2024
Prevalence of Four Types of Social Support and Their Relation to Mental Health among low-income U.S. Veterans: Implications for Community Health
Tsai J, Li Y, Maroufy V. Prevalence of Four Types of Social Support and Their Relation to Mental Health among low-income U.S. Veterans: Implications for Community Health. Community Mental Health Journal 2024, 1-11. PMID: 38990446, DOI: 10.1007/s10597-024-01318-y.Peer-Reviewed Original ResearchSocial supportMental healthU.S. veteransPositive social interactionsAffectionate social supportCommunity health interventionsImprove mental healthLow social supportMental health functioningMental health correlatesNationally representative sampleAssociated with income levelU.S. military veteransSocial interactionAffectionate supportCommunity healthHealth interventionsHealth correlatesCommunity integrationPositive screenHealth functioningMilitary veteransRepresentative samplePsychiatric disordersPsychosocial dysfunctionFinancial Health and Psychiatric Symptoms Among Veterans With Psychosis or Recent Homelessness During the COVID-19 Pandemic
Tsai J, McCleery A, Wynn J, Green M. Financial Health and Psychiatric Symptoms Among Veterans With Psychosis or Recent Homelessness During the COVID-19 Pandemic. Psychological Services 2024, 21: 362-368. PMID: 37410791, PMCID: PMC10770285, DOI: 10.1037/ser0000787.Peer-Reviewed Original ResearchPsychotic disorder groupPsychotic disordersPsychiatric symptomsMental healthImprove mental healthAssociated with symptomsCTL groupMental well-beingPhysical healthVeteransVeteran suicideReducing veteran suicideWell-beingCOVID-19 pandemicMaterial hardshipHoused veteransSymptomsPsychosisPsychiatricDepressionFinancial shocksHealthSuicideVulnerable groupsNO groupSustained 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 pointsHealthUse and Interest in Virtual Reality for Mental and Physical Health in a U.S. Population-Based Sample of Low-Income Veterans
Tsai J. Use and Interest in Virtual Reality for Mental and Physical Health in a U.S. Population-Based Sample of Low-Income Veterans. Cyberpsychology Behavior And Social Networking 2024, 27: 282-286. PMID: 38359391, DOI: 10.1089/cyber.2023.0091.Peer-Reviewed Original ResearchLow-income veteransMental healthSubstance use problemsDeliver health interventionsU.S. population-based sampleMental health functioningPopulation-based sampleVR-based interventionsNationally representative sampleLevel of educationHealth interventionsExposure and educationHealth functioningRepresentative sampleUnited StatesVeteransHealthInterventionVirtual realityEducationMentalWhat We Know About Homeless Veterans With Other-than-honorable and Punitive Discharges: Data From the Grant and Per Diem (GPD) Program
Jutkowitz E, McCreedy E, Halladay C, Tsai J. What We Know About Homeless Veterans With Other-than-honorable and Punitive Discharges: Data From the Grant and Per Diem (GPD) Program. Military Medicine 2024, 189: e1443-e1449. PMID: 38252587, DOI: 10.1093/milmed/usad485.Peer-Reviewed Original ResearchPunitive dischargesProgram exitHomeless veteransPer diemCase management servicesSubstance abuse treatmentSubstance use treatmentHousing statusCommunity agenciesPunitivenessHomelessnessAbuse treatmentEmployment statusCommunity providersPolicy considerationsMilitary dischargeMental health careNegative healthVA servicesDischarged veteransVA programsOutcome measuresVA Corporate Data WarehouseMental healthDischarge status
2023
Clients’ Self-reported Legal Issues in a Medical-Legal Partnership: Accuracy, Prevalence, and the Role of Mental Health
Griesemer I, Carter S, Weir A, Tsai J. Clients’ Self-reported Legal Issues in a Medical-Legal Partnership: Accuracy, Prevalence, and the Role of Mental Health. Psychological Injury And Law 2023, 16: 408-415. DOI: 10.1007/s12207-023-09484-2.Peer-Reviewed Original ResearchMedical-legal partnershipMental health diagnosesLegal issuesHealth diagnosisLegal needsMental health challengesPoisson regression modelsPosttraumatic stress disorderAlcohol use disorderVeterans Affairs Connecticut Healthcare SystemCivil legal needsComplex legal issuesNeeds screeningClient intakeMental healthHealthcare systemHealthcare facilitiesAdministrative dataStress disorderHealth challengesUse disorderMedical-legalLegal clinicsLegal centerRegression modelsSelf-reported Impacts of the COVID-19 Pandemic and Economic Inflation on the Well-being of Low-income U.S. Veterans
