2024
Transportation 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 dateServices
2022
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
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 ResearchMeSH KeywordsCOVID-19Health Services AccessibilityHousingHousing InstabilityHumansUnited StatesUnited States Department of Veterans AffairsVeteransConceptsHousing 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 interviewsMedical Care Needs of Laundromat Users in San Antonio, Texas: A Potentially Unique Setting for Health Interventions
Tsai J, Solis V, Schick V. Medical Care Needs of Laundromat Users in San Antonio, Texas: A Potentially Unique Setting for Health Interventions. Journal Of Community Health 2022, 48: 1-9. PMID: 36006533, PMCID: PMC9406254, DOI: 10.1007/s10900-022-01137-w.Peer-Reviewed Original ResearchMeSH KeywordsEthnicityFemaleHealth Services AccessibilityHumansMaleMedically Underserved AreaMinority GroupsPreventive Health ServicesTexasUnited StatesConceptsBehavioral Risk Factor Surveillance SystemTexas Behavioral Risk Factor Surveillance SystemRisk Factor Surveillance SystemRoutine medical checkupPrimary care providersMedical care needsPreventive healthcare servicesHealthcare servicesPublic health practiceHealth insurance coveragePap smearMedical checkupProstate examHealthcare screeningCare providersCare needsHealth statusHealth interventionsHealth needsHealthcare needsPoor healthHealth practicesHealthcare interventionsUnderserved populationsInsurance coverageService use and barriers to care among homeless veterans: Results from the National Veteran Homeless and Other Poverty Experiences (NV‐HOPE) study
Tsai J, Kelton K. Service use and barriers to care among homeless veterans: Results from the National Veteran Homeless and Other Poverty Experiences (NV‐HOPE) study. Journal Of Community Psychology 2022, 51: 507-515. PMID: 35748189, DOI: 10.1002/jcop.22912.Peer-Reviewed Original ResearchConceptsHomeless servicesExperience of homelessnessBetter public informationHomeless veteransRepresentative surveyEthnic groupsRace/ethnic groupsHomelessnessTransportation barriersService uptakeHealthcare servicesPublic informationService useServicesVeterans Affairs (VA) healthcareCommon barriersU.S. DepartmentBarriersHomelessShameStigma
2020
National 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 ResearchMeSH KeywordsHealth Services AccessibilityHousingHumansMental Health ServicesSocial WelfareUnited StatesUnited States Department of Veterans AffairsVeteransConceptsVA 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
Experiences and Knowledge of US Department of Veterans Affairs Clinical Services, Research, and Education: Results From a National Survey of Veterans
Tsai J, Mehta K, Hunt-Johnson N, Pietrzak RH. Experiences and Knowledge of US Department of Veterans Affairs Clinical Services, Research, and Education: Results From a National Survey of Veterans. Journal Of Public Health Management And Practice 2019, 27: 173-185. PMID: 31592984, DOI: 10.1097/phh.0000000000001053.Peer-Reviewed Original ResearchMeSH KeywordsAdultEducational StatusHealth Services AccessibilityHumansSurveys and QuestionnairesUnited StatesUnited States Department of Veterans AffairsVeteransConceptsPrimary health care providersOpioid use disorderVA health careHealth care providersClinical servicesChronic painCare providersUse disordersVA servicesVeterans Affairs Health Care SystemHealth careHealth care systemOverall high satisfactionMajority of veteransOne-quarterUS veteransComprehensive careVeteran characteristicsEligibility criteriaPsychosocial characteristicsCare systemVeteransComprehensive managementCareActive duty
2016
Interest 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 ResearchMeSH KeywordsCell PhoneHealth Services AccessibilityHumansInternetMental DisordersSurveys and QuestionnairesVeteransConceptsSerious 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
