2023
Co-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 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 2000Financial 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
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
Measuring 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 modelIllnessInterest in Technology-Based Therapies Hampered by Access: A Survey of Veterans With Serious Mental Illnesses
Klee A, Stacy M, Rosenheck R, Harkness L, Tsai J. Interest in Technology-Based Therapies Hampered by Access: A Survey of Veterans With Serious Mental Illnesses. Psychiatric Rehabilitation Journal 2016, 39: 173-179. PMID: 26985680, DOI: 10.1037/prj0000180.Peer-Reviewed Original ResearchConceptsSerious mental illnessMental illnessMental health-related problemsCommunity care centersAlcohol use disorderComputerized therapyTechnology-based interventionsHealth-related problemsGeneral population surveyMultivariable analysisInequitable careCare centerSociodemographic barriersUse disordersPsychiatric diagnosisIllnessPTSD diagnosisUnderserved populationsHealth careVeteransTechnology use patternsTherapyLower ratesService gapsDiagnosis
2015
Characteristics and Use of Services Among Literally Homeless and Unstably Housed U.S. Veterans With Custody of Minor Children
Tsai J, Rosenheck RA, Kasprow WJ, Kane V. Characteristics and Use of Services Among Literally Homeless and Unstably Housed U.S. Veterans With Custody of Minor Children. Psychiatric Services 2015, 66: 1083-1090. PMID: 25975888, DOI: 10.1176/appi.ps.201400300.Peer-Reviewed Original ResearchConceptsHomeless veteransChronic general medical conditionsGeneral medical conditionsSevere mental illnessVeterans Affairs programsClinical characteristicsAdmission patternsUse of servicesMedical conditionsPsychiatric disordersPsychotic disordersFemale veteransMental illnessU.S. veteransPsychosocial characteristicsSubstantial proportionVeteransWomenChildrenMenMinor childrenDisordersVAReferralIllness
2013
Psychiatric comorbidity among adults with schizophrenia: A latent class analysis
Tsai J, Rosenheck RA. Psychiatric comorbidity among adults with schizophrenia: A latent class analysis. Psychiatry Research 2013, 210: 16-20. PMID: 23726869, PMCID: PMC3800495, DOI: 10.1016/j.psychres.2013.05.013.Peer-Reviewed Original ResearchConceptsPsychiatric comorbidityDepressive disorderComorbid anxietyLatent class analysisSevere mental illnessBetter mental healthClusters of diagnosesPoorer illnessComorbid classesMental illnessPsychiatric conditionsClass analysisComorbid addictionComorbiditiesSchizophreniaMental healthBaseline dataTreatment insightsAdultsIllnessAnxietyDisordersDepressionNational sampleMore researchConsidering child care and parenting needs in Veterans Affairs mental health services
Tsai J, David DH, Edens EL, Crutchfield A. Considering child care and parenting needs in Veterans Affairs mental health services. Evaluation And Program Planning 2013, 39: 19-22. PMID: 23570988, DOI: 10.1016/j.evalprogplan.2013.03.003.Peer-Reviewed Original ResearchConceptsVeterans Affairs (VA) mental health servicesMental health servicesMental health careHealth servicesCare servicesVA mental health careHealth carePsychiatric rehabilitation centersChild careOutpatient clinicChild care servicesNeeds of adultsVeterans' accessCare programMental illnessRehabilitation centerCareConvenience sampleChild care programsSite child careVAPossible benefitsParticipantsClinicIllness
2012
Trauma Experience Among Homeless Female Veterans: Correlates and Impact on Housing, Clinical, and Psychosocial Outcomes
Tsai J, Rosenheck RA, Decker SE, Desai RA, Harpaz‐Rotem I. Trauma Experience Among Homeless Female Veterans: Correlates and Impact on Housing, Clinical, and Psychosocial Outcomes. Journal Of Traumatic Stress 2012, 25: 624-632. PMID: 23225030, DOI: 10.1002/jts.21750.Peer-Reviewed Original ResearchConceptsHomeless female veteransFemale veteransLife-threatening illnessPoor physical healthType of traumaFrequency of traumaHomeless women veteransTraumatic eventsBaseline characteristicsClinical outcomesTreatment periodWomen veteransLifetime exposurePsychosocial outcomesPsychosocial functioningTrauma categoriesTraumaPhysical healthMore daysSexual assaultVeteran ProgramTrauma experiencesOutcomesIllnessVeteransTrauma Experience Among Homeless Female Veterans: Correlates and Impact on Housing, Clinical, and Psychosocial Outcomes
Tsai J, Rosenheck R, Decker S, Desai R, Harpaz‐Rotem I. Trauma Experience Among Homeless Female Veterans: Correlates and Impact on Housing, Clinical, and Psychosocial Outcomes. Journal Of Traumatic Stress 2012, n/a-n/a. DOI: 10.1002/j.1573-6598.2012.21750.x.Peer-Reviewed Original ResearchHomeless female veteransFemale veteransLife-threatening illnessPoor physical healthType of traumaFrequency of traumaHomeless women veteransTraumatic eventsBaseline characteristicsClinical outcomesTreatment periodWomen veteransLifetime exposurePsychosocial outcomesPsychosocial functioningTrauma categoriesTraumaPhysical healthMore daysSexual assaultVeteran ProgramTrauma experiencesOutcomesIllnessVeteransImpact of health insurance status and a diagnosis of serious mental illness on whether chronically homeless individuals engage in primary care.
