2020
National 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 ResearchMeSH KeywordsHealth Services AccessibilityHousingHumansMental Health ServicesSocial WelfareUnited StatesUnited States Department of Veterans AffairsVeteransConceptsVA 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
2019
Changes in Physical Health After Supported Housing: Results from the Collaborative Initiative to End Chronic Homelessness
Tsai J, Gelberg L, Rosenheck RA. Changes in Physical Health After Supported Housing: Results from the Collaborative Initiative to End Chronic Homelessness. Journal Of General Internal Medicine 2019, 34: 1703-1708. PMID: 31161570, PMCID: PMC6712193, DOI: 10.1007/s11606-019-05070-y.Peer-Reviewed Original ResearchMeSH KeywordsAdultFemaleHealth StatusHousingHumansIll-Housed PersonsIntersectoral CollaborationMaleMental Health ServicesMiddle AgedQuality of LifeConceptsPrimary care providersPhysical HRQoLPhysical healthMedical conditionsCare providersOutcome studiesShort Form-12 Health SurveyPreventive proceduresMedical problemsPhysical health-related qualityHealth-related qualityObservational outcome studyHomeless adultsPrimary care servicesMental health servicesHousing statusMedical outcome measuresPhysical health outcomesHealth SurveyOutcome measuresKey ResultsParticipantsPrimary healthcareHealth outcomesCare servicesHealth servicesNational Utilization Patterns of Veterans Affairs Homelessness Programs in the Era of Housing First
Tsai J, Byrne TH. National Utilization Patterns of Veterans Affairs Homelessness Programs in the Era of Housing First. Psychiatric Services 2019, 70: 309-315. PMID: 30651057, DOI: 10.1176/appi.ps.201800393.Peer-Reviewed Original Research
2018
Needs of homeless veterans: 5 years of the CHALENG Survey 2012–16
Tsai J, Blue-Howells J, Nakashima J. Needs of homeless veterans: 5 years of the CHALENG Survey 2012–16. Journal Of Public Health 2018, 41: e16-e24. PMID: 29727001, DOI: 10.1093/pubmed/fdy076.Peer-Reviewed Original ResearchAddressing Veteran Homelessness to Prevent Veteran Suicides
Tsai J, Trevisan L, Huang M, Pietrzak RH. Addressing Veteran Homelessness to Prevent Veteran Suicides. Psychiatric Services 2018, 69: 935-937. PMID: 29606072, DOI: 10.1176/appi.ps.201700482.Peer-Reviewed Original ResearchCharacteristics and Health Needs of Veterans with Other-than-Honorable Discharges: Expanding Eligibility in the Veterans Health Administration
Tsai J, Rosenheck RA. Characteristics and Health Needs of Veterans with Other-than-Honorable Discharges: Expanding Eligibility in the Veterans Health Administration. Military Medicine 2018, 183: e153-e157. PMID: 29420757, DOI: 10.1093/milmed/usx110.Peer-Reviewed Original ResearchConceptsMental health care needsHealth care needsMore mental health problemsHealth care servicesMental health problemsCare needsVeterans AffairsCare servicesHealth problemsShort Form Health SurveyVA health care servicesMental health care servicesMental healthForm Health SurveyVeterans Health AdministrationHealth of veteransWorse mental healthEmotional problemsVA careHealth SurveyHealth AdministrationHealth statusHealth needsBivariate comparisonsHealth care
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 approachesOne-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 careIncidence
2016
US Veterans’ Use Of VA Mental Health Services And Disability Compensation Increased From 2001 To 2010
Tsai J, Rosenheck RA. US Veterans’ Use Of VA Mental Health Services And Disability Compensation Increased From 2001 To 2010. Health Affairs 2016, 35: 966-973. PMID: 27269011, DOI: 10.1377/hlthaff.2015.1555.Peer-Reviewed Original ResearchConceptsVA mental health servicesMental health servicesDisability compensationHealth servicesVA disability compensationUS veteransVeteran populationVeterans Affairs Health Care SystemGulf War eraHealth care servicesVA health servicesCombat-related traumaHealth care systemVeterans' useVA servicesCare servicesCare systemService eraVeteransRepresentative surveyPopulationTraumaCareAccuracy of screening for posttraumatic stress disorder in specialty mental health clinics in the U.S. Veterans Affairs Healthcare System
Tsai J, Pietrzak RH, Hoff RA, Harpaz-Rotem I. Accuracy of screening for posttraumatic stress disorder in specialty mental health clinics in the U.S. Veterans Affairs Healthcare System. Psychiatry Research 2016, 240: 157-162. PMID: 27107669, DOI: 10.1016/j.psychres.2016.04.036.Peer-Reviewed Original ResearchConceptsOEF/OIF/OND veteransPTSD diagnosisU.S. Veterans Affairs healthcare systemSpecialty mental health clinicsVeterans Affairs Healthcare SystemElectronic medical record dataOptimal screening criteriaMedical record dataStructured Clinical InterviewMental health clinicsPositive PTSD screenCharacteristic curve analysisPosttraumatic stress disorderUseful screening toolPCL-M scoresVersion criteriaPTSD screenSpecialty clinicHealth clinicsMale veteransClinical InterviewFemale veteransVeteran subgroupsYouden indexProbable PTSDHomelessness among a nationally representative sample of US veterans: prevalence, service utilization, and correlates
