2024
Performance of the Elixhauser Comorbidity Index in Predicting Mortality Among a National US Sample of Hospitalized Homeless Adults
Tsai J, Kim Y. Performance of the Elixhauser Comorbidity Index in Predicting Mortality Among a National US Sample of Hospitalized Homeless Adults. Medical Care 2024, 62: 543-548. PMID: 38838297, DOI: 10.1097/mlr.0000000000002019.Peer-Reviewed Original ResearchConceptsElixhauser Comorbidity IndexIn-hospital mortalityBehavioral health conditionsHealth care databasesNational Inpatient Sample (NISComorbidity indexAlcohol-related disordersPredictors of hospital readmissionPredicting mortalityPrediction of in-hospital mortalityClinical Classifications Software Refined (CCSRCare databasePredicting in-hospital mortalitySummary scoreRevision Clinical ModificationNational US sampleClinical ModificationInternational ClassificationSample of inpatientsDiagnostic codesHealth conditionsHomeless adultsHospital readmissionCase-mixAcute myocardial infarctionShallow 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 studyFunctional significance of posttraumatic growth in U.S. military veterans
Gower T, Fischer I, Tsai J, Kang H, Na P, Tedeschi R, Pietrzak R. Functional significance of posttraumatic growth in U.S. military veterans. Journal Of Affective Disorders 2024, 356: 267-273. PMID: 38614442, DOI: 10.1016/j.jad.2024.04.046.Peer-Reviewed Original ResearchConceptsPosttraumatic stress disorderPosttraumatic stress disorder symptomsPosttraumatic growthPsychosocial functioningTraumatic eventsTrauma-exposed U.S. veteransNational Health and ResilienceMale veteran samplePost-trauma functioningPattern of findingsRetrospective self-reportsU.S. military veteransVeteran sampleStress disorderVeterans StudyExamined relationsCross-sectional designMilitary veteransNationally representative sampleU.S. veteransAssociated with functionsPhysical functionClinical interventionsPsychosocial characteristicsVeterans
2023
Intentional Self-Harm Among US Veterans With Traumatic Brain Injury or Posttraumatic Stress Disorder: Retrospective Cohort Study From 2008 to 2017
Rawat B, Reisman J, Pogoda T, Liu W, Rongali S, Aseltine R, Chen K, Tsai J, Berlowitz D, Yu H, Carlson K. Intentional Self-Harm Among US Veterans With Traumatic Brain Injury or Posttraumatic Stress Disorder: Retrospective Cohort Study From 2008 to 2017. JMIR Public Health And Surveillance 2023, 9: e42803. PMID: 37486751, PMCID: PMC10407646, DOI: 10.2196/42803.Peer-Reviewed Original ResearchMeSH KeywordsBrain Injuries, TraumaticHumansRetrospective StudiesSelf-Injurious BehaviorStress Disorders, Post-TraumaticVeteransConceptsTraumatic brain injurySelf-harm diagnosisVeterans Health AdministrationPrior traumatic brain injuryPosttraumatic stress disorderVHA health careIndex dateVHA utilizationHealth care encountersPTSD diagnosisUS veteransBrain injuryPrevalence of TBICharlson Comorbidity Index scoreUS Veterans Health AdministrationStress disorderComorbidity Index scoreRetrospective cohort studyAdjusted odds ratioHealth careSuicide prevention effortsVHA visitCohort studyPotential confoundersInjury codes
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 servicesThe impact of the COVID-19 pandemic on mental health and functional outcomes in Veterans with psychosis or recent homelessness: A 15-month longitudinal study
Wynn JK, McCleery A, Novacek DM, Reavis EA, Senturk D, Sugar CA, Tsai J, Green MF. The impact of the COVID-19 pandemic on mental health and functional outcomes in Veterans with psychosis or recent homelessness: A 15-month longitudinal study. PLOS ONE 2022, 17: e0273579. PMID: 36001641, PMCID: PMC9401176, DOI: 10.1371/journal.pone.0273579.Peer-Reviewed Original ResearchMeSH KeywordsCOVID-19HumansIll-Housed PersonsLongitudinal StudiesMental HealthPandemicsPsychotic DisordersRetrospective StudiesVeteransConceptsPsychotic disordersMental healthCOVID-19 pandemicVA mental healthLongitudinal studySymptoms of depressionCase management servicesPoor social connectionsFunctional outcomeVulnerable veteransBaseline levelsFaster returnRecent homelessnessVeteran controlsGroup differencesRHVAssessment periodVeteransHealthIndependent livingOutcomesPandemicRetrospective ratingsSignificant improvementCommunity functioningRacial Differences in the Psychosocial Response to the COVID-19 Pandemic in Veterans With Psychosis or Recent Homelessness
