2024
Cost-Effectiveness of Temporary Financial Assistance for Veterans Experiencing Housing Instability
Nelson R, Chapman A, Byrne T, Chaiyakunapruk N, Suo Y, Effiong A, Pettey W, Gelberg L, Kertesz S, Tsai J, Montgomery A. Cost-Effectiveness of Temporary Financial Assistance for Veterans Experiencing Housing Instability. JAMA Network Open 2024, 7: e2443396. PMID: 39499512, PMCID: PMC11539017, DOI: 10.1001/jamanetworkopen.2024.43396.Peer-Reviewed Original ResearchConceptsSupportive Services for Veteran FamiliesTemporary financial assistanceHousing insecurityHousing-related expensesIncremental cost-effectiveness ratioQuality-adjusted life yearsMonte Carlo simulationsProbabilistic sensitivity analysesFinancial assistanceHomelessness prevention servicesHousing outcomesHomelessness preventionLoss of housingCarlo simulationsPrevent homelessnessTime horizonCombination of inputsHousing instabilityHousing interventionsEconomic evaluationVulnerable VeteransHousingHomelessnessVeteran familiesVeterans AffairsTransportation 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 dateServicesDigital access among a national sample of currently and formerly homeless veterans in 2022
Tsai J, Lampros A, Blue-Howells J. Digital access among a national sample of currently and formerly homeless veterans in 2022. Health Informatics Journal 2024, 30: 14604582241276974. PMID: 39167203, DOI: 10.1177/14604582241276974.Peer-Reviewed Original ResearchMeSH KeywordsAdultAgedFemaleHumansIll-Housed PersonsInternetMaleMiddle AgedSurveys and QuestionnairesUnited StatesVeteransPerformance 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 infarctionShallow Subsidies for Veterans Facing Housing Barriers in the VA Supportive Services for Veteran Families Program.
Nelson R, Byrne T, Suo Y, Effiong A, Pettey W, Zickmund S, Galyean P, Kimball E, Gelberg L, Kertesz S, Tsai J, Montgomery A. Shallow Subsidies for Veterans Facing Housing Barriers in the VA Supportive Services for Veteran Families Program. Journal Of Health Care For The Poor And Underserved 2024, 35: 532-544. PMID: 38828580, DOI: 10.1353/hpu.2024.a928631.Peer-Reviewed Original ResearchConceptsPermanent supportive housingMultivariable two-part regression modelTwo-part regression modelHousing instabilityHousing barriersSupportive housingFamilies ProgramQualitative interviewsSocioeconomic stabilityAllocation decisionsCharacteristics of veteransSubsidiesHigher incomeDepartment of Veterans AffairsIncomeHousingInterviewsVeterans AffairsMethod findingsHomelessnessRetrospective cohort studyOutpatient costsVeteransOlder ageCohort studyLegal Services for Veterans (LSV): Protocol for evaluating the grant-based LSV initiative supporting community organizations’ delivery of legal services to veterans
Kim B, Petrakis B, Griesemer I, Sliwinski S, Midboe A, Raciborski R, Byrne T, Gingell M, Blue-Howells J, Clark S, Tsai J, Harvey K, McInnes D. Legal Services for Veterans (LSV): Protocol for evaluating the grant-based LSV initiative supporting community organizations’ delivery of legal services to veterans. PLOS ONE 2024, 19: e0297424. PMID: 38625878, PMCID: PMC11020365, DOI: 10.1371/journal.pone.0297424.Peer-Reviewed Original ResearchConceptsLegal servicesRE-AIMReach Effectiveness Adoption Implementation MaintenanceMixed-methods observational studyLegal needsIntegrated Promoting ActionLegal assistance programsLegal service providersSocial determinantsImplementation outcomesHealth servicesImplementation barriersResearch implementationImplementation MaintenanceLegal assistancePublic lawMeasures designVeteransPrimary outcomePromoting actionEconomic evaluationObservational studyVeterans' benefitsAssistance programsReporting requirementsFunctional significance of posttraumatic growth in U.S. military veterans