Tsai J, Link B, Rosenheck RA, Pietrzak RH. Homelessness among a nationally representative sample of US veterans: prevalence, service utilization, and correlates. Social Psychiatry And Psychiatric Epidemiology 2016, 51: 907-916. PMID: 27075492, DOI: 10.1007/s00127-016-1210-y.Peer-Reviewed Original ResearchMeSH KeywordsAdultAgedFemaleHumansIll-Housed PersonsMaleMental Health ServicesMiddle AgedPovertyPrevalenceUnited StatesUnited States Department of Veterans AffairsVeteransConceptsVA homeless servicesHomeless servicesUS veteransLifetime homelessnessAccurate prevalence estimatesPrevalence of homelessnessRural areasClinical characteristicsRepresentative sampleService utilizationService usePrevalence estimatesHomelessnessPhysical healthGovernmental resourcesVeteran homelessnessPrevalenceAdult lifeVeterans
2015
Homeless Veterans Eligible for Medicaid Under the Affordable Care Act
Tsai J, Kasprow WJ, Culhane D, Rosenheck RA. Homeless Veterans Eligible for Medicaid Under the Affordable Care Act. Psychiatric Services 2015, 66: 1353-1356. PMID: 26423104, DOI: 10.1176/appi.ps.201500377.Peer-Reviewed Original ResearchConceptsRisk veteransVA service-connected disabilityVeterans Affairs (VA) health careHealth careHomeless veteransVA health careService-connected disabilitySubstance use disordersAffordable Care ActUse disordersExpansion of MedicaidPsychiatric conditionsHealth needsMedicaidCare ActVeteransPotential interplayCareRisk of homelessnessU.S. Female Veterans Who Do and Do Not Rely on VA Health Care: Needs and Barriers to Mental Health Treatment
Tsai J, Mota NP, Pietrzak RH. U.S. Female Veterans Who Do and Do Not Rely on VA Health Care: Needs and Barriers to Mental Health Treatment. Psychiatric Services 2015, 66: 1200-1206. PMID: 26174948, DOI: 10.1176/appi.ps.201400550.Peer-Reviewed Original ResearchConceptsMental health service useMental health careU.S. female veteransPosttraumatic stress disorderHealth service useVA health careFemale veteransRacial-ethnic minority groupsVeterans AffairsHealth careVA patientsService useMale veteransMental health service utilizationFemale VA patientsVA service usersHealth service utilizationHealth-related functioningMental health-related functioningHealth care needsMental health treatmentSubstance use disordersMale VA patientsHigh treatment costsClinical characteristicsCharacteristics and Use of Services Among Literally Homeless and Unstably Housed U.S. Veterans With Custody of Minor Children
Tsai J, Rosenheck RA, Kasprow WJ, Kane V. Characteristics and Use of Services Among Literally Homeless and Unstably Housed U.S. Veterans With Custody of Minor Children. Psychiatric Services 2015, 66: 1083-1090. PMID: 25975888, DOI: 10.1176/appi.ps.201400300.Peer-Reviewed Original ResearchConceptsHomeless veteransChronic general medical conditionsGeneral medical conditionsSevere mental illnessVeterans Affairs programsClinical characteristicsAdmission patternsUse of servicesMedical conditionsPsychiatric disordersPsychotic disordersFemale veteransMental illnessU.S. veteransPsychosocial characteristicsSubstantial proportionVeteransWomenChildrenMenMinor childrenDisordersVAReferralIllnessE-mental health preferences of Veterans with and without probable posttraumatic stress disorder
Whealin JM, Seibert-Hatalsky LA, Howell JW, Tsai J. E-mental health preferences of Veterans with and without probable posttraumatic stress disorder. The Journal Of Rehabilitation Research And Development 2015, 52: 725-738. PMID: 26562090, DOI: 10.1682/jrrd.2014.04.0113.Peer-Reviewed Original ResearchConceptsPosttraumatic stress disorderMental health servicesMental healthHealth servicesStress disorderOperation Iraqi Freedom/Operation Enduring Freedom veteransProbable posttraumatic stress disorderInternet-based interventionsMental health careMental health care practiceMental health interventionsMental health resourcesOperation Enduring Freedom veteransHealth care practicesEnduring Freedom veteransCare practicesU.S. veteransHealth interventionsNational Guard membersHealth resourcesHealth careLogistical barriersVeteransHealth preferencesGuard members
2014
Potential mental health needs of US adult residents under different provisions of the Affordable Care Act.
