2024
Drug overdose deaths among homeless veterans in the United States Department of Veterans Affairs healthcare system
Tsai J, Szymkowiak D, Beydoun H. Drug overdose deaths among homeless veterans in the United States Department of Veterans Affairs healthcare system. Addiction 2024 PMID: 39415621, DOI: 10.1111/add.16689.Peer-Reviewed Original ResearchNon-homeless veteransDrug overdose deathsOverdose deathsDepartment of Veterans Affairs (VA) healthcare systemVeterans Affairs (VA) healthcare systemHealthcare systemDepartment of Veterans Affairs healthcare systemNational Death Index dataHazard ratioVeterans Affairs Healthcare SystemConfidence intervalsDeath Index dataEstimate hazard ratiosMental health characteristicsAssociated with greater riskEpidemic of drug overdoseHealth characteristicsHomeless veteransUS veteransCox regression modelsVeteransGreater riskHomeless populationSubstance useMultivariate Cox regression modelWhy some homeless individuals are unsheltered: A narrative review of self-reported reasons
Tsai J, Haley G, Kinney R. Why some homeless individuals are unsheltered: A narrative review of self-reported reasons. Social Science & Medicine 2024, 358: 117179. PMID: 39168065, DOI: 10.1016/j.socscimed.2024.117179.Peer-Reviewed Original ResearchHomeless individualsHomeless sheltersSubstance useUnsheltered homelessnessShelter rulesHousing programsLack of safetyLack of accessInterviewer-administered surveyQualitative dataSelf-reported reasonsFocus groupsInadequate careShelterWestern countriesStaff trainingPublic health issueEligibility criteriaThematic categoriesUnsanitary conditionsHealth issuesNarrative reviewQuantitative dataHomelessnessPeer-reviewed studiesRole of homelessness and psychiatric disorders in suicide deaths among veterans: A four-way decomposition analysis
Beydoun H, Szymkowiak D, Pietrzak R, Beydoun M, Treadwell R, Tsai J. Role of homelessness and psychiatric disorders in suicide deaths among veterans: A four-way decomposition analysis. Psychiatry Research 2024, 340: 116120. PMID: 39121758, DOI: 10.1016/j.psychres.2024.116120.Peer-Reviewed Original ResearchMental health disordersFour-way decomposition analysisSubstance useHealth disordersPsychiatric disordersMortality riskSuicide deathsHomeless veteransVeterans AffairsSubstance use disordersU.S. Department of Veterans AffairsDepartment of Veterans AffairsPredictors of suicide deathVA healthcare systemFully-adjusted modelsMental health characteristicsEffects of homelessnessProportion of suicide deathsSuicide riskUse disorderHealth characteristicsRetrospective cohort studySuicideHealthcare systemDisordersIs the Risk of Alzheimer’s Disease and Related Dementias Among U.S. Veterans Influenced by the Intersectionality of Housing Status, HIV/AIDS, Hepatitis C, and Psychiatric Disorders?
Beydoun H, Szymkowiak D, Kinney R, Beydoun M, Zonderman A, Tsai J. Is the Risk of Alzheimer’s Disease and Related Dementias Among U.S. Veterans Influenced by the Intersectionality of Housing Status, HIV/AIDS, Hepatitis C, and Psychiatric Disorders? The Journals Of Gerontology Series A 2024, 79: glae153. PMID: 38869510, PMCID: PMC11519038, DOI: 10.1093/gerona/glae153.Peer-Reviewed Original ResearchADRD riskU.S. veteransHousing statusPsychiatric disordersRisk of Alzheimer's diseaseStably housed veteransMental health disordersStatistically significant mediatorCausal mediation analysisYears of follow-upADRD diagnosisADRD casesOlder veteransEligible veteransADRDHealthcare servicesRetrospective cohort studyHealth disordersYears of ageHousing instabilityCohort studyHIV/AIDSVeteransAlzheimer's diseaseSubstance useSystematic Review of Financial Interventions for Adults Experiencing Behavioral Health Conditions
Tsai J, Kinney R, Elbogen E, Gluff J. Systematic Review of Financial Interventions for Adults Experiencing Behavioral Health Conditions. Psychiatric Services 2024, 75: 570-579. PMID: 38321921, DOI: 10.1176/appi.ps.20230271.Peer-Reviewed Original ResearchBehavioral health conditionsSubstance use disordersRandomized controlled trialsHealth conditionsPsychosocial outcomesImprove health care utilizationMental disordersSystematic reviewHealth outcome domainsHealth care utilizationRepresentative payee programQuality assessment toolObjectively measured outcomesImpact of interventionsFindings of randomized controlled trialsReduce substance usePeer-reviewed literatureCare utilizationOutcome domainsRepresentative payeeshipSecondary analysisUse disorderAssessment toolControlled trialsSubstance use
2023
