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 studyObesity in U.S. low-income veterans:Prevalence, clinical characteristics, and homelessness
Stefanovics E, Potenza M, Tsai J. Obesity in U.S. low-income veterans:Prevalence, clinical characteristics, and homelessness. Journal Of Psychiatric Research 2024, 173: 317-325. PMID: 38574595, DOI: 10.1016/j.jpsychires.2024.03.041.Peer-Reviewed Original ResearchConceptsLow-income veteransU.S. veteransPrevalence estimates of obesityAssociated with low socioeconomic statusEstimates of obesityBurden of obesityWeight management programAssociated with co-occurrenceLow socioeconomic statusPrevalence of obesityPsychiatric medication useImprove overall healthU.S. veteran populationNationally representative sampleQuality of lifePositive reframingSocioeconomic statusPrevalence estimatesTargeted interventionsVeteran populationActive copingMedication useOverall healthCoping stylesRepresentative sampleTemporary 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 systemAffairsProbabilityOutcomesThe mediating role of social support in associations between childhood adversity, military sexual trauma, and homelessness in a nationally representative sample of US veterans
Bulanchuk N, Edwards E, Pietrzak R, Tsai J. The mediating role of social support in associations between childhood adversity, military sexual trauma, and homelessness in a nationally representative sample of US veterans. Journal Of Community Psychology 2024, 52: 399-414. PMID: 38289875, DOI: 10.1002/jcop.23105.Peer-Reviewed Original ResearchMeSH KeywordsAdverse Childhood ExperiencesFemaleHumansIll-Housed PersonsMaleMilitary Sexual TraumaSocial SupportVeteransConceptsMilitary sexual traumaAdverse childhood experiencesLifetime homelessnessSocial supportSexual traumaNationally representative sampleHistory of military sexual traumaCorrelates of homelessnessAvailability of social supportPerceived social supportInterpersonal social supportLow social supportRepresentative sampleChildhood adversityHomelessnessFemale veteransChildhood experiencesCommunity integrationMale counterpartsPath analysisVeteransUS veteransTrauma ratesNationalCorrelation analysis
2023
Emergency Department Use Among Recently Homeless Adults in a Nationally Representative Sample
Ryus C, Stefanovics E, Tsai J, Rhee T, Rosenheck R. Emergency Department Use Among Recently Homeless Adults in a Nationally Representative Sample. Western Journal Of Emergency Medicine 2023, 0: 894-905. PMID: 37788030, PMCID: PMC10527843, DOI: 10.5811/westjem.59054.Peer-Reviewed Original ResearchChronically 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 attainmentUnconditional Cash Transfers and Association With Clinical Outcomes Among U.S. Veterans With Psychosis or Recent Homelessness
Tsai J, McCleery A, Wynn J, Green M. Unconditional Cash Transfers and Association With Clinical Outcomes Among U.S. Veterans With Psychosis or Recent Homelessness. Psychiatric Services 2023, 74: 1123-1131. PMID: 37161346, DOI: 10.1176/appi.ps.20230021.Peer-Reviewed Original ResearchAutomated 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 ResearchReturns to Homelessness: Key Considerations for Using This Metric to Improve System Performance.
Tsai J, Byrne T. Returns to Homelessness: Key Considerations for Using This Metric to Improve System Performance. American Journal Of Public Health 2023, 113: 490-494. PMID: 37018694, PMCID: PMC10088949, DOI: 10.2105/ajph.2023.307263.Peer-Reviewed Original ResearchUnmet 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 researchNeedHow Often Does Homelessness Precede Criminal Arrest in Veterans? Results From the U.S. Survey of Prison Inmates
Elbogen E, DuBois C, Finlay A, Clark S, Kois L, Wagner H, Tsai J. How Often Does Homelessness Precede Criminal Arrest in Veterans? Results From the U.S. Survey of Prison Inmates. American Journal Of Orthopsychiatry 2023, 93: 486-493. PMID: 37561476, DOI: 10.1037/ort0000693.Peer-Reviewed Original Research
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 ResearchMeSH KeywordsAdultHousingHumansIll-Housed PersonsMental DisordersQuality of LifeSubstance-Related Disorders“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 careSuccessPrimary 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 ResearchMeSH KeywordsHumansIll-Housed PersonsPatient Care TeamPatient-Centered CareUnited StatesUnited States Department of Veterans AffairsVeteransConceptsHomeless 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 ResearchMeSH KeywordsHousingHumansIll-Housed PersonsPublic HousingUnited StatesUnited States Department of Veterans AffairsUrban RenewalVeteransConceptsHousing 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 data