Tsai J, Pilver CE, Hoff RA. Potential mental health needs of US adult residents under different provisions of the Affordable Care Act. The Journal Of Clinical Psychiatry 2014, 75: 1402-10. PMID: 25271598, DOI: 10.4088/jcp.13m08885.Peer-Reviewed Original ResearchConceptsAffordable Care ActMental health needsHigh prevalenceAssociated Disabilities Interview Schedule-IVHealth needsPotential mental health needsUS adult populationCare ActAlcohol use disorderNational Epidemiologic SurveyClinical differencesUS adult residentsPsychiatric disordersHealth insurance exchangesUse disordersEpidemiologic SurveyPsychiatric diagnosisExpansion of MedicaidUS populationAdult populationMedicaid expansionRelated conditionsAnxiety disordersAdult residentsMedicaidAsian American and Pacific Islander Military Veterans in the United States: Health Service Use and Perceived Barriers to Mental Health Services
Tsai J, Whealin JM, Pietrzak RH. Asian American and Pacific Islander Military Veterans in the United States: Health Service Use and Perceived Barriers to Mental Health Services. American Journal Of Public Health 2014, 104: s538-s547. PMID: 25100419, PMCID: PMC4151899, DOI: 10.2105/ajph.2014.302124.Peer-Reviewed Original ResearchConceptsMental health servicesHealth service useHealth servicesService useHealth careMental health careBetter mental healthHigher socioeconomic statusPopulation-weighted sampleVeteran populationPacific Islander veteransAA veteransEthnic groupsHealth differencesMental healthSocioeconomic statusPerceived BarriersMilitary veteransMultivariable statisticsVeteransVeteran statusNational surveyRecent veteransRandom sampleCare
2013
National Comparison of Literally Homeless Male and Female VA Service Users: Entry Characteristics, Clinical Needs, and Service Patterns
Tsai J, Kasprow WJ, Kane V, Rosenheck RA. National Comparison of Literally Homeless Male and Female VA Service Users: Entry Characteristics, Clinical Needs, and Service Patterns. Women's Health Issues 2013, 24: e29-e35. PMID: 24342077, DOI: 10.1016/j.whi.2013.09.007.Peer-Reviewed Original ResearchLatent homeless risk profiles of a national sample of homeless veterans and their relation to program referral and admission patterns.
Tsai J, Kasprow WJ, Rosenheck RA. Latent homeless risk profiles of a national sample of homeless veterans and their relation to program referral and admission patterns. American Journal Of Public Health 2013, 103 Suppl 2: s239-47. PMID: 24148048, PMCID: PMC3969139, DOI: 10.2105/ajph.2013.301322.Peer-Reviewed Original ResearchConsidering child care and parenting needs in Veterans Affairs mental health services
Tsai J, David DH, Edens EL, Crutchfield A. Considering child care and parenting needs in Veterans Affairs mental health services. Evaluation And Program Planning 2013, 39: 19-22. PMID: 23570988, DOI: 10.1016/j.evalprogplan.2013.03.003.Peer-Reviewed Original ResearchConceptsVeterans Affairs (VA) mental health servicesMental health servicesMental health careHealth servicesCare servicesVA mental health careHealth carePsychiatric rehabilitation centersChild careOutpatient clinicChild care servicesNeeds of adultsVeterans' accessCare programMental illnessRehabilitation centerCareConvenience sampleChild care programsSite child careVAPossible benefitsParticipantsClinicIllness