2024
Transportation As A Determinant Of Health: Evaluating The Veterans Affairs Rideshare Program For Homeless Patients
Tsai J, Szymkowiak D, Beydoun H, Dasilva L. Transportation As A Determinant Of Health: Evaluating The Veterans Affairs Rideshare Program For Homeless Patients. Health Affairs 2024, 43: 1090-1099. PMID: 39102601, DOI: 10.1377/hlthaff.2023.01332.Peer-Reviewed Original ResearchConceptsHomeless service usersService usersService useVeterans AffairsAssociated with greater useHomeless patientsNational pilotMedical appointmentsAdministrative dataDepartment of Veterans AffairsVA administrative dataVA service useAttend medical appointmentsRidesharing programUrgent care visitsGreater useHealth systemInpatient servicesNationwide health systemCare visitsHomelessnessVulnerable patientsPatient transportIndex dateServices
2022
Service use and barriers to care among homeless veterans: Results from the National Veteran Homeless and Other Poverty Experiences (NV‐HOPE) study
Tsai J, Kelton K. Service use and barriers to care among homeless veterans: Results from the National Veteran Homeless and Other Poverty Experiences (NV‐HOPE) study. Journal Of Community Psychology 2022, 51: 507-515. PMID: 35748189, DOI: 10.1002/jcop.22912.Peer-Reviewed Original ResearchConceptsHomeless servicesExperience of homelessnessBetter public informationHomeless veteransRepresentative surveyEthnic groupsRace/ethnic groupsHomelessnessTransportation barriersService uptakeHealthcare servicesPublic informationService useServicesVeterans Affairs (VA) healthcareCommon barriersU.S. DepartmentBarriersHomelessShameStigma
2021
Top 10 presenting diagnoses of homeless veterans seeking care at emergency departments
Tsai J, Szymkowiak D, Kertesz SG. Top 10 presenting diagnoses of homeless veterans seeking care at emergency departments. The American Journal Of Emergency Medicine 2021, 45: 17-22. PMID: 33647757, DOI: 10.1016/j.ajem.2021.02.038.Peer-Reviewed Original ResearchConceptsNon-homeless veteransEmergency departmentAlcohol-related disordersED useRace/ethnicityDiagnostic categoriesDepressive disorderHomeless veteransNational VA administrative dataSuicidal behaviorCommon diagnostic categoriesLow back painVA administrative dataED service useVA homeless programsED visitsMusculoskeletal painPain conditionsRespiratory infectionsBack painED careDiagnostic codesObservational studyHispanic veteransService use
2020
Frequent Episodic Utilizers of Veterans Health Administration Homeless Programs Use: Background Characteristics and Health Services Use
Szymkowiak D, Montgomery AE, Tsai J, O'Toole TP. Frequent Episodic Utilizers of Veterans Health Administration Homeless Programs Use: Background Characteristics and Health Services Use. Journal Of Public Health Management And Practice 2020, 28: e211-e218. PMID: 33208718, DOI: 10.1097/phh.0000000000001252.Peer-Reviewed Original ResearchConceptsEpisodic useVHA Homeless ProgramsHomeless ProgramStepwise multivariate logistic regressionRetrospective cohort studyHealth service useMultivariate logistic regressionSubstance use disordersDiagnosis of psychosisHistory of incarcerationMilitary sexual traumaCohort studyAcute careEmergency departmentVHA servicesRisk factorsMore episodesMAIN OUTCOMEInpatient unitProgram useService useUse disordersVeterans Health Administration Homeless ProgramsLogistic regressionObservation period
2016
Homelessness among a nationally representative sample of US veterans: prevalence, service utilization, and correlates
Tsai J, Link B, Rosenheck RA, Pietrzak RH. Homelessness among a nationally representative sample of US veterans: prevalence, service utilization, and correlates. Social Psychiatry And Psychiatric Epidemiology 2016, 51: 907-916. PMID: 27075492, DOI: 10.1007/s00127-016-1210-y.Peer-Reviewed Original ResearchConceptsVA homeless servicesHomeless servicesUS veteransLifetime homelessnessAccurate prevalence estimatesPrevalence of homelessnessRural areasClinical characteristicsRepresentative sampleService utilizationService usePrevalence estimatesHomelessnessPhysical healthGovernmental resourcesVeteran homelessnessPrevalenceAdult lifeVeterans
2015
A Comparison of Homeless Male Veterans in Metropolitan and Micropolitan Areas in Nebraska: A Methodological Caveat
Tsai J, Ramaswamy S, Bhatia SC, Rosenheck RA. A Comparison of Homeless Male Veterans in Metropolitan and Micropolitan Areas in Nebraska: A Methodological Caveat. American Journal Of Community Psychology 2015, 56: 357-367. PMID: 26354600, DOI: 10.1007/s10464-015-9746-7.Peer-Reviewed Original ResearchMeSH KeywordsAdultAgedAnalysis of VarianceAnxiety DisordersCitiesHealth ServicesHealth Services AccessibilityHealth StatusHealth Status IndicatorsHousingHumansIll-Housed PersonsInterviews as TopicMaleMedically UninsuredMental DisordersMiddle AgedNebraskaRural HealthSocial SupportSocioeconomic FactorsSubstance-Related DisordersTransients and MigrantsUnited StatesUnited States Department of Veterans AffairsVeteransConceptsHomeless male veteransVeterans Affairs facilitiesMale veteransHomeless veteransHealth servicesMore medical problemsHealth service useDiagnosis of anxietyService useGreater social supportCommunity providersDifficult populationMedical problemsPsychosocial characteristicsMicropolitan areasPersonality disorderConvenience sampleVeteransResearch staffStructured interviewsSocial supportMicropolitanRural areasDiagnosisU.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
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 opportunityCareThe Effects of Race and Other Socioeconomic Factors on Health Service Use Among American Military Veterans
Tsai J, Desai MU, Cheng AW, Chang J. The Effects of Race and Other Socioeconomic Factors on Health Service Use Among American Military Veterans. Psychiatric Quarterly 2013, 85: 35-47. PMID: 23949577, DOI: 10.1007/s11126-013-9268-0.Peer-Reviewed Original ResearchConceptsNon-VA health care systemsHealth service useHealth care systemCare systemService utilizationHealth insurancePrivate health insuranceService useVA health care systemGreater health care needsRacial disparitiesNative Americans/Alaskan NativesObservational study designHealth care needsLogistic regression modelsVA disability compensationDisability compensationCare needsPacific Islander veteransHealth statusSociodemographic characteristicsHealth disparitiesAmerican military veteransStudy designEffect of raceObesity 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
Racial Comparison of Therapeutic Support, Service Use, and Satisfaction Among Male Outpatients with Severe Mental Illness
Tsai J, Desai RA, Rosenheck RA. Racial Comparison of Therapeutic Support, Service Use, and Satisfaction Among Male Outpatients with Severe Mental Illness. Psychiatric Quarterly 2012, 83: 509-519. PMID: 22477639, DOI: 10.1007/s11126-012-9219-1.Peer-Reviewed Original ResearchConceptsSevere mental illnessMale outpatientsMental illnessService utilizationRacial differencesTherapeutic supportInpatient servicesMental health inpatient servicesMental health service utilizationHealth service utilizationWhite clientsMental health centersMental health careLarge mental health centerHealth centersService useHealth disparitiesOutpatientsIllnessHealth careRacial comparisonsGreater useMore researchService satisfactionBlack clients