2023
Heterogeneity of COVID-19 symptoms and associated factors: Longitudinal analysis of laboratory-confirmed COVID-19 cases in San Antonio
Choi B, Grace A, Tsai J. Heterogeneity of COVID-19 symptoms and associated factors: Longitudinal analysis of laboratory-confirmed COVID-19 cases in San Antonio. PLOS ONE 2023, 18: e0295418. PMID: 38064447, PMCID: PMC10707584, DOI: 10.1371/journal.pone.0295418.Peer-Reviewed Original ResearchConceptsLaboratory-confirmed COVID-19 casesCOVID-19 symptomsCOVID-19 infectionRisk factorsCOVID-19 casesPsychiatric conditionsPotential risk factorsCategories of symptomsTypes of symptomsDifferent medical conditionsMiscellaneous symptomsAssociated FactorsFemale genderHigher oddsHispanic ethnicityMedical conditionsSociodemographic characteristicsSymptomsCoronavirus diseaseOutcome variablesGEE modelSan AntonioLongitudinal analysisInfectionLogit linkCo-occurring Medical Multimorbidity, Mental Illness, and Substance Use Disorders Among Older Criminal Legal System-Involved Veterans
Han B, Bronson J, Washington L, Yu M, Kelton K, Tsai J, Finlay A. Co-occurring Medical Multimorbidity, Mental Illness, and Substance Use Disorders Among Older Criminal Legal System-Involved Veterans. Medical Care 2023, 61: 477-483. PMID: 37204150, PMCID: PMC10330246, DOI: 10.1097/mlr.0000000000001864.Peer-Reviewed Original ResearchMeSH KeywordsAgedChronic DiseaseCriminalsHumansMental DisordersMiddle AgedMultimorbiditySubstance-Related DisordersVeteransConceptsMedical multimorbidityMental illnessOlder veteransCLS involvementCo-occurring mental illnessVeterans Health Administration facilitiesMultivariable logistic regression modelConcurrent mental illnessPatterns of multimorbidityDisease-specific carePoor health outcomesSubstance use disordersLogistic regression modelsHigh prevalenceHigh riskLow prevalenceMultimorbidityAppropriate careUse disordersHealth outcomesIllnessAdministration facilitiesPrevalenceHealth recordsVeterans
2022
Beyond Supported Housing: Correlates of Improvements in Quality of Life Among Homeless Adults with Mental Illness
O’Connell M, Tsai J, Rosenheck R. Beyond Supported Housing: Correlates of Improvements in Quality of Life Among Homeless Adults with Mental Illness. Psychiatric Quarterly 2022, 94: 49-59. PMID: 36538200, DOI: 10.1007/s11126-022-10010-x.Peer-Reviewed Original ResearchMeSH KeywordsAdultHousingHumansIll-Housed PersonsMental DisordersQuality of LifeSubstance-Related DisordersGraduation Practices and Outcomes in Intensive Case Management Programs for Severe Mental Illness: A Systematic Review
Tsai J, Huang M, Petering R, Tiderington E. Graduation Practices and Outcomes in Intensive Case Management Programs for Severe Mental Illness: A Systematic Review. Psychiatric Rehabilitation Journal 2022, 45: 61-70. PMID: 33914585, DOI: 10.1037/prj0000487.Peer-Reviewed Original Research
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 dataPrevalence, risk and protective factors associated with suicidal ideation during the COVID-19 pandemic in U.S. military veterans with pre-existing psychiatric conditions
Na PJ, Tsai J, Hill ML, Nichter B, Norman SB, Southwick SM, Pietrzak RH. Prevalence, risk and protective factors associated with suicidal ideation during the COVID-19 pandemic in U.S. military veterans with pre-existing psychiatric conditions. Journal Of Psychiatric Research 2021, 137: 351-359. PMID: 33756377, PMCID: PMC8545743, DOI: 10.1016/j.jpsychires.2021.03.021.Peer-Reviewed Original ResearchConceptsPre-existing psychiatric conditionsPsychiatric symptom severitySuicidal ideationPsychiatric conditionsPsychiatric symptomsSymptom severityCOVID-19Protective factorsCoronavirus disease 2019 (COVID-19) pandemicPast-year suicidal ideationCOVID-19 infectionDisease 2019 pandemicLifetime suicide attemptsU.S. military veteransMultivariable analysisNational HealthOlder veteransGeneral populationRepresentative cohortU.S. veteransVeterans StudySuicide attemptsOlder ageSuicide riskPsychosocial difficultiesFinancial Strain, Mental Illness, and Homelessness: Results From a National Longitudinal Study.