Novacek DM, Wynn JK, McCleery A, Reavis EA, Senturk D, Sugar CA, Tsai J, Green MF. Racial Differences in the Psychosocial Response to the COVID-19 Pandemic in Veterans With Psychosis or Recent Homelessness. American Journal Of Orthopsychiatry 2022, 92: 590-598. PMID: 35737567, PMCID: PMC9958263, DOI: 10.1037/ort0000633.Peer-Reviewed Original ResearchConceptsWhite veteransPsychosocial responsesControl groupBlack veteransRecent homelessnessSignificant differencesCOVID-19 pandemicVeterans Affairs (VA) healthcare servicesWorse psychosocial outcomesBaseline interviewClinical InterviewPsychosocial outcomesPsychosisRacial disparitiesTime pointsVulnerable populationsRacial differencesHealthcare servicesInitial responseVeteransSocial supportGlobal pandemic
2021
Clinical and functional effects of the COVID-19 pandemic and social distancing on vulnerable veterans with psychosis or recent homelessness
Wynn JK, McCleery A, Novacek D, Reavis EA, Tsai J, Green MF. Clinical and functional effects of the COVID-19 pandemic and social distancing on vulnerable veterans with psychosis or recent homelessness. Journal Of Psychiatric Research 2021, 138: 42-49. PMID: 33819876, PMCID: PMC9750189, DOI: 10.1016/j.jpsychires.2021.03.051.Peer-Reviewed Original ResearchConceptsPsychotic disordersVulnerable veteransVeterans Affairs Healthcare SystemWorse clinical outcomesCOVID-19 pandemicMental health problemsCommunity Integration MeasureMental health issuesClinical factorsClinical outcomesMental health resilienceVA servicesHealth problemsRecent homelessnessHealth issuesElevated levelsPhone interviewsHealthcare systemFunctional effectsCOVID-19Health resilienceRHVVeteransVulnerable individualsVulnerable groups
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 ResearchMeSH KeywordsHealth ServicesHumansIll-Housed PersonsRetrospective StudiesUnited StatesUnited States Department of Veterans AffairsVeterans HealthConceptsEpisodic 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 periodMobile, Community‐Based Buprenorphine Treatment for Veterans Experiencing Homelessness With Opioid Use Disorder: A Pilot, Feasibility Study
Iheanacho T, Payne K, Tsai J. Mobile, Community‐Based Buprenorphine Treatment for Veterans Experiencing Homelessness With Opioid Use Disorder: A Pilot, Feasibility Study. American Journal On Addictions 2020, 29: 485-491. PMID: 32367557, DOI: 10.1111/ajad.13055.Peer-Reviewed Original ResearchMeSH KeywordsAdultAgedAnalgesics, OpioidBuprenorphineCase ManagementCommunity Health ServicesConnecticutFeasibility StudiesFemaleFollow-Up StudiesHumansIll-Housed PersonsMaleMiddle AgedMobile ApplicationsOpiate Substitution TreatmentOpioid-Related DisordersPatient CompliancePilot ProjectsRetrospective StudiesTelemedicineTreatment OutcomeVeterans HealthConceptsOpioid use disorderUtilization of buprenorphineCase management programBUP treatmentUse disordersCommunity-based case management programCommunity-based case managementFirst-line medicationRetrospective chart reviewHealth care utilizationHigh-risk populationHigher treatment retentionVeterans Experiencing HomelessnessDrug use dataChart reviewBuprenorphine treatmentCare utilizationMedication treatmentMedical recordsTreatment retentionBuprenorphineClinicCase managementSubstance useVeterans
2017
Characteristics and Health Needs of Veterans in Jails and Prisons: What We Know and Do Not Know about Incarcerated Women Veterans
McCall JD, Tsai J. Characteristics and Health Needs of Veterans in Jails and Prisons: What We Know and Do Not Know about Incarcerated Women Veterans. Women's Health Issues 2017, 28: 172-180. PMID: 29217313, DOI: 10.1016/j.whi.2017.10.009.Peer-Reviewed Original ResearchConceptsVA health careWomen veteransHealth careChronic obstructive pulmonary diseaseVA health care servicesVeterans Affairs administrative dataHealth issuesObstructive pulmonary diseaseMultivariable logistic regressionCriminal justice characteristicsWomen's health issuesVeteran ProgramHealth care servicesPulmonary diseaseSeizure disorderReproductive ageEye problemsMood disordersWomen's healthVA servicesCare servicesU.S. veteransHealth needsLogistic regressionPreliminary diagnosisOne-Year Incidence and Predictors of Homelessness Among 300,000 U.S. Veterans Seen in Specialty Mental Health Care