Gower T, Fischer I, Tsai J, Kang H, Na P, Tedeschi R, Pietrzak R. Functional significance of posttraumatic growth in U.S. military veterans. Journal Of Affective Disorders 2024, 356: 267-273. PMID: 38614442, DOI: 10.1016/j.jad.2024.04.046.Peer-Reviewed Original ResearchConceptsPosttraumatic stress disorderPosttraumatic stress disorder symptomsPosttraumatic growthPsychosocial functioningTraumatic eventsTrauma-exposed U.S. veteransNational Health and ResilienceMale veteran samplePost-trauma functioningPattern of findingsRetrospective self-reportsU.S. military veteransVeteran sampleStress disorderVeterans StudyExamined relationsCross-sectional designMilitary veteransNationally representative sampleU.S. veteransAssociated with functionsPhysical functionClinical interventionsPsychosocial characteristicsVeteransPatterns of Psychiatric Medication Prescriptions for Veterans in Treatment Courts and Other Specialty Courts
Tsai J, Christian N, Szymkowiak D. Patterns of Psychiatric Medication Prescriptions for Veterans in Treatment Courts and Other Specialty Courts. Journal Of Psychiatric Practice 2024, 30: 119-129. PMID: 38526399, DOI: 10.1097/pra.0000000000000769.Peer-Reviewed Original ResearchMeSH KeywordsAntipsychotic AgentsBenzodiazepinesCentral Nervous System StimulantsDrug PrescriptionsHumansUnited StatesVeteransConceptsCriminal justice-involvedVeterans Treatment CourtsSubstance use disordersPsychiatric medicationsPrescribed psychiatric medicationsTreatment courtsPsychiatric medication prescriptionSpecialty courtsClasses of psychiatric medicationsService-connected disability ratingVA health care servicesBehavioral health issuesJustice-involvedPsychiatric diagnosisUse disorderCourtPsychiatric prescribingPsychiatric prescriptionsClasses of medicationsVeteransService engagementMedication prescriptionsDisordersMedicationHealth care servicesTemporary Financial Assistance Reduced The Probability Of Unstable Housing Among Veterans For More Than 1 Year
Chapman A, Scharfstein D, Byrne T, Montgomery A, Suo Y, Effiong A, Velasquez T, Pettey W, Dalrymple R, Tsai J, Nelson R. Temporary Financial Assistance Reduced The Probability Of Unstable Housing Among Veterans For More Than 1 Year. Health Affairs 2024, 43: 250-259. PMID: 38315929, DOI: 10.1377/hlthaff.2023.00730.Peer-Reviewed Original ResearchMeSH KeywordsHousingHumansIll-Housed PersonsProbabilityUnited StatesUnited States Department of Veterans AffairsVeteransConceptsSupportive Services for Veteran FamiliesTemporary financial assistanceFinancial assistanceUnstable housingHousing outcomesHousing instabilityReduce homelessnessHousing stabilityVeterans AffairsVeteran familiesElectronic health record systemsDepartment of Veterans AffairsHealth record systemsHousingTemporaryAssistanceVeteransLanguage processingClinical notesHomelessnessLong-term effectsRecording systemAffairsProbabilityOutcomes
2023
Chronically 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 attainmentEvaluating Veterans Response Teams and Police Interventions on Veterans' Health Care Utilization
Tsai J, Gonzalez C, Szymkowiak D, Stewart K, Dillard D, Whittle T, Woodland P. Evaluating Veterans Response Teams and Police Interventions on Veterans' Health Care Utilization. Journal Of Public Health Management And Practice 2023, 29: 387-391. PMID: 36867527, DOI: 10.1097/phh.0000000000001718.Peer-Reviewed Original ResearchConceptsHealth care utilizationCare servicesCare utilizationVA health care servicesUse of outpatientSubstance abuse treatment servicesInpatient mental healthVA health careUrgent care servicesAncillary care servicesHealth care servicesResponse teamsTreatment servicesRehabilitation servicesMental healthHealth careHomeless ProgramSimilar increaseInterventionVeteransDepartmentOutpatientsMonthsCareEpidemiology and psychiatric correlates of cancer among homeless and unstably housed veterans in the VA healthcare system