Elbogen EB, Lanier M, Wagner HR, Tsai J. Financial Strain, Mental Illness, and Homelessness: Results From a National Longitudinal Study. Medical Care 2021, 59: s132-s138. PMID: 33710085, DOI: 10.1097/mlr.0000000000001453.Peer-Reviewed Original ResearchConceptsSevere mental illnessMental illnessFinancial strainWave 1Subsequent homelessnessNational Epidemiologic SurveyLow incomeContext of treatmentMultivariable analysisRisk factorsEpidemiologic SurveyIllnessPast homelessnessRelated conditionsGreater financial strainNational Longitudinal StudyLongitudinal studyFuture homelessnessDirect effectMental Health and Psychosocial Characteristics Associated With COVID-19 Among U.S. Adults
Tsai J, Huang M, Elbogen E. Mental Health and Psychosocial Characteristics Associated With COVID-19 Among U.S. Adults. Psychiatric Services 2021, 72: 444-447. PMID: 33530731, DOI: 10.1176/appi.ps.202000540.Peer-Reviewed Original ResearchConceptsCOVID-19 infectionMental healthCOVID-19Positive COVID-19 testCOVID-19 statusMental health characteristicsMiddle-income adultsCOVID-19 testSocial supportClinical riskHealth characteristicsPsychiatric historyNegative testHistory of homelessnessMedical needPsychosocial characteristicsU.S. adultsCurrent social supportInfectionHealthNational sampleAdultsVeterans
2017
Training Peer Specialists With Mental Illness in Motivational Interviewing: A Pilot Study
Tsai J, Klee A, Shea N, Lawless M, Payne KA, Goggin E, Alix J, Tam E, Smith K, Martino S. Training Peer Specialists With Mental Illness in Motivational Interviewing: A Pilot Study. Psychiatric Rehabilitation Journal 2017, 40: 354-360. PMID: 27786521, DOI: 10.1037/prj0000226.Peer-Reviewed Original ResearchMedical-Legal Partnerships At Veterans Affairs Medical Centers Improved Housing And Psychosocial Outcomes For Vets
Tsai J, Middleton M, Villegas J, Johnson C, Retkin R, Seidman A, Sherman S, Rosenheck RA. Medical-Legal Partnerships At Veterans Affairs Medical Centers Improved Housing And Psychosocial Outcomes For Vets. Health Affairs 2017, 36: 2195-2203. PMID: 29200329, DOI: 10.1377/hlthaff.2017.0759.Peer-Reviewed Original ResearchConceptsVeterans Affairs Medical CenterMental healthMedical CenterVA health care systemOutcomes of veteransLow-income veteransHealth care providersMedical-legal partnershipsGreater improvementHealth care systemCare providersMental illnessSocial determinantsPsychosocial outcomesLegal PartnershipsCare systemCommunity-based partnershipsVA benefitsVeteransHousing statusHealthPartnership sitesCommunity integrationOutcomesSignificant improvementChanges in Public Attitudes and Perceptions about Homelessness Between 1990 and 2016
Tsai J, Lee CYS, Byrne T, Pietrzak RH, Southwick SM. Changes in Public Attitudes and Perceptions about Homelessness Between 1990 and 2016. American Journal Of Community Psychology 2017, 60: 599-606. PMID: 29027669, DOI: 10.1002/ajcp.12198.Peer-Reviewed Original ResearchConceptsPublic attitudesLiberal attitudesHomeless populationHomeless individualsNew public health approachPublic spacePublic health approachGovernment supportDemographic compositionEthnic minoritiesHomelessnessEconomic recessionGreater supportPublic surveyMore compassionAttitudesHealth approachSubstance abuse problemsAbuse problemsCompassionOnline surveySurvey resultsSupportPanhandlingPolicyGender differences in mental and physical health conditions in U.S. veterans: Results from the National Health and Resilience in Veterans Study
