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 infarctionA systematic review of approaches to improve medication adherence in homeless adults with psychiatric disorders
Hird R, Radhakrishnan R, Tsai J. A systematic review of approaches to improve medication adherence in homeless adults with psychiatric disorders. Frontiers In Psychiatry 2024, 14: 1339801. PMID: 38260790, PMCID: PMC10800888, DOI: 10.3389/fpsyt.2023.1339801.Peer-Reviewed Original ResearchMedication adherenceAssertive community treatmentLong-Acting Injectable MedicationsPsychiatric disordersInjectable medicationsAdherence enhancementCommunity treatmentHomeless adultsSystematic reviewPsychiatric medication adherenceSubstance use disordersFull-text reviewModified therapeutic communityPeer-reviewed journalsInpatient interventionLarge RCTsSelf-designed scaleHomeless individualsOutpatient interventionInpatient carePharmacy clinicObservational studyInclusion criteriaUse disordersPeer-reviewed studies
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 Research
2021
Utilization of Electroconvulsive Therapy for Older Homeless Adults Covered by Medicare
Wilkinson ST, Rhee TG, Tsai J. Utilization of Electroconvulsive Therapy for Older Homeless Adults Covered by Medicare. Psychiatric Quarterly 2021, 92: 1825-1837. PMID: 34468909, DOI: 10.1007/s11126-021-09946-3.Peer-Reviewed Original ResearchConceptsElectroconvulsive therapyOlder Medicare beneficiariesECT useMedicare beneficiariesOutpatient electroconvulsive therapyMajor depressive disorderLower odds ratioHomeless individualsOlder homeless adultsECT coursePsychiatric comorbidityUnadjusted ratesOutpatient settingDepressive disorderOdds ratioNon-homeless individualsHomeless patientsPsychosocial supportSociodemographic characteristicsSignificant covariatesOlder homeless individualsHomeless adultsTherapyLower ratesHomeless group
2019
Changes in Physical Health After Supported Housing: Results from the Collaborative Initiative to End Chronic Homelessness
Tsai J, Gelberg L, Rosenheck RA. Changes in Physical Health After Supported Housing: Results from the Collaborative Initiative to End Chronic Homelessness. Journal Of General Internal Medicine 2019, 34: 1703-1708. PMID: 31161570, PMCID: PMC6712193, DOI: 10.1007/s11606-019-05070-y.Peer-Reviewed Original ResearchConceptsPrimary care providersPhysical HRQoLPhysical healthMedical conditionsCare providersOutcome studiesShort Form-12 Health SurveyPreventive proceduresMedical problemsPhysical health-related qualityHealth-related qualityObservational outcome studyHomeless adultsPrimary care servicesMental health servicesHousing statusMedical outcome measuresPhysical health outcomesHealth SurveyOutcome measuresKey ResultsParticipantsPrimary healthcareHealth outcomesCare servicesHealth services
2015
Risk Factors for Homelessness Among US Veterans
Tsai J, Rosenheck RA. Risk Factors for Homelessness Among US Veterans. Epidemiologic Reviews 2015, 37: 177-195. PMID: 25595171, PMCID: PMC4521393, DOI: 10.1093/epirev/mxu004.Peer-Reviewed Original ResearchConceptsRisk factorsUS veteransMental illnessSystematic reviewImportant risk factorHomeless veteransConsistent risk factorMeta-Analyses (PRISMA) guidelinesSubstance use disordersPreferred Reporting ItemsAdverse childhood experiencesLow incomeHealth insurance coverageFirst systematic reviewUse disordersReporting ItemsRigorous studiesGreater riskHomeless nonveteransInsurance coverageHomeless adultsPast incarcerationVeteransMore studiesSocial isolation
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 opportunityCareObesity among Chronically Homeless Adults: Is it a Problem?