A Comparison of Homeless Male Veterans in Metropolitan and Micropolitan Areas in Nebraska: A Methodological Caveat
Tsai J, Ramaswamy S, Bhatia SC, Rosenheck RA. A Comparison of Homeless Male Veterans in Metropolitan and Micropolitan Areas in Nebraska: A Methodological Caveat. American Journal Of Community Psychology 2015, 56: 357-367. PMID: 26354600, DOI: 10.1007/s10464-015-9746-7.Peer-Reviewed Original ResearchMeSH KeywordsAdultAgedAnalysis of VarianceAnxiety DisordersCitiesHealth ServicesHealth Services AccessibilityHealth StatusHealth Status IndicatorsHousingHumansIll-Housed PersonsInterviews as TopicMaleMedically UninsuredMental DisordersMiddle AgedNebraskaRural HealthSocial SupportSocioeconomic FactorsSubstance-Related DisordersTransients and MigrantsUnited StatesUnited States Department of Veterans AffairsVeteransConceptsHomeless male veteransVeterans Affairs facilitiesMale veteransHomeless veteransHealth servicesMore medical problemsHealth service useDiagnosis of anxietyService useGreater social supportCommunity providersDifficult populationMedical problemsPsychosocial characteristicsMicropolitan areasPersonality disorderConvenience sampleVeteransResearch staffStructured interviewsSocial supportMicropolitanRural areasDiagnosisBarriers and Facilitators Related to Mental Health Care Use Among Older Veterans in the United States
Blais RK, Tsai J, Southwick SM, Pietrzak RH. Barriers and Facilitators Related to Mental Health Care Use Among Older Veterans in the United States. Psychiatric Services 2015, 66: 500-506. PMID: 25639990, DOI: 10.1176/appi.ps.201300469.Peer-Reviewed Original ResearchMeSH KeywordsAgedAttitude to HealthFemaleGeriatric PsychiatryHealth Services AccessibilityHealth Services for the AgedHumansMaleMental DisordersPatient Acceptance of Health CareStereotypingUnited StatesVeteransConceptsMental health careMental health care utilizationHealth care utilizationOlder veteransPsychiatric disordersCare utilizationHealth careLifetime drug use disordersMental health care useMental health service utilizationNon-Hispanic veteransVeterans ages 60Lifetime posttraumatic stress disorderHealth service utilizationHealth care useCurrent psychiatric symptomsCurrent psychiatric disorderDrug use disordersMinority of veteransMental health servicesCurrent suicidal ideationPosttraumatic stress disorderOlder U.S. veteransCare useNational Health
2014
Asian American and Pacific Islander Military Veterans in the United States: Health Service Use and Perceived Barriers to Mental Health Services
Tsai J, Whealin JM, Pietrzak RH. Asian American and Pacific Islander Military Veterans in the United States: Health Service Use and Perceived Barriers to Mental Health Services. American Journal Of Public Health 2014, 104: s538-s547. PMID: 25100419, PMCID: PMC4151899, DOI: 10.2105/ajph.2014.302124.Peer-Reviewed Original ResearchConceptsMental health servicesHealth service useHealth servicesService useHealth careMental health careBetter mental healthHigher socioeconomic statusPopulation-weighted sampleVeteran populationPacific Islander veteransAA veteransEthnic groupsHealth differencesMental healthSocioeconomic statusPerceived BarriersMilitary veteransMultivariable statisticsVeteransVeteran statusNational surveyRecent veteransRandom sampleCare
2013
National Comparison of Literally Homeless Male and Female VA Service Users: Entry Characteristics, Clinical Needs, and Service Patterns
Tsai J, Kasprow WJ, Kane V, Rosenheck RA. National Comparison of Literally Homeless Male and Female VA Service Users: Entry Characteristics, Clinical Needs, and Service Patterns. Women's Health Issues 2013, 24: e29-e35. PMID: 24342077, DOI: 10.1016/j.whi.2013.09.007.Peer-Reviewed Original ResearchWhen health insurance is not a factor: national comparison of homeless and nonhomeless US veterans who use Veterans Affairs Emergency Departments.
