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 disorderThe 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 disordersSustained mental health and functional responses to the COVID-19 pandemic in Black and White Veterans with psychosis or recent homelessness
Novacek D, Wynn J, McCleery A, Reavis E, Senturk D, Sugar C, Tsai J, Green M. Sustained mental health and functional responses to the COVID-19 pandemic in Black and White Veterans with psychosis or recent homelessness. Journal Of Psychiatric Research 2024, 172: 102-107. PMID: 38373371, DOI: 10.1016/j.jpsychires.2024.02.037.Peer-Reviewed Original ResearchSustain mental healthMental healthWhite veteransLack of racial disparitiesControl group of veteransGroup of veteransVeterans Health AdministrationWrap-around servicesClinical interviewPsychiatric symptomsCOVID-19 pandemicMental illnessPsychosisHealthcare servicesPsychosocial outcomesHealth AdministrationBlack veteransRacial disparitiesPsychosocial impactMinoritized statusVeteran groupsAbsence of systematic differencesVeteransTime pointsHealth
2023
Prevalence and Clinical Characteristics of Recreational and At-Risk/Problematic Gambling Among Low-Income U.S. Veterans: Results from the National Veteran Homeless and Other Poverty Experiences (NV‐HOPE) Study
Stefanovics E, Potenza M, Tsai J. Prevalence and Clinical Characteristics of Recreational and At-Risk/Problematic Gambling Among Low-Income U.S. Veterans: Results from the National Veteran Homeless and Other Poverty Experiences (NV‐HOPE) Study. Journal Of Gambling Studies 2023, 40: 915-935. PMID: 37751035, DOI: 10.1007/s10899-023-10257-4.Peer-Reviewed Original ResearchU.S. veteransSubstance useMental illnessDrug use disordersPoor physical functioningLogistic regression analysisNon-white veteransChi-square testU.S. military veteransClinical characteristicsDevelopment of interventionsAdjusted associationsPhysical functioningRoutine screeningClinical measuresCurrent prevalenceUse disordersRecreational gamblingLifetime historyGreater symptomsVulnerable subpopulationsPrevalenceCo-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 recordsVeterans
2022
Beyond Supported Housing: Correlates of Improvements in Quality of Life Among Homeless Adults with Mental Illness
O’Connell M, Tsai J, Rosenheck R. Beyond Supported Housing: Correlates of Improvements in Quality of Life Among Homeless Adults with Mental Illness. Psychiatric Quarterly 2022, 94: 49-59. PMID: 36538200, DOI: 10.1007/s11126-022-10010-x.Peer-Reviewed Original ResearchCriminal 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 disordersA National Study of Zoom Fatigue and Mental Health During the COVID-19 Pandemic: Implications for Future Remote Work
Elbogen EB, Lanier M, Griffin SC, Blakey SM, Gluff JA, Wagner HR, Tsai J. A National Study of Zoom Fatigue and Mental Health During the COVID-19 Pandemic: Implications for Future Remote Work. Cyberpsychology Behavior And Social Networking 2022, 25: 409-415. PMID: 35648039, DOI: 10.1089/cyber.2021.0257.Peer-Reviewed Original ResearchConceptsMental health symptomsHealth symptomsCOVID-19 pandemicMental healthSevere mental illnessQuality of lifeLow social supportZoom fatigueNonwhite raceClinical covariatesFatigue ScaleGood internal consistencyDepressive symptomsMental illnessSignificant associationSurvey criteriaSymptomsPost-high school educationWork productivitySocial isolationNational surveyInternal consistencyNational studySocial supportEvictions 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
Twenty-year trends in use of electroconvulsive therapy among homeless and domiciled veterans with mental illness
