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 dateServicesA mixed-methods study of VA video connect utilization among veterans with diabetes experiencing housing instability during the pandemic
Kinney R, Copeland L, Tsai J, Abbott A, Wallace K, Walker L, Weber J, Katsos S, McInnes D. A mixed-methods study of VA video connect utilization among veterans with diabetes experiencing housing instability during the pandemic. Digital Health 2024, 10: 20552076241282629. PMID: 39381825, PMCID: PMC11459566, DOI: 10.1177/20552076241282629.Peer-Reviewed Original ResearchHousing instabilityVeterans AffairsDiabetes careU.S. Department of Veterans AffairsDepartment of Veterans AffairsVA administrative dataCare delivery modeMixed-methods studySemi-structured interviewsVA providersEngaging veteransRoutine diabetesTelehealth programCare utilizationCare availabilityIn-personAdministrative dataIncreased educationTelehealthSelf-identifyCareDelivery modeEquitable accessMultivariate regression analysisVeterans
2021
Effects of Electroconvulsive Therapy on Suicidal Behavior and Emergency Department Use Among Homeless Veterans: A Propensity Score-Matched Study.
Tsai J, Peltzman T, Watts BV, Shiner B. Effects of Electroconvulsive Therapy on Suicidal Behavior and Emergency Department Use Among Homeless Veterans: A Propensity Score-Matched Study. The Journal Of Clinical Psychiatry 2021, 82 PMID: 34705349, DOI: 10.4088/jcp.21m13935.Peer-Reviewed Original ResearchMeSH KeywordsDiagnostic and Statistical Manual of Mental DisordersElectroconvulsive TherapyEmergency Service, HospitalEmergency Services, PsychiatricFemaleHumansIll-Housed PersonsMaleMedical OveruseMental DisordersMiddle AgedPatient Acceptance of Health CarePatient DischargeSuicidal IdeationSuicide, AttemptedUnited StatesUnited States Department of Veterans AffairsVeteransConceptsElectroconvulsive therapyEmergency department useHomeless veteransDepartment useSuicidal ideationVeterans Affairs Health Care SystemNational VA administrative dataPropensity score-matched studySuicide attemptsFirst ECT sessionVA administrative dataPsychiatric inpatient unitHealth care systemECT sessionsED useAcute servicesInpatient unitTreatment engagementPsychiatric conditionsPropensity scoreSuicidal behaviorCare systemVeteransFurther studiesAdministrative dataTop 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
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 medicationsMedications
2017
Differential 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 approaches
2013
When health insurance is not a factor: national comparison of homeless and nonhomeless US veterans who use Veterans Affairs Emergency Departments.
Tsai J, Doran KM, Rosenheck RA. When health insurance is not a factor: national comparison of homeless and nonhomeless US veterans who use Veterans Affairs Emergency Departments. American Journal Of Public Health 2013, 103 Suppl 2: s225-31. PMID: 24148061, PMCID: PMC3969129, DOI: 10.2105/ajph.2013.301307.Peer-Reviewed Original ResearchConceptsVeterans Affairs emergency departmentEmergency departmentED usersClinical characteristicsUse disordersNational integrated health care systemNational VA administrative dataIntegrated health care systemEmergency department usersDrug use disordersHealth insuranceVA administrative dataCross-sectional studyHomeless veteransSubstance abuse diagnosisAlcohol use disorderHealth care systemUS veteransMedical conditionsAbuse diagnosisPsychiatric diagnosisMultivariate analysisFiscal year 2010Outreach servicesMental healthRisk factors for ED use among homeless veterans
Tsai J, Rosenheck RA. Risk factors for ED use among homeless veterans. The American Journal Of Emergency Medicine 2013, 31: 855-858. PMID: 23566404, DOI: 10.1016/j.ajem.2013.02.046.Peer-Reviewed Original ResearchMeSH KeywordsAdultAmbulatory CareCase-Control StudiesCross-Sectional StudiesDrug UtilizationEmergency Service, HospitalFemaleHumansIll-Housed PersonsLogistic ModelsMaleMiddle AgedMultivariate AnalysisPsychotropic DrugsRisk FactorsUnited StatesUnited States Department of Veterans AffairsVeterans HealthConceptsFrequent ED usersVA patientsED useED usersNon-ED usersAmbulatory careMedical conditionsED servicesHomeless veteransNational VA administrative dataVeterans Affairs Healthcare SystemMore service visitsPsychotropic medication prescriptionsVA administrative dataEmergency department servicesUnmet psychosocial needsCase-control designSignificant morbidityMedication prescriptionsPsychotropic medicationsClinical correlatesRisk factorsPsychosocial needsMultivariate analysisPatients
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 regression