Tsai J, Szymkowiak D, Zullig L. Epidemiology and psychiatric correlates of cancer among homeless and unstably housed veterans in the VA healthcare system. Cancer Epidemiology Biomarkers & Prevention 2023, 32: 617-624. PMID: 36791363, DOI: 10.1158/1055-9965.epi-22-1154.Peer-Reviewed Original ResearchConceptsSuicidal ideation/behaviorSubstance use disordersUse disordersVA health care systemVeterans Affairs administrative dataCommon primary siteCancer diagnosisIntrahepatic bile ductsRisk of cancerVA healthcare systemAlcohol use disorderCorrelates of cancerTypes of cancerHealth care systemIncident cancerTreatment of cancerBile ductIncidence rateHigh prevalenceLower riskPsychiatric correlatesPsychiatric characteristicsPsychiatric disordersPrimary sitePsychiatric conditionsUnmet Needs of Homeless U.S. Veterans by Gender and Race/Ethnicity: Data From Five Annual Surveys
Tsai J, Mitchell L, Nakashima J, Blue-Howells J. Unmet Needs of Homeless U.S. Veterans by Gender and Race/Ethnicity: Data From Five Annual Surveys. Psychological Services 2023, 20: 149-156. PMID: 34780210, PMCID: PMC10149315, DOI: 10.1037/ser0000557.Peer-Reviewed Original ResearchMeSH KeywordsEthnicityFemaleHispanic or LatinoHumansIll-Housed PersonsMaleMinority GroupsUnited StatesVeteransConceptsTransitional housingHomeless female veteransEthnic differencesEthnic categoriesLocal educationEthnic minoritiesBasic needsEmergency sheltersHomeless populationHomeless veteransProgrammatic attentionDiverse needsEthnic minority veteransWhite counterpartsMinority veteransHousingRaceRace/ethnicitySpecialized servicesGenderEthnicityUnmet needGroup surveyInsufficient researchNeed
2022
Developing an operational definition of housing instability and homelessness in Veterans Health Administration’s medical records
Tsai J, Szymkowiak D, Jutkowitz E. Developing an operational definition of housing instability and homelessness in Veterans Health Administration’s medical records. PLOS ONE 2022, 17: e0279973. PMID: 36584201, PMCID: PMC9803152, DOI: 10.1371/journal.pone.0279973.Peer-Reviewed Original ResearchPrimary Care for Veterans Experiencing Homelessness: a Narrative Review of the Homeless Patient Aligned Care Team (HPACT) Model
Tsai J, Havlik J, Howell B, Johnson E, Rosenthal D. Primary Care for Veterans Experiencing Homelessness: a Narrative Review of the Homeless Patient Aligned Care Team (HPACT) Model. Journal Of General Internal Medicine 2022, 38: 765-783. PMID: 36443628, PMCID: PMC9971390, DOI: 10.1007/s11606-022-07970-y.Peer-Reviewed Original ResearchConceptsHomeless Patient Aligned Care TeamPrimary care medical home modelsVeterans' healthOnly original research studiesNarrative reviewPatient Aligned Care TeamsCare team modelPrimary care utilizationEmergency department utilizationMedical home modelDatabases Ovid MEDLINEPositive patient experienceVeterans Experiencing HomelessnessOriginal research studiesCare utilizationOvid EmbasePrimary careCare teamOvid MEDLINEInclusion criteriaPatient experiencePeer-reviewed studiesHome modelHealthcare outcomesVA systemIdentifying Graduation Rates and Practices in the U.S. Department of Housing and Urban Development-Veterans Affairs Supportive Housing Program
Tsai J, Byrne T, Hill L, Flatley B, Harelik N, Deal M. Identifying Graduation Rates and Practices in the U.S. Department of Housing and Urban Development-Veterans Affairs Supportive Housing Program. Community Mental Health Journal 2022, 59: 808-811. PMID: 36417137, DOI: 10.1007/s10597-022-01057-y.Peer-Reviewed Original ResearchConceptsHousing programsSupportive housing programUrban Development-Veterans Affairs Supportive Housing (HUD-VASH) programGraduation ratesHUD-VASH programPSH programsKey themesClient independenceHUD-VASHTemplate analysis approachGraduation criteriaPolicyUnited StatesU.S. DepartmentLittle researchProgram managersPracticeGraduation practiceOnline surveyAdministrative dataThe Impact of Temporary Housing Assistance Expenditures on Subcategories of Health Care Cost for U.S. Veterans Facing Housing Instability.