Prevalence and Clinical Characteristics of Recreational and At-Risk/Problematic Gambling Among Low-Income U.S. Veterans: Results from the National Veteran Homeless and Other Poverty Experiences (NV‐HOPE) Study
Stefanovics E, Potenza M, Tsai J. Prevalence and Clinical Characteristics of Recreational and At-Risk/Problematic Gambling Among Low-Income U.S. Veterans: Results from the National Veteran Homeless and Other Poverty Experiences (NV‐HOPE) Study. Journal Of Gambling Studies 2023, 40: 915-935. PMID: 37751035, DOI: 10.1007/s10899-023-10257-4.Peer-Reviewed Original ResearchU.S. veteransSubstance useMental illnessDrug use disordersPoor physical functioningLogistic regression analysisNon-white veteransChi-square testU.S. military veteransClinical characteristicsDevelopment of interventionsAdjusted associationsPhysical functioningRoutine screeningClinical measuresCurrent prevalenceUse disordersRecreational gamblingLifetime historyGreater symptomsVulnerable subpopulationsPrevalenceChronically 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 attainmentTenants Who Delayed Rent Payments During 2020–2021 Eviction Moratoria: Spending Patterns and Associations with Psychiatric Characteristics
Tsai J, Fish K, Schick V. Tenants Who Delayed Rent Payments During 2020–2021 Eviction Moratoria: Spending Patterns and Associations with Psychiatric Characteristics. Journal Of Housing Research 2023, 33: 17-24. DOI: 10.1080/10527001.2023.2190448.Peer-Reviewed Original ResearchDialectical 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
2020
Clients of VA-Housed Legal Clinics: Legal and Psychosocial Needs When Seeking Services and Two Months Later
Timko C, Tsai J, Taylor E, Smelson D, Blonigen D, Nash A, Finlay A. Clients of VA-Housed Legal Clinics: Legal and Psychosocial Needs When Seeking Services and Two Months Later. Journal Of Veterans Studies 2020, 6: 239-249. PMID: 34466762, PMCID: PMC8404205, DOI: 10.21061/jvs.v6i1.167.Peer-Reviewed Original ResearchMultiple health care needsHealth care needsBaseline appointmentVeterans' useCare needsHealth statusPsychosocial needsPsychological symptomsClinicPsychosocial characteristicsTwo monthsSubstance useVulnerable populationsVA benefitsLonger durationBaseline dataMost participantsBaselineMonthsClient improvementVeteransVAAdditional helpMobile, Community‐Based Buprenorphine Treatment for Veterans Experiencing Homelessness With Opioid Use Disorder: A Pilot, Feasibility Study
Iheanacho T, Payne K, Tsai J. Mobile, Community‐Based Buprenorphine Treatment for Veterans Experiencing Homelessness With Opioid Use Disorder: A Pilot, Feasibility Study. American Journal On Addictions 2020, 29: 485-491. PMID: 32367557, DOI: 10.1111/ajad.13055.Peer-Reviewed Original ResearchMeSH KeywordsAdultAgedAnalgesics, OpioidBuprenorphineCase ManagementCommunity Health ServicesConnecticutFeasibility StudiesFemaleFollow-Up StudiesHumansIll-Housed PersonsMaleMiddle AgedMobile ApplicationsOpiate Substitution TreatmentOpioid-Related DisordersPatient CompliancePilot ProjectsRetrospective StudiesTelemedicineTreatment OutcomeVeterans HealthConceptsOpioid use disorderUtilization of buprenorphineCase management programBUP treatmentUse disordersCommunity-based case management programCommunity-based case managementFirst-line medicationRetrospective chart reviewHealth care utilizationHigh-risk populationHigher treatment retentionVeterans Experiencing HomelessnessDrug use dataChart reviewBuprenorphine treatmentCare utilizationMedication treatmentMedical recordsTreatment retentionBuprenorphineClinicCase managementSubstance useVeteransNational 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
2015
Technology Use and Interest in Computerized Psychotherapy: A Survey of Veterans in Treatment for Substance Use Disorders
Hermes ED, Tsai J, Rosenheck R. Technology Use and Interest in Computerized Psychotherapy: A Survey of Veterans in Treatment for Substance Use Disorders. Telemedicine Journal And E-Health 2015, 21: 721-728. PMID: 25919453, DOI: 10.1089/tmj.2014.0215.Peer-Reviewed Original ResearchConceptsSubstance useUse disordersOutpatient substance use treatmentDisorders outpatient clinicDrug use disordersMental health disordersSubstance use disordersSubstance use treatmentOutpatient clinicOutpatient treatmentVeteran dataSelf-report questionnairesPsychiatric disordersHealth disordersSurvey of VeteransUse treatmentMajority of respondentsComputerized psychotherapyFunctional problemsDisordersVeteransTreatmentAfrican AmericansNational surveyPsychotherapy
2013