Tsai J, Szymkowiak D, Wilkinson ST, Holtzheimer PE. Twenty-year trends in use of electroconvulsive therapy among homeless and domiciled veterans with mental illness. CNS Spectrums 2021, 28: 183-189. PMID: 34895380, DOI: 10.1017/s1092852921001061.Peer-Reviewed Original ResearchElectroconvulsive therapyMental illnessECT utilizationECT useSessions of ECTVeterans Affairs Healthcare SystemHealthcare systemTwenty-year trendsMedical recordsHigher overall rateVA facilitiesSocioeconomic disparitiesIllnessComprehensive healthcare systemHomeless veteransVeteransOverall rateNational dataTherapyRegional differencesLocal factorsYear 2000Suicidal ideation and thoughts of self‐harm during the COVID‐19 pandemic: The role of COVID‐19‐related stress, social isolation, and financial strain
Elbogen EB, Lanier M, Blakey SM, Wagner HR, Tsai J. Suicidal ideation and thoughts of self‐harm during the COVID‐19 pandemic: The role of COVID‐19‐related stress, social isolation, and financial strain. Depression And Anxiety 2021, 38: 739-748. PMID: 33949747, PMCID: PMC8239640, DOI: 10.1002/da.23162.Peer-Reviewed Original ResearchThoughts of suicideMultivariable logistic regression analysisSocial isolationCOVID-19 pandemicCoronavirus disease 2019 (COVID-19) pandemicSevere mental illnessFinancial strainLogistic regression analysisRisk of suicideCurrent depressive symptomsCOVID-19Mental health symptomsPublic health interventionsDisease 2019 pandemicCOVID-19-related stressMental health problemsPandemic-related stressUS adultsDepressive symptomsGreater social supportAlcohol misuseHealth problemsMental illnessHealth interventionsHealth symptomsFinancial Strain, Mental Illness, and Homelessness: Results From a National Longitudinal Study.
Elbogen EB, Lanier M, Wagner HR, Tsai J. Financial Strain, Mental Illness, and Homelessness: Results From a National Longitudinal Study. Medical Care 2021, 59: s132-s138. PMID: 33710085, DOI: 10.1097/mlr.0000000000001453.Peer-Reviewed Original ResearchConceptsSevere mental illnessMental illnessFinancial strainWave 1Subsequent homelessnessNational Epidemiologic SurveyLow incomeContext of treatmentMultivariable analysisRisk factorsEpidemiologic SurveyIllnessPast homelessnessRelated conditionsGreater financial strainNational Longitudinal StudyLongitudinal studyFuture homelessnessDirect effect
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 medicationsMedications
2019
Job Burnout Among Mental Health Staff at a Veterans Affairs Psychosocial Rehabilitation Center
Tsai J, Jones N, Klee A, Deegan D. Job Burnout Among Mental Health Staff at a Veterans Affairs Psychosocial Rehabilitation Center. Community Mental Health Journal 2019, 56: 294-297. PMID: 31587114, DOI: 10.1007/s10597-019-00487-5.Peer-Reviewed Original ResearchConceptsJob burnoutMental health staffPsychosocial rehabilitation centersMental health providersSevere mental illnessHealth staffLower burnout scoresMBI emotional exhaustionMaslach Burnout Inventory scoresEmotional exhaustion scoresPersonal accomplishment scoresHealth providersEmotional exhaustionMental illnessRehabilitation centerPersonal accomplishmentBurnout scoresBurnoutAccomplishment scoresExhaustion scoresWork-life balanceService workersInventory scoresOnline surveyHealthcare providersPeer support on the “inside and outside”: building lives and reducing recidivism for people with mental illness returning from jail
