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 veteransCareSuicide 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 patientsCareVHASuicideScreening
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
Understanding risk in younger Veterans: Risk and protective factors associated with suicide attempt, homelessness, and arrest in a nationally representative Veteran sample
Edwards E, Dichiara A, Gromatsky M, Tsai J, Goodman M, Pietrzak R. Understanding risk in younger Veterans: Risk and protective factors associated with suicide attempt, homelessness, and arrest in a nationally representative Veteran sample. Military Psychology 2021, 34: 175-186. PMID: 38536330, PMCID: PMC10013446, DOI: 10.1080/08995605.2021.1982632.Peer-Reviewed Original ResearchOlder veteransYounger veteransProtective factorsPrior suicidal behaviorMental health servicesUS military veteransHistory of suicideAdverse eventsRisk factorsCriminal justice involvementProtective correlationHealth servicesSuicide attemptsSuicidal behaviorSuicide riskMilitary veteransVeteran sampleVeteransOlder cohortHomelessnessRiskCohortSocial supportAge cohortsRepresentative sampleAssociations between mental health and job loss among middle‐ and low‐income veterans and civilians during the COVID‐19 pandemic: An exploratory study
Umucu E, Reyes A, Nay A, Elbogen E, Tsai J. Associations between mental health and job loss among middle‐ and low‐income veterans and civilians during the COVID‐19 pandemic: An exploratory study. Stress And Health 2021, 38: 410-416. PMID: 34541784, PMCID: PMC8646322, DOI: 10.1002/smi.3099.Peer-Reviewed Original Research
2020
Psychosocial and Mental Health Characteristics of RePresent Game Users.
Tsai J, Huang M, Huang B, Daniels K, Harteveld C, Jackson D. Psychosocial and Mental Health Characteristics of RePresent Game Users. The Journal Of The American Academy Of Psychiatry And The Law 2020, 48: 335-344. PMID: 32404361, DOI: 10.29158/jaapl.003922-19.Peer-Reviewed Original Research
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 servicesNational 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
Experiences of Incarcerated Veterans in an All-Veterans Housing Unit: a Qualitative Study
Goggin E, Mitchell L, Tsai J. Experiences of Incarcerated Veterans in an All-Veterans Housing Unit: a Qualitative Study. Psychological Injury And Law 2018, 11: 394-402. DOI: 10.1007/s12207-018-9332-z.Peer-Reviewed Original Research
2016
US 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
Barriers 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 ResearchConceptsMental 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 HealthE-mental health preferences of Veterans with and without probable posttraumatic stress disorder
Whealin JM, Seibert-Hatalsky LA, Howell JW, Tsai J. E-mental health preferences of Veterans with and without probable posttraumatic stress disorder. The Journal Of Rehabilitation Research And Development 2015, 52: 725-738. PMID: 26562090, DOI: 10.1682/jrrd.2014.04.0113.Peer-Reviewed Original ResearchConceptsPosttraumatic stress disorderMental health servicesMental healthHealth servicesStress disorderOperation Iraqi Freedom/Operation Enduring Freedom veteransProbable posttraumatic stress disorderInternet-based interventionsMental health careMental health care practiceMental health interventionsMental health resourcesOperation Enduring Freedom veteransHealth care practicesEnduring Freedom veteransCare practicesU.S. veteransHealth interventionsNational Guard membersHealth resourcesHealth careLogistical barriersVeteransHealth preferencesGuard members
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
Medicaid 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 opportunityCareRisk of incarceration and clinical characteristics of incarcerated veterans by race/ethnicity
Tsai J, Rosenheck RA, Kasprow WJ, McGuire JF. Risk of incarceration and clinical characteristics of incarcerated veterans by race/ethnicity. Social Psychiatry And Psychiatric Epidemiology 2013, 48: 1777-1786. PMID: 23508369, DOI: 10.1007/s00127-013-0677-z.Peer-Reviewed Original ResearchConceptsClinical characteristicsAfrican American veteransRace/ethnicityRisk of incarcerationAge groupsAfrican AmericansConclusionsRacial/ethnic differencesMental health servicesVeteran statusSubstance abuse treatmentAmerican veteransIncarcerated veteransCertain age groupsGeneral populationHispanic veteransHealth servicesMultivariate analysisRe-entry programWhite veteransAbuse treatmentEthnic minoritiesEthnic differencesVeteransNational dataNational surveyConsidering 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 benefitsParticipantsClinicIllnessRisk of Incarceration and Other Characteristics of Iraq and Afghanistan Era Veterans in State and Federal Prisons
Tsai J, Rosenheck RA, J. Kasprow W, McGuire JF. Risk of Incarceration and Other Characteristics of Iraq and Afghanistan Era Veterans in State and Federal Prisons. Psychiatric Services 2013, 64: 36-43. PMID: 23280456, DOI: 10.1176/appi.ps.201200188.Peer-Reviewed Original ResearchConceptsOEF/OIF/ONDOEF/OIF/OND veteransPosttraumatic stress disorderRisk of incarcerationOperation Enduring FreedomMental health servicesCombat-related posttraumatic stress disorderStepwise logistic regressionAfghanistan-era veteransIncarcerated veteransClinical characteristicsOdds ratioShort incarcerationsLower riskHealth servicesLogistic regressionOutreach servicesStress disorderDrug abuseCombat exposureEra veteransHealth careVeteransNational dataWeighted sample
2012
Mental Health of Asian American and Pacific Islander Military Veterans: Brief Review of an Understudied Group
Tsai J, Kong G. Mental Health of Asian American and Pacific Islander Military Veterans: Brief Review of an Understudied Group. Military Medicine 2012, 177: 1438-1444. PMID: 23198528, DOI: 10.7205/milmed-d-12-00214.Peer-Reviewed Original ResearchConceptsMental healthSevere post-traumatic stress disorder symptomsPost-traumatic stress disorder symptomsMental health servicesHealth Literature databasesPost-traumatic stress disorderPoor mental healthPaucity of studiesHealth functioningPacific Islander veteransHealth servicesLiterature searchStress disorderLiterature databasesExhaustive literature searchDisorder symptomsMilitary veteransVeteransVietnam veteransRace-related stressorsHealthPrior reviewsAsian AmericansMore researchReview
2011
Social Integration of People with Severe Mental Illness: Relationships Between Symptom Severity, Professional Assistance, and Natural Support
Tsai J, Desai RA, Rosenheck RA. Social Integration of People with Severe Mental Illness: Relationships Between Symptom Severity, Professional Assistance, and Natural Support. The Journal Of Behavioral Health Services & Research 2011, 39: 144-157. PMID: 22161471, DOI: 10.1007/s11414-011-9266-7.Peer-Reviewed Original ResearchMeSH KeywordsAdultBrief Psychiatric Rating ScaleCommunity Mental Health ServicesConnecticutCross-Sectional StudiesHumansInterviews as TopicMaleMental DisordersMiddle AgedOutcome Assessment, Health CareProfessional-Patient RelationsRegression AnalysisSeverity of Illness IndexSocial SupportSocioeconomic FactorsConceptsMental health servicesSevere clinical problemSevere mental illnessHealth servicesClinical problemMental illnessRecovery-oriented mental health servicesPublic mental health centersProfessional supportCross-sectional studyMental health centersMental health providersMale outpatientsNatural social supportHealth centersHealth providersSymptom severityMultiple regression analysisRegression analysisMale clientsIllnessSocial supportProfessional assistanceHierarchical multiple regression analysisNatural supports