Alcohol and drug use disorders among homeless veterans: Prevalence and association with supported housing outcomes
Tsai J, Kasprow WJ, Rosenheck RA. Alcohol and drug use disorders among homeless veterans: Prevalence and association with supported housing outcomes. Addictive Behaviors 2013, 39: 455-460. PMID: 23490136, DOI: 10.1016/j.addbeh.2013.02.002.Peer-Reviewed Original ResearchMeSH KeywordsAdultAlcohol-Related DisordersComorbidityFemaleHumansIll-Housed PersonsMaleMental Health ServicesMiddle AgedOutcome Assessment, Health CarePublic HousingQuality of LifeResidential TreatmentSelf ReportSocioeconomic FactorsSubstance-Related DisordersUnited StatesUnited States Department of Veterans AffairsVeteransConceptsDrug use disordersSubstance use disordersUse disordersHomeless veteransOutcomes 6 monthsHUD-VASHPrevalence of alcoholAlcohol use disorderClinical outcomesClinical statusDrug disordersBaseline differencesSubstance abuseSubstance useDisordersStrong associationPrevious monthMore nightsResidential treatmentVeteransMonthsProgram entryUrban Development-Veterans AffairsOutcomesPrevalence
2012
Outcomes of a Group Intensive Peer-Support Model of Case Management for Supported Housing
Tsai J, Rosenheck RA. Outcomes of a Group Intensive Peer-Support Model of Case Management for Supported Housing. Psychiatric Services 2012, 63: 1186-1194. PMID: 22983658, DOI: 10.1176/appi.ps.201200100.Peer-Reviewed Original ResearchConceptsIntensive case managementCase managementPeer support modelGeneral medical problemsCase management supportRecovery-oriented approachBaseline characteristicsMedical problemsOne-yearSubstance useCase managersHomeless veteransSite one yearUrban Development-Veterans AffairsAdministrative dataOutcomesProgram admissionDefault modeGreater increaseGroup meetingsSection 8 housing vouchersService deliveryManagementAdmissionComparison of Outcomes of Homeless Female and Male Veterans in Transitional Housing
Tsai J, Rosenheck RA, McGuire JF. Comparison of Outcomes of Homeless Female and Male Veterans in Transitional Housing. Community Mental Health Journal 2012, 48: 705-710. PMID: 22294507, DOI: 10.1007/s10597-012-9482-5.Peer-Reviewed Original ResearchMeSH KeywordsAdultAge FactorsAgedFemaleFollow-Up StudiesHumansIll-Housed PersonsInterviews as TopicMaleMental DisordersMiddle AgedOutcome Assessment, Health CarePublic HousingResidential TreatmentRisk FactorsSex CharacteristicsSocioeconomic FactorsSubstance-Related DisordersTreatment OutcomeUnited StatesUnited States Department of Veterans AffairsVeteransConceptsMale veteransFemale veteransComparison of outcomesEpisodes of treatmentMore psychiatric symptomsSubstance use disordersQuality of lifeBaseline differencesHomeless female veteransOutcome measuresPsychiatric symptomsUse disordersMulti-site studyMental healthSubstance useMale participantsVeteransOverall gender differencesFemale participantsTransitional housingOutcomesGender differencesTransitional housing programsDifferent outcomesParticipants
2011
Association of Substance Use and VA Service‐Connected Disability Benefits with Risk of Homelessness among Veterans
Edens EL, Kasprow W, Tsai J, Rosenheck RA. Association of Substance Use and VA Service‐Connected Disability Benefits with Risk of Homelessness among Veterans. American Journal On Addictions 2011, 20: 412-419. PMID: 21838839, DOI: 10.1111/j.1521-0391.2011.00166.x.Peer-Reviewed Original ResearchMeSH KeywordsAdultAfghan Campaign 2001-AgedAged, 80 and overCase-Control StudiesFemaleHumansIll-Housed PersonsIraq War, 2003-2011MaleMental DisordersMental Health ServicesMiddle AgedRisk FactorsSubstance-Related DisordersUnited StatesUnited States Department of Veterans AffairsVeteransVeterans Disability ClaimsConceptsService-connected disabilityPersonality disorderUse disordersPathological gamblingClinical prevention effortsSubstance useLow-risk groupLow-risk subgroupsVA administrative dataSevere mental illnessSubstance use disordersAlcohol use disorderIllicit drug useMental health service usersOEF/OIFHealth service usersModifiable riskPrimary preventionSubgroup analysisReduced riskMental health usersVA servicesDrug useMental illnessLogistic regressionDoes Active Substance Use at Housing Entry Impair Outcomes in Supported Housing for Chronically Homeless Persons?
Edens EL, Mares AS, Tsai J, Rosenheck RA. Does Active Substance Use at Housing Entry Impair Outcomes in Supported Housing for Chronically Homeless Persons? Psychiatric Services 2011, 62: 171-178. PMID: 21285095, DOI: 10.1176/ps.62.2.pss6202_0171.Peer-Reviewed Original Research