Bellamy C, Kimmel J, Costa M, Tsai J, Nulton L, Nulton E, Kimmel A, Aguilar N, Clayton A, O’Connell M. Peer support on the “inside and outside”: building lives and reducing recidivism for people with mental illness returning from jail. Journal Of Public Mental Health 2019, 18: 188-198. DOI: 10.1108/jpmh-02-2019-0028.Peer-Reviewed Original ResearchUS prison populationRe-incarceration ratesAdequate housingSuccessful reentryLocal authoritiesPrison populationRecidivism ratesMental illnessPrisonCriminal recidivismRecidivismSurvival analysisJailSupport programsKaplan-Meyer survival analysisKaplan-Meier survival analysisIncarcerationCommunitySerious mental illnessPeopleMental illness diagnosisProgram impactPeer support programSubstance abuse treatmentPeer supportPeer support on the “inside and outside”: building lives and reducing recidivism for people with mental illness returning from jail
Bellamy C, Kimmel J, Costa M, Tsai J, Nulton L, Nulton E, Kimmel A, Aguilar N, Clayton A, O’Connell M. Peer support on the “inside and outside”: building lives and reducing recidivism for people with mental illness returning from jail. Journal Of Public Mental Health 2019, ahead-of-print DOI: 10.1108/jpmh-02-2019-0028.Peer-Reviewed Original ResearchUS prison populationRe-incarceration ratesDesign/methodology/approachAdequate housingSuccessful reentryLocal authoritiesMethodology/approachOriginality/valuePrison populationRecidivism ratesPrisonMental illnessCriminal recidivismRecidivismJailSupport programsIncarcerationSurvival analysisKaplan-Meyer survival analysisCommunityKaplan-Meier survival analysisPeopleProgram impactPeer support programSerious mental illness
2018
Mental Illness and Substance Use Disorders Among Homeless Veterans
Gabrielian S, Gores A, Gelberg L, Tsai J. Mental Illness and Substance Use Disorders Among Homeless Veterans. 2018, 35-60. DOI: 10.1093/oso/9780190695132.003.0003.Peer-Reviewed Original ResearchSubstance use disordersMental illnessHomeless veteransPsychiatric disordersInfluence of psychiatric disordersVeterans with mental illnessFactors associated with homelessnessAbstract Mental illnessMental health problemsHousing outcomesUse disorderVeteran statusVeteransHealth problemsUnited States Armed ForcesDisordersRisk factorsIllnessEpidemiological dataHomelessnessCo-occurrenceStates Armed ForcesQuantitative dataOutcomesArmed forces
2017
Medical-Legal Partnerships At Veterans Affairs Medical Centers Improved Housing And Psychosocial Outcomes For Vets
Tsai J, Middleton M, Villegas J, Johnson C, Retkin R, Seidman A, Sherman S, Rosenheck RA. Medical-Legal Partnerships At Veterans Affairs Medical Centers Improved Housing And Psychosocial Outcomes For Vets. Health Affairs 2017, 36: 2195-2203. PMID: 29200329, DOI: 10.1377/hlthaff.2017.0759.Peer-Reviewed Original ResearchConceptsVeterans Affairs Medical CenterMental healthMedical CenterVA health care systemOutcomes of veteransLow-income veteransHealth care providersMedical-legal partnershipsGreater improvementHealth care systemCare providersMental illnessSocial determinantsPsychosocial outcomesLegal PartnershipsCare systemCommunity-based partnershipsVA benefitsVeteransHousing statusHealthPartnership sitesCommunity integrationOutcomesSignificant improvementMeasuring citizenship among U.S. veterans with chronic mental illness: A psychometric evaluation
Tsai J, Harkness L, Kang K, Sperrazza M. Measuring citizenship among U.S. veterans with chronic mental illness: A psychometric evaluation. Journal Of Community Psychology 2017, 46: 107-116. DOI: 10.1002/jcop.21919.Peer-Reviewed Original ResearchChronic mental illnessMental illnessU.S. veteransTotal scaleExcellent test-retest reliabilityPhysical health measuresLarger experimental trialU.S. military veteransGood convergent validityTest-retest reliabilityExcellent internal consistencyLife measuresHealth measuresIllnessClinical goalsMental healthPsychometric evaluationMilitary veteransVeteransConvergent validityInternal consistencyModerate scoresDiscriminant validityHigh levelsPain
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 modelIllness