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 AffairsShallow 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 studyTemporary 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 ResearchConceptsSupportive 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
Is it Time to Antiquate the Term “Landlord?”
Tsai J. Is it Time to Antiquate the Term “Landlord?”. Journal Of Urban Health 2023, 100: 984-986. PMID: 37747651, PMCID: PMC10618125, DOI: 10.1007/s11524-023-00782-3.Peer-Reviewed Original ResearchConceptsHomelessness issuesHousing providersCulture of healthRental unitsCommunity partnershipsStakeholder groupsLandlordsSocial determinantsInternal Revenue ServiceProperty ownersRental incomeAverage AmericanRevenue ServiceNeutral termAmericansAlternative termsRentersHousingPartnershipMedieval EuropeSocietyTenantsFurther divisionEuropeIncomeAutomated identification of eviction status from electronic health record notes.
Yao Z, Tsai J, Liu W, Levy D, Druhl E, Reisman J, Yu H. Automated identification of eviction status from electronic health record notes. Journal Of The American Medical Informatics Association 2023, 30: 1429-1437. PMID: 37203429, PMCID: PMC10354775, DOI: 10.1093/jamia/ocad081.Peer-Reviewed Original ResearchEpidemiology 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 conditions
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 ResearchBeyond 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 Research“Millionaire Murrays”: A Qualitative Study of Formerly Homeless Veterans Who Became Economically Successful
Tsai J, Radwan CK. “Millionaire Murrays”: A Qualitative Study of Formerly Homeless Veterans Who Became Economically Successful. Psychiatric Rehabilitation Journal 2022, 45: 362-368. PMID: 36201810, DOI: 10.1037/prj0000538.Peer-Reviewed Original ResearchConceptsQualitative studyCriminal justice systemGreat economic successJustice systemSocial servicesHousing stabilityEconomic successHomeless veteransHomeless individualsHuman flourishingOverarching themesQualitative techniquesLife experiencesHomelessnessSemistructured interviewsRecruitment effortsRock bottomEmpirical studyInterviewsEventual successExternal factorsHousingServicesHealth careSuccessIdentifying 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 dataExperiences with Eviction, House Foreclosure, and Homelessness Among COVID-19 Infected Adults and Their Relation to Mental Health in a Large U.S. City
Tsai J, Grace A, Vazquez M. Experiences with Eviction, House Foreclosure, and Homelessness Among COVID-19 Infected Adults and Their Relation to Mental Health in a Large U.S. City. Journal Of Community Health 2022, 48: 218-227. PMID: 36369286, PMCID: PMC9651872, DOI: 10.1007/s10900-022-01166-5.Peer-Reviewed Original ResearchThe 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 interviewsEvictions and tenant‐landlord relationships during the 2020–2021 eviction moratorium in the US
Tsai J, Huang M, Blosnich JR, Elbogen EB. Evictions and tenant‐landlord relationships during the 2020–2021 eviction moratorium in the US. American Journal Of Community Psychology 2022, 70: 117-126. PMID: 35030643, DOI: 10.1002/ajcp.12581.Peer-Reviewed Original ResearchActuarial Prediction Versus Clinical Prediction of Exits From a National Supported Housing Program
Byrne T, Tsai J. Actuarial Prediction Versus Clinical Prediction of Exits From a National Supported Housing Program. American Journal Of Orthopsychiatry 2022, 92: 217-223. PMID: 35025573, PMCID: PMC10687831, DOI: 10.1037/ort0000603.Peer-Reviewed Original ResearchConceptsClinical judgmentLogistic regressionClinical predictionService utilization historiesBehavioral health diagnosesMultivariable prediction modelPositive predictive valueHUD-VASHSupported housing programsDevelopment cohortValidation cohortPredictive valueSociodemographic characteristicsClinician ratingsHealth diagnosisCohortSupportive housing programCase managersPermanent supportive housingCharacteristic curveVeteransSupportive housingPresent studyPremature exitUtilization history
2021
Prevalence of Alzheimer's disease and related dementias among veterans experiencing housing insecurity
Jutkowitz E, Halladay C, Tsai J, Hooshyar D, Quach L, O'Toole T, Rudolph JL. Prevalence of Alzheimer's disease and related dementias among veterans experiencing housing insecurity. Alzheimer's & Dementia 2021, 18: 1306-1313. PMID: 34757668, PMCID: PMC10257219, DOI: 10.1002/alz.12476.Peer-Reviewed Original ResearchConceptsADRD diagnosisAcute careAlzheimer's diseaseLong-term care useMore acute careNursing home admissionCommunity-based careAD/ADRDHome admissionCare useOverall prevalenceVeterans AffairsPrevalenceDiseaseDiagnosisHomeless veteransVeteransCareHousing statusDementiaRiskHousing insecurityAdmissionADRDTemporary Financial Assistance Decreased Health Care Costs For Veterans Experiencing Housing Instability
Nelson RE, Montgomery AE, Suo Y, Cook J, Pettey W, Gundlapalli A, Greene T, Evans W, Gelberg L, Kertesz SG, Tsai J, Byrne TH. Temporary Financial Assistance Decreased Health Care Costs For Veterans Experiencing Housing Instability. Health Affairs 2021, 40: 820-828. PMID: 33939508, DOI: 10.1377/hlthaff.2020.01796.Peer-Reviewed Original ResearchConceptsTemporary financial assistanceFinancial assistanceHousing instabilityFamilies ProgramNational policy debatesSupportive servicesStable housing situationsAffair partnersPolicy debatesHousing situationCommunity organizationsExpensive inpatientHomelessnessAssistancePeopleServicesDebateOrganizationProgramPartnersImminent riskMultimorbidity and Social Drivers of Homelessness and Health: Introduction to This Special Issue.
Tsai J, King B, Elder J. Multimorbidity and Social Drivers of Homelessness and Health: Introduction to This Special Issue. Medical Care 2021, 59: s101-s102. PMID: 33710079, DOI: 10.1097/mlr.0000000000001518.Peer-Reviewed Original ResearchAssociation of Temporary Financial Assistance With Housing Stability Among US Veterans in the Supportive Services for Veteran Families Program
Nelson RE, Byrne TH, Suo Y, Cook J, Pettey W, Gundlapalli AV, Greene T, Gelberg L, Kertesz SG, Tsai J, Montgomery AE. Association of Temporary Financial Assistance With Housing Stability Among US Veterans in the Supportive Services for Veteran Families Program. JAMA Network Open 2021, 4: e2037047. PMID: 33566108, PMCID: PMC8015862, DOI: 10.1001/jamanetworkopen.2020.37047.Peer-Reviewed Original ResearchConceptsTemporary financial assistanceFinancial assistanceInstrumental variable approachNational policy debatesHousing subsidiesPolicy debatesHealth insuranceVariable approachPublic benefitsHousing assistanceUS statesHousing outcomesMonthly incomeHousingFamilies ProgramReceiptHousing stabilityIndependent residenceSubsidiesIncomePaymentsExitInsuranceProgram clientsMultivariable mixed-effects logistic regression
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