2024
Shallow 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 studyGrowing Concern About Unsheltered Homelessness Among Veterans: Clinical Characteristics and Engagement in Health Care Services.
Kinney R, Szymkowiak D, Tsai J. Growing Concern About Unsheltered Homelessness Among Veterans: Clinical Characteristics and Engagement in Health Care Services. Public Health Reports 2024, 333549241227155. PMID: 38323557, DOI: 10.1177/00333549241227155.Peer-Reviewed Original ResearchUnsheltered homelessnessHomeless ProgramHomeless veteransVA homeless programsMilitary sexual traumaVeterans AffairsPublic health approachVeteran homelessnessCollege educationHousing instabilityVA service-connected disabilityHomeless populationHealth care servicesSheltered statusUS Department of Veterans AffairsHomelessnessDepartment of Veterans AffairsHierarchical multivariable logistic regressionService-connected disabilityCorporate Data WarehouseSexual traumaCare servicesRepeated-measures analysisMultivariate logistic regressionHealth approachTemporary Financial Assistance Reduced The Probability Of Unstable Housing Among Veterans For More Than 1 Year
Chapman A, Scharfstein D, Byrne T, Montgomery A, Suo Y, Effiong A, Velasquez T, Pettey W, Dalrymple R, Tsai J, Nelson R. Temporary Financial Assistance Reduced The Probability Of Unstable Housing Among Veterans For More Than 1 Year. Health Affairs 2024, 43: 250-259. PMID: 38315929, DOI: 10.1377/hlthaff.2023.00730.Peer-Reviewed Original ResearchConceptsSupportive Services for Veteran FamiliesTemporary financial assistanceFinancial assistanceUnstable housingHousing outcomesHousing instabilityReduce homelessnessHousing stabilityVeterans AffairsVeteran familiesElectronic health record systemsDepartment of Veterans AffairsHealth record systemsHousingTemporaryAssistanceVeteransLanguage processingClinical notesHomelessnessLong-term effectsRecording systemAffairsProbabilityOutcomes
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 servicesEstablishing a Research Agenda for Suicide Prevention Among Veterans Experiencing Homelessness
Robinson M, Holliday R, Monteith LL, Blosnich JR, Elbogen EB, Gelberg L, Hooshyar D, Liu S, McInnes DK, Montgomery AE, Tsai J, Grassmeyer R, Brenner LA. Establishing a Research Agenda for Suicide Prevention Among Veterans Experiencing Homelessness. Frontiers In Psychology 2022, 13: 683147. PMID: 35197892, PMCID: PMC8860179, DOI: 10.3389/fpsyg.2022.683147.Peer-Reviewed Original ResearchSuicide preventionVeterans AffairsDelphi processSignificant public health concernPublic health concernHealth services researchIterative Delphi processVeterans Experiencing HomelessnessRisk populationsUnderstanding of barriersHealthcare providersRisk periodEmergency interventionHealth concernPreventionPotential research prioritiesVeteransServices researchDelphi methodologySuicideResearch prioritiesRiskRisk assessmentDevelopment meetingsHomelessness
2021
Psychopharmacoepidemiology of antidepressant medications among homeless and unstably housed service users in the Veterans Affairs healthcare system
Tsai J, Szymkowiak D, Iheanacho T. Psychopharmacoepidemiology of antidepressant medications among homeless and unstably housed service users in the Veterans Affairs healthcare system. Human Psychopharmacology Clinical And Experimental 2021, 37: e2829. PMID: 34799872, DOI: 10.1002/hup.2829.Peer-Reviewed Original ResearchConceptsCare settingsOutpatient mental health visitsVA service-connected disabilityVeterans AffairsVeterans Affairs Healthcare SystemAntidepressant prescription patternsMental health visitsEmergency department visitsNorepinephrine reuptake inhibitorsMental health care settingsPrimary care settingHealthcare systemService-connected disabilityHealth care settingsAntidepressant medicationAntidepressant prescriptionsPrescription patternsDepartment visitsHealth visitsReuptake inhibitorsMultivariable analysisFemale sexTricyclic antidepressantsClinical challengePsychiatric diagnosisPrevalence 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
2020
Antipsychotic Medication Prescriptions for Homeless and Unstably Housed Veterans in the Veterans Affairs Health Care System.