Tsai J, Hoff RA, Harpaz-Rotem I. One-Year Incidence and Predictors of Homelessness Among 300,000 U.S. Veterans Seen in Specialty Mental Health Care. Psychological Services 2017, 14: 203-207. PMID: 28481605, DOI: 10.1037/ser0000083.Peer-Reviewed Original ResearchConceptsSpecialty mental health clinicsMental health clinicsHealth clinicsRetrospective cohort study designVeterans AffairsSpecialty mental health careCohort study designVA medical recordsDrug use disordersMental health careVA homeless servicesClinical predictorsProspective studyMedical recordsDisorders ClinicInternational ClassificationUse disordersVA facilitiesU.S. veteransEarly signsStudy designVA effortsClinicHealth careIncidence
2016
Diversion of Veterans With Criminal Justice Involvement to Treatment Courts: Participant Characteristics and Outcomes
Tsai J, Flatley B, Kasprow WJ, Clark S, Finlay A. Diversion of Veterans With Criminal Justice Involvement to Treatment Courts: Participant Characteristics and Outcomes. Psychiatric Services 2016, 68: 375-383. PMID: 27903139, PMCID: PMC5752436, DOI: 10.1176/appi.ps.201600233.Peer-Reviewed Original ResearchConceptsVeterans Treatment CourtsVTC participantsTreatment courtsPublic order offencesCriminal justice involvementBetter employment outcomesCriminal justiceHousing outcomesNew incarcerationCriminal offensesJustice involvementEmployment outcomesJail sanctionsOffensesTC participantsMultilevel regression modelsCourtSpecialized servicesOutreach programsJusticeSanctionsAfghanistanHousingIncarcerationService model
2013
The dimensional structure of posttraumatic stress symptomatology in 323,903 U.S. veterans
Harpaz-Rotem I, Tsai J, Pietrzak RH, Hoff R. The dimensional structure of posttraumatic stress symptomatology in 323,903 U.S. veterans. Journal Of Psychiatric Research 2013, 49: 31-36. PMID: 24275548, DOI: 10.1016/j.jpsychires.2013.10.020.Peer-Reviewed Original ResearchMilitary Sexual Assault and Homeless Women Veterans: Clinical Correlates and Treatment Preferences
Decker SE, Rosenheck RA, Tsai J, Hoff R, Harpaz-Rotem I. Military Sexual Assault and Homeless Women Veterans: Clinical Correlates and Treatment Preferences. Women's Health Issues 2013, 23: e373-e380. PMID: 24183412, DOI: 10.1016/j.whi.2013.09.002.Peer-Reviewed Original ResearchMeSH KeywordsAdultCrime VictimsFemaleHumansIll-Housed PersonsMental HealthMiddle AgedMilitary PersonnelMultivariate AnalysisPatient Acceptance of Health CarePatient PreferencePrevalenceRetrospective StudiesRisk FactorsSelf ReportSex OffensesSocioeconomic FactorsStress Disorders, Post-TraumaticSurveys and QuestionnairesUnited StatesUnited States Department of Veterans AffairsVeteransConceptsMilitary sexual assaultHomeless female veteransFemale veteransSexual assaultGreater mental health symptomsMental health symptomsSerious psychological sequelaePsychological distressPsychological sequelaeHomeless women veteransHealth symptomsThird of participantsTreatment preferencesPsychiatric symptomsCurrent homelessnessVeteransWomen veteransAssaultGreater severityClinical correlatesPTSDClinical symptomsHomeless womenObservational studyHigh risk
2012
Characterizing Asian American and Pacific Islander Veterans Who Use Health Services
Tsai J, Radhakrishnan R. Characterizing Asian American and Pacific Islander Veterans Who Use Health Services. Military Medicine 2012, 177: 1-3. PMID: 22338968, DOI: 10.7205/milmed-d-11-00276.Peer-Reviewed Original Research
2011
Nicotine dependence and its risk factors among users of veterans health services, 2008-2009.
Tsai J, Edens EL, Rosenheck RA. Nicotine dependence and its risk factors among users of veterans health services, 2008-2009. Preventing Chronic Disease 2011, 8: a127. PMID: 22005620, PMCID: PMC3221569.Peer-Reviewed Original ResearchConceptsNicotine dependenceRisk factorsHealth service usersDependence diagnosisHealth servicesProtective factorsMental healthVeterans Affairs systemSmoking cessation programVA medical recordsMajor risk factorHomeless veteransMental health diagnosesLogistic regression analysisGeneral VA populationCase-control designSubstance abuse problemsPreventable causeCessation interventionsCessation programsSubgroup analysisMedical recordsIndependent riskTobacco useVA populationA Typology of Childhood Problems among Chronically Homeless Adults and Its Association with Housing and Clinical Outcomes
Tsai J, Edens EL, Rosenheck RA. A Typology of Childhood Problems among Chronically Homeless Adults and Its Association with Housing and Clinical Outcomes. Journal Of Health Care For The Poor And Underserved 2011, 22: 853-870. PMID: 21841283, DOI: 10.1353/hpu.2011.0081.Peer-Reviewed Original Research