Ziobrowski H, Sartor CE, Tsai J, Pietrzak RH. Gender differences in mental and physical health conditions in U.S. veterans: Results from the National Health and Resilience in Veterans Study. Journal Of Psychosomatic Research 2017, 101: 110-113. PMID: 28867415, PMCID: PMC5595666, DOI: 10.1016/j.jpsychores.2017.08.011.Peer-Reviewed Original ResearchMeSH KeywordsAdultChronic DiseaseCross-Sectional StudiesFemaleGender IdentityHumansMaleMental DisordersMiddle AgedUnited StatesVeteransConceptsPhysical health conditionsU.S. veteransHealth conditionsNational HealthAssaultive traumaPrevalence estimatesLifetime historyVeterans StudyMultivariable logistic regression analysisHigh blood pressureLifetime nicotine dependenceLogistic regression analysisNumerous health conditionsLower prevalence estimatesGender differencesCurrent alcohol useHigher prevalence estimatesBlood pressureMigraine headacheNicotine dependenceMale veteransHealth outcomesFemale veteransHeart attackAlcohol useMental and Physical Health Conditions in US Combat Veterans: Results From the National Health and Resilience in Veterans Study.
Thomas MM, Harpaz-Rotem I, Tsai J, Southwick SM, Pietrzak RH. Mental and Physical Health Conditions in US Combat Veterans: Results From the National Health and Resilience in Veterans Study. The Primary Care Companion For CNS Disorders 2017, 19 PMID: 28657698, DOI: 10.4088/pcc.17m02118.Peer-Reviewed Original ResearchMeSH KeywordsAdolescentAdultAge FactorsCardiovascular DiseasesCross-Sectional StudiesFemaleHealth StatusHumansMaleMental DisordersMental HealthMiddle AgedMigraine DisordersResilience, PsychologicalSex FactorsSocioeconomic FactorsSubstance-Related DisordersSuicideUnited StatesVeteransWar ExposureYoung AdultConceptsPhysical health conditionsPosttraumatic stress disorderOlder combat veteransCurrent posttraumatic stress disorderGreater oddsHealth conditionsChronic painHeart diseaseUS veteransNational HealthMigraine headacheCombat veteransSuicidal ideationVeterans StudyCurrent generalized anxiety disorderHeart attackVeterans Affairs Healthcare SystemLifetime posttraumatic stress disorderUS veteran populationElevated ratesPopulation-based burdenCurrent psychiatric disorderDrug use disordersMental health factorsGeneralized anxiety disorderOne-Year Incidence and Predictors of Homelessness Among 300,000 U.S. Veterans Seen in Specialty Mental Health Care
Tsai J, Hoff RA, Harpaz-Rotem I. One-Year Incidence and Predictors of Homelessness Among 300,000 U.S. Veterans Seen in Specialty Mental Health Care. Psychological Services 2017, 14: 203-207. PMID: 28481605, DOI: 10.1037/ser0000083.Peer-Reviewed Original ResearchConceptsSpecialty mental health clinicsMental health clinicsHealth clinicsRetrospective cohort study designVeterans AffairsSpecialty mental health careCohort study designVA medical recordsDrug use disordersMental health careVA homeless servicesClinical predictorsProspective studyMedical recordsDisorders ClinicInternational ClassificationUse disordersVA facilitiesU.S. veteransEarly signsStudy designVA effortsClinicHealth careIncidenceLifetime and 1-year prevalence of homelessness in the US population: results from the National Epidemiologic Survey on Alcohol and Related Conditions-III