Tsai J, Rosenheck RA. Obesity among Chronically Homeless Adults: Is it a Problem? Public Health Reports 2013, 128: 29-36. PMID: 23277657, PMCID: PMC3514718, DOI: 10.1177/003335491312800105.Peer-Reviewed Original ResearchConceptsHomeless adultsFood insecurity-obesity paradoxMental healthPrevalence of obesityHealth service useRates of obesityHealth care providersMultivariate regression analysisNormal weightLess exerciseService useObesityWeight groupParticular riskAdultsObeseOverweightRegression analysisCommunity sampleHomeless populationExerciseHealthPrevalenceSociodemographicsRange of factors
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 adultsCareDiagnosisLongitudinal Association of Therapeutic Alliance and Clinical Outcomes in Supported Housing for Chronically Homeless Adults
Tsai J, Lapidos A, Rosenheck RA, Harpaz-Rotem I. Longitudinal Association of Therapeutic Alliance and Clinical Outcomes in Supported Housing for Chronically Homeless Adults. Community Mental Health Journal 2012, 49: 438-443. PMID: 22820927, DOI: 10.1007/s10597-012-9518-x.Peer-Reviewed Original ResearchConceptsPrimary mental health providersMental health providersTherapeutic allianceHealth providersClient outcomesCase managersHigh therapeutic allianceClinical outcomesBaseline differencesLongitudinal associationsHomeless adultsGroup differencesOutcomesMonthsSocial supportHomeless clientsTherapeutic relationshipAssociationParticipantsProvidersIncarceration Among Chronically Homeless Adults: Clinical Correlates and Outcomes
Tsai J, Rosenheck R. Incarceration Among Chronically Homeless Adults: Clinical Correlates and Outcomes. Journal Of Forensic Psychology Research And Practice 2012, 12: 307-324. DOI: 10.1080/15228932.2012.695653.Peer-Reviewed Original ResearchSmoking Among Chronically Homeless Adults: Prevalence and Correlates
Tsai J, Rosenheck RA. Smoking Among Chronically Homeless Adults: Prevalence and Correlates. Psychiatric Services 2012, 63: 569-576. PMID: 22476200, DOI: 10.1176/appi.ps.201100398.Peer-Reviewed Original ResearchConceptsSmoking statusCigarette smokingHomeless adultsCurrent cigarette smokingCorrelates of smokingHealth care professionalsHigh death ratePosttraumatic stress disorderSignificant overall changeCurrent smokersCurrent smokingCessation interventionsPreventable causeMultinomial regression analysisClinical correlatesPrimary careDrug treatmentSmokingCare professionalsDrug useOne-year periodSmokersStress disorderAlcohol useDeath rateDoes Housing Chronically Homeless Adults Lead to Social Integration?
Tsai J, Mares AS, Rosenheck RA. Does Housing Chronically Homeless Adults Lead to Social Integration? Psychiatric Services 2012, 63: 427-434. PMID: 22549528, DOI: 10.1176/appi.ps.201100047.Peer-Reviewed Original ResearchCONCEPTUALIZING SOCIAL INTEGRATION AMONG FORMERLY HOMELESS ADULTS WITH SEVERE MENTAL ILLNESS
Tsai J, Rosenheck R. CONCEPTUALIZING SOCIAL INTEGRATION AMONG FORMERLY HOMELESS ADULTS WITH SEVERE MENTAL ILLNESS. Journal Of Community Psychology 2012, 40: 456-467. DOI: 10.1002/jcop.20527.Peer-Reviewed Original ResearchDo Homeless Veterans Have the Same Needs and Outcomes as Non-Veterans?
Tsai J, Mares AS, Rosenheck RA. Do Homeless Veterans Have the Same Needs and Outcomes as Non-Veterans? Military Medicine 2012, 177: 27-31. PMID: 22338975, DOI: 10.7205/milmed-d-11-00128.Peer-Reviewed Original Research
2011
Religiosity Among Adults Who Are Chronically Homeless: Association With Clinical and Psychosocial Outcomes
Tsai J, Rosenheck RA. Religiosity Among Adults Who Are Chronically Homeless: Association With Clinical and Psychosocial Outcomes. Psychiatric Services 2011, 62: 1222-1224. PMID: 21969651, DOI: 10.1176/ps.62.10.pss6210_1222.Peer-Reviewed Original ResearchA 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 ResearchExiting Homelessness Without a Voucher: A Comparison of Independently Housed and Other Homeless Veterans
Tsai J, Kasprow W, Rosenheck R. Exiting Homelessness Without a Voucher: A Comparison of Independently Housed and Other Homeless Veterans. Psychological Services 2011, 8: 114-122. DOI: 10.1037/a0023189.Peer-Reviewed Original ResearchMental illnessBetter clinical outcomesIndependent housingHomeless veteransThird of participantsStandard careClinical outcomesObservational studyMore daysSupportive housing programHomeless adultsIllnessVeteransCurrent studyParticipantsUrban Development-Veterans Affairs Supportive Housing (HUD-VASH) program
2010
A Geographic Analysis of Chronically Homeless Adults Before and After Enrollment in a Multi‐Site Supported Housing Initiative: Community Characteristics and Migration
Tsai J, Mares AS, Rosenheck RA. A Geographic Analysis of Chronically Homeless Adults Before and After Enrollment in a Multi‐Site Supported Housing Initiative: Community Characteristics and Migration. American Journal Of Community Psychology 2010, 48: 341-351. PMID: 21080219, DOI: 10.1007/s10464-010-9363-4.Peer-Reviewed Original ResearchConceptsHousing initiativesHigh crime ratesLarge black populationsCommunity characteristicsHomeless adultsHousing programsCrime ratesImproved communityLast residenceHomeless clientsHousingHigh population densityLower income levelsBlack populationCommunityGeographic analysisSocial supportIncome levelDistance participantsInitiativesHigh social supportEducation levelBlack participantsGeographic information systemResidence