Tsai J, Hird R, Collier A. Self-reported Impacts of the COVID-19 Pandemic and Economic Inflation on the Well-being of Low-income U.S. Veterans. Journal Of Community Health 2023, 48: 970-974. PMID: 37605100, DOI: 10.1007/s10900-023-01267-9.Peer-Reviewed Original ResearchConceptsSelf-reported impactU.S. veteransLong-term health effectsLow-income veteransMajor public healthCOVID-19 pandemicNegative psychosocial impactSmall proportionLow-income populationsPsychosocial impactCoronavirus diseaseMental healthRapid assessment procedureHealth effectsSocial isolationPublic healthVeteransHealthNational samplePandemicParticipantsFurther researchResponsePopulationProportionChanges in mental health among U.S. military veterans during the COVID-19 pandemic: A network analysis
Spiller T, Na P, Merians A, Duek O, Ben-Zion Z, Tsai J, von Känel R, Harpaz-Rotem I, Pietrzak R. Changes in mental health among U.S. military veterans during the COVID-19 pandemic: A network analysis. Journal Of Psychiatric Research 2023, 165: 352-359. PMID: 37595331, DOI: 10.1016/j.jpsychires.2023.08.003.Peer-Reviewed Original ResearchConceptsPosttraumatic stress disorderSymptoms of PTSDTraumatic eventsPosttraumatic growthU.S. military veteransPTSD symptomsSuicidal ideationMental healthMilitary veteransIncrease of symptomsPopulation-based sampleCOVID-19 pandemicFirst yearStress disorderMost veteransSymptomsFirst monthPsychopathological symptomsGeneral resilienceGroup levelAnxietyVeteransIndividual reactionsDepressionSubtle increasePandemic-related posttraumatic psychological growth in U.S. military veterans: A 3-year, nationally representative, longitudinal study
Kang H, Na P, Fischer I, Tsai J, Tedeschi R, Pietrzak R. Pandemic-related posttraumatic psychological growth in U.S. military veterans: A 3-year, nationally representative, longitudinal study. Psychiatry Research 2023, 326: 115370. PMID: 37499281, DOI: 10.1016/j.psychres.2023.115370.Peer-Reviewed Original ResearchConceptsPosttraumatic growthU.S. military veteransPost-pandemic onsetDomains of PTGPositive psychological changesMilitary veteransPosttraumatic stress symptomsLongitudinal studyEarly life traumaPsychological growthPsychological changesPsychosocial interventionsStress symptomsLife traumaCOVID-19 vaccineVeterans StudyGreater worryMental healthStrongest correlateFull sampleNational HealthVeteransSignificant decreaseOnsetPrevalenceChronically homeless veterans with gambling disorder: Epidemiology, clinical correlates, and traumatic experiences
Stefanovics E, Potenza M, Szymkowiak D, Tsai J. Chronically homeless veterans with gambling disorder: Epidemiology, clinical correlates, and traumatic experiences. Journal Of Psychiatric Research 2023, 164: 118-124. PMID: 37339548, DOI: 10.1016/j.jpsychires.2023.05.062.Peer-Reviewed Original ResearchConceptsPsychiatric treatmentGambling disorderChi-square testChronic homelessnessClinical correlatesDescriptive epidemiologyLow educational attainmentElevated oddsSuicidal thoughtsLogistic regressionTraumatic experiencesMental healthSubstance useHomeless veteransHomeless ProgramVeteransTreatmentLower ratesEpidemiologyBehavioral concernsDisordersStudy of factorsCorrelatesAnalysis of varianceEducational attainmentFactors related to COVID-19 vaccine hesitancy among middle-income and low-income adults in the USA
Nguyen V, Huang Y, Huang M, Tsai J. Factors related to COVID-19 vaccine hesitancy among middle-income and low-income adults in the USA. Journal Of Epidemiology & Community Health 2023, 77: 328-335. PMID: 36889909, DOI: 10.1136/jech-2021-218535.Peer-Reviewed Original ResearchConceptsCOVID-19 vaccineVaccine acceptanceVaccine hesitancyVaccine concernsLow-income US adultsMental healthCOVID-19 vaccine acceptanceCOVID-19 vaccine concernsCOVID-19 vaccine hesitancyCOVID-19 vaccination intentionCOVID-19 vaccinationAssociation of demographicLow-income adultsCOVID-19-related stressPoor mental healthVaccination intentionUS adultsVaccine hesitantSide effectsSubstance misuseVaccineVaccine distributionPrevention activitiesSelection operator (LASSO) modelAdultsEvaluating 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 increaseInterventionVeteransDepartmentOutpatientsMonthsCareDialectical Behavior Therapy for Justice-Involved Veterans: Changes in Treatment Targets in a Small, Pre-Post Design Clinical Trial