Tsai J. Lifetime and 1-year prevalence of homelessness in the US population: results from the National Epidemiologic Survey on Alcohol and Related Conditions-III. Journal Of Public Health 2017, 40: 65-74. PMID: 28335013, DOI: 10.1093/pubmed/fdx034.Peer-Reviewed Original ResearchConceptsNational Epidemiologic SurveyPersonality disorderEpidemiologic SurveySuicidal attemptsUS populationMajor public health problemRecent epidemiological studiesLifetime homelessnessBehavioral health conditionsTobacco use disorderPublic health problemHistory of incarcerationRelated Conditions-IIIBorderline personality disorderPast-year homelessnessLow incomeAntisocial personality disorderUS adultsEpidemiological studiesGeneral populationUse disordersHealth problemsRelated conditionsHealth conditionsPrevalence
2016
Partnerships Between Health Care and Legal Providers in the Veterans Health Administration
Tsai J, Middleton M, Retkin R, Johnson C, Kenneally K, Sherman S, Rosenheck RA. Partnerships Between Health Care and Legal Providers in the Veterans Health Administration. Psychiatric Services 2016, 68: 321-323. PMID: 27903138, DOI: 10.1176/appi.ps.201600486.Peer-Reviewed Original ResearchConceptsVeterans Health AdministrationMedical-legal partnershipsLarge safety net health care systemHealth AdministrationSafety net health care systemVHA medical centersSerious mental illnessHealth care teamHealth care systemCare teamMedical CenterMental illnessSocial determinantsCare systemVulnerable populationsHealth careVeteransAdministrationCareInnovative service modelIllnessA 20-Site Comparison of Transition-in-Place Versus Traditional Transitional Housing Programs
Tsai J, Kasprow WJ, Quarles JL, Hoff RA. A 20-Site Comparison of Transition-in-Place Versus Traditional Transitional Housing Programs. Administration And Policy In Mental Health And Mental Health Services Research 2016, 44: 747-755. PMID: 27449115, DOI: 10.1007/s10488-016-0756-z.Peer-Reviewed Original ResearchInterest in Technology-Based Therapies Hampered by Access: A Survey of Veterans With Serious Mental Illnesses
Klee A, Stacy M, Rosenheck R, Harkness L, Tsai J. Interest in Technology-Based Therapies Hampered by Access: A Survey of Veterans With Serious Mental Illnesses. Psychiatric Rehabilitation Journal 2016, 39: 173-179. PMID: 26985680, DOI: 10.1037/prj0000180.Peer-Reviewed Original ResearchMeSH KeywordsCell PhoneHealth Services AccessibilityHumansInternetMental DisordersSurveys and QuestionnairesVeteransConceptsSerious mental illnessMental illnessMental health-related problemsCommunity care centersAlcohol use disorderComputerized therapyTechnology-based interventionsHealth-related problemsGeneral population surveyMultivariable analysisInequitable careCare centerSociodemographic barriersUse disordersPsychiatric diagnosisIllnessPTSD diagnosisUnderserved populationsHealth careVeteransTechnology use patternsTherapyLower ratesService gapsDiagnosisLinking Typologies of Childhood Adversity to Adult Incarceration: Findings From a Nationally Representative Sample
Roos LE, Afifi TO, Martin CG, Pietrzak RH, Tsai J, Sareen J. Linking Typologies of Childhood Adversity to Adult Incarceration: Findings From a Nationally Representative Sample. American Journal Of Orthopsychiatry 2016, 86: 584-593. PMID: 27078049, DOI: 10.1037/ort0000144.Peer-Reviewed Original ResearchConceptsAdverse child experiencesLatent class analysisChildhood maltreatmentLogistic regression analysisSubstance use problemsNationally Representative SampleRisk factorsRepresentative sampleChildhood adversityPreventative effortsIncarceration riskLow adversityUse problemsRegression analysisRiskMaltreatment experiencesClass analysisMaltreatmentIncarceration
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 areasDiagnosis