Nelson R, Montgomery A, Suo Y, Cook J, Pettey W, Evans W, Greene T, Gelberg L, Kertesz S, Tsai J, Byrne T. The Impact of Temporary Housing Assistance Expenditures on Subcategories of Health Care Cost for U.S. Veterans Facing Housing Instability. Journal Of Health Care For The Poor And Underserved 2022, 33: 1821-1843. PMID: 36341665, DOI: 10.1353/hpu.2022.0140.Peer-Reviewed Original ResearchConceptsHealth care costsCare costsOutpatient substance use disorder treatmentMental healthSubstance use disorder treatmentRetrospective cohort studyOutpatient mental healthDirect medical costsInpatient mental healthUse disorder treatmentHealth care encountersBehavioral health costsHealth care servicesCohort studyHousing instabilityMultivariable differenceCare encountersMedical costsCare servicesDisorder treatmentU.S. veteransVeterans AffairsVA systemHealth costsSupportive servicesProviders' reflections on infrastructure and improvements to promote access to care for Veterans experiencing housing instability in rural areas of the United States: A qualitative study
Cusack M, Montgomery AE, Harris T, Roncarati J, Brecht T, Antonellis C, Byrne T, Tsai J, True G. Providers' reflections on infrastructure and improvements to promote access to care for Veterans experiencing housing instability in rural areas of the United States: A qualitative study. Health & Social Care In The Community 2022, 30: e6356-e6365. PMID: 36250724, DOI: 10.1111/hsc.14077.Peer-Reviewed Original ResearchConceptsHousing instabilityRural areasHomeless service providersFederal infrastructure investmentUnited StatesConcerns of providersRecent legislative actsSemi-structured telephone interviewsService deliveryLegislative actsProviders’ reflectionsQualitative studyInfrastructure investmentTemplate analysisService accessService providersStaff workAnalysed transcriptsHealth disparitiesRelated servicesBroadband InternetU.S.AccessAdditional resourcesTelephone interviewsCriminal Legal Involvement Among Recently Separated Veterans: Findings From the LIMBIC Study
Elbogen EB, Amuan M, Kennedy E, Blakey SM, Graziano RC, Hooshyar D, Tsai J, Nelson RE, Vanneman ME, Jones AL, Pugh MJ. Criminal Legal Involvement Among Recently Separated Veterans: Findings From the LIMBIC Study. Law And Human Behavior 2022, 46: 385-394. PMID: 36227321, DOI: 10.1037/lhb0000497.Peer-Reviewed Original ResearchMeSH KeywordsCriminalsFemaleHumansLongitudinal StudiesMaleMilitary PersonnelSubstance-Related DisordersUnited StatesVeteransConceptsSerious mental illnessSubstance use disordersMilitary dischargeRisk factorsPersonality disorderUse disordersTransition Assistance ProgramMental illnessCo-occurring mental disordersCo-occurring substance use disordersVeterans Affairs (VA) health careLongitudinal cohort studyTraumatic brain injuryNeighborhood-level risk factorsPhysical health conditionsDisadvantaged neighborhoodsLegal involvementLarger longitudinal studyCohort studyMultivariable analysisBrain injuryNeighborhood of residenceHigh riskLarge effect sizesMental disordersMedical Care Needs of Laundromat Users in San Antonio, Texas: A Potentially Unique Setting for Health Interventions
Tsai J, Solis V, Schick V. Medical Care Needs of Laundromat Users in San Antonio, Texas: A Potentially Unique Setting for Health Interventions. Journal Of Community Health 2022, 48: 1-9. PMID: 36006533, PMCID: PMC9406254, DOI: 10.1007/s10900-022-01137-w.Peer-Reviewed Original ResearchConceptsBehavioral Risk Factor Surveillance SystemTexas Behavioral Risk Factor Surveillance SystemRisk Factor Surveillance SystemRoutine medical checkupPrimary care providersMedical care needsPreventive healthcare servicesHealthcare servicesPublic health practiceHealth insurance coveragePap smearMedical checkupProstate examHealthcare screeningCare providersCare needsHealth statusHealth interventionsHealth needsHealthcare needsPoor healthHealth practicesHealthcare interventionsUnderserved populationsInsurance coverage