2024
Barriers to Mental Health Care in US Military Veterans
Lewis C, Fischer I, Tsai J, Harpaz-Rotem I, Pietrzak R. Barriers to Mental Health Care in US Military Veterans. Psychiatric Quarterly 2024, 95: 367-383. PMID: 38940875, DOI: 10.1007/s11126-024-10078-7.Peer-Reviewed Original ResearchMental health careMental health treatmentHealth careHealth treatmentReduce barriersUS veteransNegative beliefsInstrumental barriersNational Health and ResiliencePromote engagementMental health servicesPopulation-based effortsUS military veteransNationally representative dataMultivariate logistic regressionPerceived stigmaHealth servicesSocial supportPsychiatric needsVeterans StudyPractical barriersLow purposeConclusionsNearly halfMilitary veteransCareGeographic and psychosocial correlates of homelessness or unstable housing among US veterans in the Midwest
Umucu E, Lee B, Chang C, Szymkowiak D, Tsai J. Geographic and psychosocial correlates of homelessness or unstable housing among US veterans in the Midwest. American Journal Of Community Psychology 2024, 74: 142-151. PMID: 38747475, DOI: 10.1002/ajcp.12751.Peer-Reviewed Original ResearchVeterans Integrated Service NetworkUnstable housingMental health conditionsStably housed veteransAssociated with increased riskMultivariate logistic regression analysisLogistic regression analysisIntegrated services networksPsychosocial correlatesUS veteransHealth conditionsCorrelates of homelessnessRural locationsVeteransLocation scoreStudy cohortIncarceration experienceMidwestern stateRegression analysisRisky behaviorsHomelessnessService networkGeographical characteristicsCareHousingSuicide risk screening and evaluation among patients accessing VHA services and identified as being newly homeless
Holliday R, Hostetter T, Brenner L, Bahraini N, Tsai J. Suicide risk screening and evaluation among patients accessing VHA services and identified as being newly homeless. Health Services Research 2024, 59: e14301. PMID: 38590010, PMCID: PMC11366967, DOI: 10.1111/1475-6773.14301.Peer-Reviewed Original ResearchComprehensive suicide risk evaluationsSuicide risk screeningRisk screeningPositive screenUniversal suicide risk screeningHomeless patientsHealth record dataMental health servicesEvidence-based interventionsSuicide risk identificationPrimary carePatient health record dataVHA servicesHealth servicesUrgent careHomeless veteransSuicide risk evaluationRecord dataCalendar yearSuicide riskPercentage of patientsCareVHASuicideScreeningA 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
Evaluating Veterans Response Teams and Police Interventions on Veterans' Health Care Utilization
Tsai J, Gonzalez C, Szymkowiak D, Stewart K, Dillard D, Whittle T, Woodland P. Evaluating Veterans Response Teams and Police Interventions on Veterans' Health Care Utilization. Journal Of Public Health Management And Practice 2023, 29: 387-391. PMID: 36867527, DOI: 10.1097/phh.0000000000001718.Peer-Reviewed Original ResearchConceptsHealth care utilizationCare servicesCare utilizationVA health care servicesUse of outpatientSubstance abuse treatment servicesInpatient mental healthVA health careUrgent care servicesAncillary care servicesHealth care servicesResponse teamsTreatment servicesRehabilitation servicesMental healthHealth careHomeless ProgramSimilar increaseInterventionVeteransDepartmentOutpatientsMonthsCare
2022
Preventing Homelessness Through the National Call Center for Homeless Veterans: Analysis of Calls and Service Referrals
Tsai J, Montgomery AE, Szymkowiak D. Preventing Homelessness Through the National Call Center for Homeless Veterans: Analysis of Calls and Service Referrals. Psychiatric Services 2022, 74: 316-319. PMID: 35855621, DOI: 10.1176/appi.ps.20220124.Peer-Reviewed Original ResearchConceptsNational call centerVeterans Health AdministrationHomeless veteransMental health servicesHealth care recordsVeteran outcomesMedical recordsReferral outcomesCare recordsHealth AdministrationHealth servicesService referralsMedical servicesHomeless ProgramVeteransCOVID-19 pandemicReferralOutcomesMost contactModerate increaseSocial careAnalysis of callsMajor increaseAdministrationCare
2021
Prevalence of Alzheimer's disease and related dementias among veterans experiencing housing insecurity