Tsai J, Doran KM, Rosenheck RA. When health insurance is not a factor: national comparison of homeless and nonhomeless US veterans who use Veterans Affairs Emergency Departments. American Journal Of Public Health 2013, 103 Suppl 2: s225-31. PMID: 24148061, PMCID: PMC3969129, DOI: 10.2105/ajph.2013.301307.Peer-Reviewed Original ResearchConceptsVeterans Affairs emergency departmentEmergency departmentED usersClinical characteristicsUse disordersNational integrated health care systemNational VA administrative dataIntegrated health care systemEmergency department usersDrug use disordersHealth insuranceVA administrative dataCross-sectional studyHomeless veteransSubstance abuse diagnosisAlcohol use disorderHealth care systemUS veteransMedical conditionsAbuse diagnosisPsychiatric diagnosisMultivariate analysisFiscal year 2010Outreach servicesMental healthMedicaid Expansion: Chronically Homeless Adults Will Need Targeted Enrollment And Access To A Broad Range Of Services
Tsai J, Rosenheck RA, Culhane DP, Artiga S. Medicaid Expansion: Chronically Homeless Adults Will Need Targeted Enrollment And Access To A Broad Range Of Services. Health Affairs 2013, 32: 1552-1559. PMID: 24019359, DOI: 10.1377/hlthaff.2013.0228.Peer-Reviewed Original ResearchConceptsMedicaid expansionHomeless adultsService useHealth statusHealth servicesVeterans Affairs (VA) health careAffordable Care Act Medicaid expansionHealth service useMental health servicesTargeted enrollmentCase managementHealth careHealth coverageMedicaidAdultsComprehensive servicesThree-quartersStatusPercentHomeless peopleImportant opportunityCareThe Effects of Race and Other Socioeconomic Factors on Health Service Use Among American Military Veterans
Tsai J, Desai MU, Cheng AW, Chang J. The Effects of Race and Other Socioeconomic Factors on Health Service Use Among American Military Veterans. Psychiatric Quarterly 2013, 85: 35-47. PMID: 23949577, DOI: 10.1007/s11126-013-9268-0.Peer-Reviewed Original ResearchConceptsNon-VA health care systemsHealth service useHealth care systemCare systemService utilizationHealth insurancePrivate health insuranceService useVA health care systemGreater health care needsRacial disparitiesNative Americans/Alaskan NativesObservational study designHealth care needsLogistic regression modelsVA disability compensationDisability compensationCare needsPacific Islander veteransHealth statusSociodemographic characteristicsHealth disparitiesAmerican military veteransStudy designEffect of raceConsidering 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
Impact 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 adultsCareDiagnosis
2011
Does Active Substance Use at Housing Entry Impair Outcomes in Supported Housing for Chronically Homeless Persons?
Edens EL, Mares AS, Tsai J, Rosenheck RA. Does Active Substance Use at Housing Entry Impair Outcomes in Supported Housing for Chronically Homeless Persons? Psychiatric Services 2011, 62: 171-178. PMID: 21285095, DOI: 10.1176/ps.62.2.pss6202_0171.Peer-Reviewed Original Research
2009
Housing Preferences and Choices Among Adults with Mental Illness and Substance Use Disorders: A Qualitative Study
Tsai J, Bond GR, Salyers MP, Godfrey JL, Davis KE. Housing Preferences and Choices Among Adults with Mental Illness and Substance Use Disorders: A Qualitative Study. Community Mental Health Journal 2009, 46: 381-388. PMID: 19898935, PMCID: PMC2891397, DOI: 10.1007/s10597-009-9268-6.Peer-Reviewed Original ResearchMeSH KeywordsAdultBipolar DisorderCase ManagementChicagoChoice BehaviorDecision MakingDepressive Disorder, MajorDiagnosis, Dual (Psychiatry)FemaleGroup HomesHalfway HousesHealth Services AccessibilityHousingHumansIll-Housed PersonsIndependent LivingMaleMiddle AgedPatient PreferencePopulation DynamicsSchizophreniaSchizophrenic PsychologySubstance-Related DisordersConceptsSubstance use disordersUse disordersMental illnessCo-occurring substance use disordersSevere mental illnessMajority of clientsDual disordersProvider recommendationCurrent living situationsCommon barriersSupervised housingDisordersAdultsIllnessLiving situationsIndependent housingHousing instabilityQualitative studyHousing arrangements