Edwards E, Epshteyn G, Snyder S, Gorman D, Coolidge B, Marcano E, Tsai J, Goodman M. Dialectical Behavior Therapy for Justice-Involved Veterans: Changes in Treatment Targets in a Small, Pre-Post Design Clinical Trial. Psychological Services 2023, 20: 98-107. PMID: 37053393, PMCID: PMC10570393, DOI: 10.1037/ser0000766.Peer-Reviewed Original ResearchConceptsDialectical behavior therapyJustice-involved veteransBehavioral therapySubstance usePre- to posttreatmentCase management needsTreatment targetIntegrative psychotherapyTherapeutic changePsychological distressCriminogenic riskMental healthVeteransLongitudinal changesPre-postQuality of lifeParticipantsPotential utilityPsychotherapyCase management interventionManagement interventionsInterventionDistressPosttreatmentSubstances
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 ResearchExperiences with Eviction, House Foreclosure, and Homelessness Among COVID-19 Infected Adults and Their Relation to Mental Health in a Large U.S. City
Tsai J, Grace A, Vazquez M. Experiences with Eviction, House Foreclosure, and Homelessness Among COVID-19 Infected Adults and Their Relation to Mental Health in a Large U.S. City. Journal Of Community Health 2022, 48: 218-227. PMID: 36369286, PMCID: PMC9651872, DOI: 10.1007/s10900-022-01166-5.Peer-Reviewed Original ResearchThe 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 servicesPerceived Purpose in Life, Mental Health, and Suicidality in Older U.S. Military Veterans: Results From the National Health and Resilience in Veterans Study
Fischer IC, Tsai J, Harpaz-Rotem I, McCutcheon VE, Schulenberg SE, Pietrzak RH. Perceived Purpose in Life, Mental Health, and Suicidality in Older U.S. Military Veterans: Results From the National Health and Resilience in Veterans Study. American Journal Of Geriatric Psychiatry 2022, 31: 87-93. PMID: 36253289, DOI: 10.1016/j.jagp.2022.09.010.Peer-Reviewed Original ResearchConceptsMental disordersNational HealthU.S. veteransVeterans StudyHigher PILSubstance use disordersOlder U.S. veteransU.S. military veteransMajor depressiveSelf-report assessmentsLower oddsCurrent prevalenceUse disordersMost veteransSuicide attemptsMental healthGeneralized anxietySuicidalityDisordersMilitary veteransVeteransPosttraumatic stressHealthOddsRepresentative sampleThe 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 ResearchConceptsPsychotic disordersMental healthCOVID-19 pandemicVA mental healthLongitudinal studySymptoms of depressionCase management servicesPoor social connectionsFunctional outcomeVulnerable veteransBaseline levelsFaster returnRecent homelessnessVeteran controlsGroup differencesRHVAssessment periodVeteransHealthIndependent livingOutcomesPandemicRetrospective ratingsSignificant improvementCommunity functioningDisentangling Associations Between Military Service, Race, and Incarceration in the U.S. Population
Tsai J, Edwards E, Cao X, Finlay AK. Disentangling Associations Between Military Service, Race, and Incarceration in the U.S. Population. Psychological Services 2022, 19: 431-442. PMID: 35878068, DOI: 10.1037/ser0000537.Peer-Reviewed Original ResearchConceptsLifetime incarcerationPsychosocial characteristicsSubstance abuse factorsSubstance use disordersU.S. adult populationVeteran statusBorderline personality disorderRisk adultsMale genderUse disordersHistory of homelessnessAdult populationU.S. adultsBehavioral healthMental healthCivilian settingsPersonality disorderU.S. populationSociodemographic backgroundAdultsIncarceration historyAbuse factorsVeteransPrevalence of incarcerationStructured interviewsDialectical Behavior Therapy for Justice-Involved Veterans (DBT-J): Feasibility and Acceptability
Edwards ER, Dichiara A, Epshteyn G, Snyder S, Linzer S, Riglietti K, Weishoff N, Lee A, Tsai J, Marcano E, Geraci J, Goodman M. Dialectical Behavior Therapy for Justice-Involved Veterans (DBT-J): Feasibility and Acceptability. Psychological Services 2022, 20: 108-121. PMID: 35913851, PMCID: PMC10481711, DOI: 10.1037/ser0000691.Peer-Reviewed Original ResearchDialectical behavior therapyJustice-involved veteransVeterans Health Administration systemComplex mental healthBehavior therapyCourse of treatmentBehavioral health servicesHealth Administration systemSubstance use difficultiesCase management servicesHigh treatment fidelityFeasibility trialCase management needsVHA servicesCare providersParticipant attendanceHealth servicesInitial evaluationMental healthUse difficultiesInitial acceptabilityTherapyPsychotherapy programTreatment fidelityGroup therapy