Tsai J, Szymkowiak D, Radhakrishnan R. Antipsychotic Medication Prescriptions for Homeless and Unstably Housed Veterans in the Veterans Affairs Health Care System. The Journal Of Clinical Psychiatry 2020, 82 PMID: 33296148, DOI: 10.4088/jcp.20m13372.Peer-Reviewed Original ResearchConceptsAntipsychotic prescriptionsSevere mental illnessAntipsychotic medicationHealth care systemMedication prescriptionsPrescription practicesMental illnessVeterans Affairs Health Care SystemNational VA administrative dataVeterans AffairsVA health care servicesVA health care systemSecond-generation antipsychotic medicationsCare systemAntipsychotic medication prescriptionMore antipsychotic prescriptionsPsychotropic medication prescriptionsSecond-generation antipsychoticsVA administrative dataMore antipsychotic medicationsHealth care servicesClinical characteristicsClozapine treatmentInjectable medicationsMedicationsNational 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 ResearchConceptsVA 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
Introduction
Tsai J. Introduction. 2019, 1-11. DOI: 10.1007/978-3-030-31664-8_1.Peer-Reviewed Original ResearchAwareness of Suicide Prevention Programs Among U.S. Military Veterans
Tsai J, Snitkin M, Trevisan L, Kraus SW, Pietrzak RH. Awareness of Suicide Prevention Programs Among U.S. Military Veterans. Administration And Policy In Mental Health And Mental Health Services Research 2019, 47: 115-125. PMID: 31529286, DOI: 10.1007/s10488-019-00975-6.Peer-Reviewed Original ResearchMeSH KeywordsAdolescentAdultAge FactorsAgedAwarenessComorbidityFemaleHealth PromotionHealth StatusHotlinesHumansMaleMental HealthMiddle AgedPatient Acceptance of Health CareSex FactorsSocial AdjustmentSocial StigmaSocial SupportSocioeconomic FactorsStress Disorders, Post-TraumaticSuicidal IdeationSuicide PreventionSuicide, AttemptedUnited StatesVeteransYoung AdultConceptsSuicide prevention programsVeterans Crisis LinePrevention programsVeterans AffairsVA centersMedical conditionsSuicide preventionPrimary healthcare providersPosttraumatic stress disorderMajority of veteransU.S. military veteransHistory of suicidalityCrisis lineVeteran populationHealthcare providersSuicidal ideationU.S. veteransPast homelessnessStress disorderAnxiety disordersVeteran suicideMilitary veteransTargeted outreachVeteransPreventionNational Utilization Patterns of Veterans Affairs Homelessness Programs in the Era of Housing First
Tsai J, Byrne TH. National Utilization Patterns of Veterans Affairs Homelessness Programs in the Era of Housing First. Psychiatric Services 2019, 70: 309-315. PMID: 30651057, DOI: 10.1176/appi.ps.201800393.Peer-Reviewed Original Research
2018
Characteristics and Health Needs of Veterans with Other-than-Honorable Discharges: Expanding Eligibility in the Veterans Health Administration
Tsai J, Rosenheck RA. Characteristics and Health Needs of Veterans with Other-than-Honorable Discharges: Expanding Eligibility in the Veterans Health Administration. Military Medicine 2018, 183: e153-e157. PMID: 29420757, DOI: 10.1093/milmed/usx110.Peer-Reviewed Original ResearchConceptsMental health care needsHealth care needsMore mental health problemsHealth care servicesMental health problemsCare needsVeterans AffairsCare servicesHealth problemsShort Form Health SurveyVA health care servicesMental health care servicesMental healthForm Health SurveyVeterans Health AdministrationHealth of veteransWorse mental healthEmotional problemsVA careHealth SurveyHealth AdministrationHealth statusHealth needsBivariate comparisonsHealth care
2017
“Where’s My Choice?” An Examination of Veteran and Provider Experiences With Hepatitis C Treatment Through the Veteran Affairs Choice Program
Tsai J, Yakovchenko V, Jones N, Skolnik A, Noska A, Gifford AL, McInnes DK. “Where’s My Choice?” An Examination of Veteran and Provider Experiences With Hepatitis C Treatment Through the Veteran Affairs Choice Program. Medical Care 2017, 55: s13-s19. PMID: 28263281, DOI: 10.1097/mlr.0000000000000706.Peer-Reviewed Original ResearchConceptsVA providersHCV treatmentCommunity providersVeterans AffairsVeteran patientsChronic hepatitis C virus (HCV) infectionHepatitis C virus infectionC virus infectionHepatitis C treatmentVA Medical CenterLocation of treatmentHCV providersFragmented careCare coordinationVirus infectionMedical CenterSpecialist servicesEligible veteransVeterans' accessProvider experienceRapid assessment procedureVeteransTreatmentPatientsThird-party administratorsDifferential predictive value of PTSD symptom clusters for mental health care among Iraq and Afghanistan veterans following PTSD diagnosis