Jutkowitz E, Halladay C, Tsai J, Hooshyar D, Quach L, O'Toole T, Rudolph JL. Prevalence of Alzheimer's disease and related dementias among veterans experiencing housing insecurity. Alzheimer's & Dementia 2021, 18: 1306-1313. PMID: 34757668, PMCID: PMC10257219, DOI: 10.1002/alz.12476.Peer-Reviewed Original ResearchConceptsADRD diagnosisAcute careAlzheimer's diseaseLong-term care useMore acute careNursing home admissionCommunity-based careAD/ADRDHome admissionCare useOverall prevalenceVeterans AffairsPrevalenceDiseaseDiagnosisHomeless veteransVeteransCareHousing statusDementiaRiskHousing insecurityAdmissionADRD
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 ResearchConceptsPrimary 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
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 modelIllnessUS Veterans’ Use Of VA Mental Health Services And Disability Compensation Increased From 2001 To 2010
Tsai J, Rosenheck RA. US Veterans’ Use Of VA Mental Health Services And Disability Compensation Increased From 2001 To 2010. Health Affairs 2016, 35: 966-973. PMID: 27269011, DOI: 10.1377/hlthaff.2015.1555.Peer-Reviewed Original ResearchConceptsVA mental health servicesMental health servicesDisability compensationHealth servicesVA disability compensationUS veteransVeteran populationVeterans Affairs Health Care SystemGulf War eraHealth care servicesVA health servicesCombat-related traumaHealth care systemVeterans' useVA servicesCare servicesCare systemService eraVeteransRepresentative surveyPopulationTraumaCare
2015
Homeless Veterans Eligible for Medicaid Under the Affordable Care Act
Tsai J, Kasprow WJ, Culhane D, Rosenheck RA. Homeless Veterans Eligible for Medicaid Under the Affordable Care Act. Psychiatric Services 2015, 66: 1353-1356. PMID: 26423104, DOI: 10.1176/appi.ps.201500377.Peer-Reviewed Original ResearchConceptsRisk veteransVA service-connected disabilityVeterans Affairs (VA) health careHealth careHomeless veteransVA health careService-connected disabilitySubstance use disordersAffordable Care ActUse disordersExpansion of MedicaidPsychiatric conditionsHealth needsMedicaidCare ActVeteransPotential interplayCareRisk of homelessness
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 sampleCareUninsured veterans who will need to obtain insurance coverage under the patient protection and affordable care act.
Tsai J, Rosenheck R. Uninsured veterans who will need to obtain insurance coverage under the patient protection and affordable care act. American Journal Of Public Health 2014, 104: e57-62. PMID: 24432934, PMCID: PMC3953755, DOI: 10.2105/ajph.2013.301791.Peer-Reviewed Original ResearchHomeless and nonhomeless VA service users likely eligible for Medicaid expansion
Tsai J, Rosenheck RA. Homeless and nonhomeless VA service users likely eligible for Medicaid expansion. The Journal Of Rehabilitation Research And Development 2014, 51: 675-684. PMID: 25358031, DOI: 10.1682/jrrd.2013.10.0225.Peer-Reviewed Original ResearchMeSH KeywordsAdultAgedCross-Sectional StudiesDepressive Disorder, MajorDiagnosis, Dual (Psychiatry)Eligibility DeterminationFemaleHumansIll-Housed PersonsMaleMedicaidMiddle AgedPatient Protection and Affordable Care ActStress Disorders, Post-TraumaticSubstance-Related DisordersUnited StatesUnited States Department of Veterans AffairsVeteransConceptsVA service usersAffordable Care ActCare ActCross-system useSubstance use disordersMental health needsPosttraumatic stress disorderService usersFragmented careVA cliniciansVA usersPsychiatric needsUse disordersHealth needsMedicaid expansionStress disorderHousing statusAdministrative dataDisordersPatientsCliniciansMedicaidHomeless service usersCare
2013
Client satisfaction with a new group-based model of case management for supported housing services
Tsai J, Reddy N, Rosenheck RA. Client satisfaction with a new group-based model of case management for supported housing services. Evaluation And Program Planning 2013, 43: 118-123. PMID: 24413143, DOI: 10.1016/j.evalprogplan.2013.12.004.Peer-Reviewed Original ResearchConceptsCase managementCommunity-based case managementIndividual case managementSupportive housing servicesPeer support modelCase management modelSupportive housing programHomeless adultsSignificant differencesPeer supportSupportive housingClient satisfactionGroupUrban Development-Veterans Affairs Supportive Housing (HUD-VASH) programGroup-based modelsManagementAttendersSatisfactionCareMedicaid 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 opportunityCareConsidering 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