Chwastiak L, Tsai J, Rosenheck R. Impact of health insurance status and a diagnosis of serious mental illness on whether chronically homeless individuals engage in primary care. American Journal Of Public Health 2012, 102: e83-9. PMID: 23078477, PMCID: PMC3519338, DOI: 10.2105/ajph.2012.301025.Peer-Reviewed Original ResearchConceptsSerious mental illnessPrimary care providersMental illnessCare providersChronic medical illnessHealth insuranceSource of careHealth insurance statusHealth care costsClinical characteristicsMedical illnessInsurance statusPrimary carePsychiatric symptomsMedicaid coverageCare costsHealth outcomesMedical careIllnessRegular sourceEnd Chronic HomelessnessVulnerable populationsHomeless adultsCareDiagnosisCONCEPTUALIZING SOCIAL INTEGRATION AMONG FORMERLY HOMELESS ADULTS WITH SEVERE MENTAL ILLNESS
Tsai J, Rosenheck R. CONCEPTUALIZING SOCIAL INTEGRATION AMONG FORMERLY HOMELESS ADULTS WITH SEVERE MENTAL ILLNESS. Journal Of Community Psychology 2012, 40: 456-467. DOI: 10.1002/jcop.20527.Peer-Reviewed Original ResearchRacial Comparison of Therapeutic Support, Service Use, and Satisfaction Among Male Outpatients with Severe Mental Illness
Tsai J, Desai RA, Rosenheck RA. Racial Comparison of Therapeutic Support, Service Use, and Satisfaction Among Male Outpatients with Severe Mental Illness. Psychiatric Quarterly 2012, 83: 509-519. PMID: 22477639, DOI: 10.1007/s11126-012-9219-1.Peer-Reviewed Original ResearchConceptsSevere mental illnessMale outpatientsMental illnessService utilizationRacial differencesTherapeutic supportInpatient servicesMental health inpatient servicesMental health service utilizationHealth service utilizationWhite clientsMental health centersMental health careLarge mental health centerHealth centersService useHealth disparitiesOutpatientsIllnessHealth careRacial comparisonsGreater useMore researchService satisfactionBlack clients
2011
Social Integration of People with Severe Mental Illness: Relationships Between Symptom Severity, Professional Assistance, and Natural Support
Tsai J, Desai RA, Rosenheck RA. Social Integration of People with Severe Mental Illness: Relationships Between Symptom Severity, Professional Assistance, and Natural Support. The Journal Of Behavioral Health Services & Research 2011, 39: 144-157. PMID: 22161471, DOI: 10.1007/s11414-011-9266-7.Peer-Reviewed Original ResearchMeSH KeywordsAdultBrief Psychiatric Rating ScaleCommunity Mental Health ServicesConnecticutCross-Sectional StudiesHumansInterviews as TopicMaleMental DisordersMiddle AgedOutcome Assessment, Health CareProfessional-Patient RelationsRegression AnalysisSeverity of Illness IndexSocial SupportSocioeconomic FactorsConceptsMental health servicesSevere clinical problemSevere mental illnessHealth servicesClinical problemMental illnessRecovery-oriented mental health servicesPublic mental health centersProfessional supportCross-sectional studyMental health centersMental health providersMale outpatientsNatural social supportHealth centersHealth providersSymptom severityMultiple regression analysisRegression analysisMale clientsIllnessSocial supportProfessional assistanceHierarchical multiple regression analysisNatural supportsDevelopment of an Instrument to Measure Self-Efficacy for Social Participation of People With Mental Illness
Amagai M, Suzuki M, Shibata F, Tsai J. Development of an Instrument to Measure Self-Efficacy for Social Participation of People With Mental Illness. Archives Of Psychiatric Nursing 2011, 26: 240-248. PMID: 22633586, DOI: 10.1016/j.apnu.2011.09.004.Peer-Reviewed Original ResearchFactors Related to Self-Efficacy for Social Participation of People With Mental Illness
Suzuki M, Amagai M, Shibata F, Tsai J. Factors Related to Self-Efficacy for Social Participation of People With Mental Illness. Archives Of Psychiatric Nursing 2011, 25: 359-365. PMID: 21978804, DOI: 10.1016/j.apnu.2011.03.004.Peer-Reviewed Original ResearchExiting Homelessness Without a Voucher: A Comparison of Independently Housed and Other Homeless Veterans
Tsai J, Kasprow W, Rosenheck R. Exiting Homelessness Without a Voucher: A Comparison of Independently Housed and Other Homeless Veterans. Psychological Services 2011, 8: 114-122. DOI: 10.1037/a0023189.Peer-Reviewed Original ResearchMental illnessBetter clinical outcomesIndependent housingHomeless veteransThird of participantsStandard careClinical outcomesObservational studyMore daysSupportive housing programHomeless adultsIllnessVeteransCurrent studyParticipantsUrban Development-Veterans Affairs Supportive Housing (HUD-VASH) program