Smith NB, Tsai J, Pietrzak RH, Cook JM, Hoff R, Harpaz-Rotem I. Differential predictive value of PTSD symptom clusters for mental health care among Iraq and Afghanistan veterans following PTSD diagnosis. Psychiatry Research 2017, 256: 32-39. PMID: 28622572, DOI: 10.1016/j.psychres.2017.06.005.Peer-Reviewed Original ResearchConceptsPosttraumatic stress disorderAfghanistan veteransPTSD symptom clustersNational VA administrative dataVeterans AffairsSymptom clustersMental health service utilizationTreatment-related variablesHealth service utilizationVA administrative dataSelection of treatmentMental health carePTSD symptom cluster severitySymptom cluster severityTrauma-exposed veteransInitial diagnosisClinical variablesPsychotherapy visitsAdequate doseService utilizationDifferential predictive valueLarge cohortCombination treatmentPsychotherapy initiationTreatment approachesOne-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
2015
U.S. Female Veterans Who Do and Do Not Rely on VA Health Care: Needs and Barriers to Mental Health Treatment
Tsai J, Mota NP, Pietrzak RH. U.S. Female Veterans Who Do and Do Not Rely on VA Health Care: Needs and Barriers to Mental Health Treatment. Psychiatric Services 2015, 66: 1200-1206. PMID: 26174948, DOI: 10.1176/appi.ps.201400550.Peer-Reviewed Original ResearchConceptsMental health service useMental health careU.S. female veteransPosttraumatic stress disorderHealth service useVA health careFemale veteransRacial-ethnic minority groupsVeterans AffairsHealth careVA patientsService useMale veteransMental health service utilizationFemale VA patientsVA service usersHealth service utilizationHealth-related functioningMental health-related functioningHealth care needsMental health treatmentSubstance use disordersMale VA patientsHigh treatment costsClinical characteristics
2014
Predictors of Attendance in a Group-Based Model of Case Management for Supported Housing
Tsai J, Stefanovics E, Rosenheck RA. Predictors of Attendance in a Group-Based Model of Case Management for Supported Housing. Psychiatric Rehabilitation Journal 2014, 37: 324-328. PMID: 24684180, DOI: 10.1037/prj0000059.Peer-Reviewed Original ResearchConceptsGroup attendersCase managementMore mental health symptomsMental health symptomsPredictors of attendanceMental health problemsPeer support modelClinical characteristicsGroup attendanceHealth problemsHealth symptomsVeterans AffairsPast monthAttendersMore daysSignificant differencesRegression analysisAdministrative dataMonthsGroupPredictorsGroup-based modelsAttendanceAttendance recordsSymptoms
2013
Use of group treatment among case managers in Department of Veterans Affairs supported housing program
Tsai J, Rosenheck RA. Use of group treatment among case managers in Department of Veterans Affairs supported housing program. The Journal Of Rehabilitation Research And Development 2013, 50: 471. PMID: 23934868, DOI: 10.1682/jrrd.2012.04.0073.Peer-Reviewed Original Research
2012
Use of the internet and an online personal health record system by US veterans: comparison of Veterans Affairs mental health service users and other veterans nationally
Tsai J, Rosenheck RA. Use of the internet and an online personal health record system by US veterans: comparison of Veterans Affairs mental health service users and other veterans nationally. Journal Of The American Medical Informatics Association 2012, 19: 1089-1094. PMID: 22847305, PMCID: PMC3534469, DOI: 10.1136/amiajnl-2012-000971.Peer-Reviewed Original ResearchConceptsMental health service usersHealth service usersHealth record systemsVeterans AffairsPersonal health record systemVA service usersHealth informationRecord systemNationwide healthcare systemService usersMajority of veteransVA patientsUS veteransHealtheVetOnline health informationMost veteransLogistic regressionBackground characteristicsHealthcare systemVeteransMore educationNational surveyRepresentative sampleVA informationHigher income