilityResultsAt baselineMethodsOne hundredDepressive disorderPsychosocial statusInverse probability weightingHealth treatmentHealth symptomsSuicidal ideationSizable subgroupStress disorderAnxiety disordersHealth issuesLongitudinal studyDisordersBaselineHousing Instability and Homeless Program Use Among Veterans: The Intersection of Race, Sex, and Homelessness
Montgomery A, Szymkowiak D, Tsai J. Housing Instability and Homeless Program Use Among Veterans: The Intersection of Race, Sex, and Homelessness. Housing Policy Debate 2020, 30: 396-408. DOI: 10.1080/10511482.2020.1712613.Peer-Reviewed Original ResearchHousing instabilityVHA Homeless ProgramsVeterans Health Administration Homeless ProgramsIntersection of raceHomeless ProgramRacial minority groupsMinority groupsRace/sex differencesUniversal screenProgram useRacial groupsSex categoriesDisparitiesHomelessnessWomen veteransProgramRaceIntersectionVeteransAccess