2024
Temporary 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
Temporary Financial Assistance for Housing Expenditures and Mortality and Suicide Outcomes Among US Veterans
Nelson R, Montgomery A, Suo Y, Effiong A, Pettey W, Gelberg L, Kertesz S, Tsai J, Byrne T. Temporary Financial Assistance for Housing Expenditures and Mortality and Suicide Outcomes Among US Veterans. Journal Of General Internal Medicine 2023, 39: 587-595. PMID: 37884831, PMCID: PMC10973310, DOI: 10.1007/s11606-023-08337-7.Peer-Reviewed Original ResearchCause mortalityHealth outcomesSuicidal ideationSuicide attemptsCox proportional hazards regression approachVeterans AffairsRetrospective national cohort studyNational cohort studyRisk of deathImportant health outcomesImproved health outcomesUnique veteransAnalysis cohortOverall cohortCohort studyMean durationUS veteransTreatment weightingSuicide morbidityPrevention componentsMortalityInverse probabilitySuicide outcomesOutcomesSupportive servicesIdentifying significant correlates of purpose in life in older US military veterans: results from the national health and resilience in veterans study.
Fischer I, Feldman D, Tsai J, Harpaz-Rotem I, Lucas K, Schulenberg S, Pietrzak R. Identifying significant correlates of purpose in life in older US military veterans: results from the national health and resilience in veterans study. International Psychogeriatrics 2023, 35: 560-565. PMID: 36715004, DOI: 10.1017/s1041610222001223.Peer-Reviewed Original ResearchConceptsUS military veteransNational HealthMilitary veteransSignificant correlatesOlder US veteransAdverse health outcomesModifiable psychosocial factorsAdverse outcomesElastic net analysisUS veteransDepressive symptomsPsychosocial factorsHealth outcomesVeterans StudyPsychosocial variablesTreatment effortsCognitive outcomesCross-sectional dataVeteransOutcomesSocial supportCommunity integrationImportant correlatesHealthCorrelates
2022
The impact of the COVID-19 pandemic on mental health and functional outcomes in Veterans with psychosis or recent homelessness: A 15-month longitudinal study
Wynn JK, McCleery A, Novacek DM, Reavis EA, Senturk D, Sugar CA, Tsai J, Green MF. The impact of the COVID-19 pandemic on mental health and functional outcomes in Veterans with psychosis or recent homelessness: A 15-month longitudinal study. PLOS ONE 2022, 17: e0273579. PMID: 36001641, PMCID: PMC9401176, DOI: 10.1371/journal.pone.0273579.Peer-Reviewed Original ResearchConceptsPsychotic disordersMental healthCOVID-19 pandemicVA mental healthLongitudinal studySymptoms of depressionCase management servicesPoor social connectionsFunctional outcomeVulnerable veteransBaseline levelsFaster returnRecent homelessnessVeteran controlsGroup differencesRHVAssessment periodVeteransHealthIndependent livingOutcomesPandemicRetrospective ratingsSignificant improvementCommunity functioningPreventing Homelessness Through the National Call Center for Homeless Veterans: Analysis of Calls and Service Referrals
Tsai J, Montgomery AE, Szymkowiak D. Preventing Homelessness Through the National Call Center for Homeless Veterans: Analysis of Calls and Service Referrals. Psychiatric Services 2022, 74: 316-319. PMID: 35855621, DOI: 10.1176/appi.ps.20220124.Peer-Reviewed Original ResearchConceptsNational call centerVeterans Health AdministrationHomeless veteransMental health servicesHealth care recordsVeteran outcomesMedical recordsReferral outcomesCare recordsHealth AdministrationHealth servicesService referralsMedical servicesHomeless ProgramVeteransCOVID-19 pandemicReferralOutcomesMost contactModerate increaseSocial careAnalysis of callsMajor increaseAdministrationCareProvision of social support and mental health in U.S. military veterans
Na P, Tsai J, Southwick S, Pietrzak R. Provision of social support and mental health in U.S. military veterans. Npj Mental Health Research 2022, 1: 4. PMID: 38609471, PMCID: PMC10938859, DOI: 10.1038/s44184-022-00004-9.Peer-Reviewed Original ResearchMental healthAdverse mental health outcomesSocial supportMental health outcomesMajority of veteransU.S. military veteransUS veteransLower oddsPsychiatric disordersRepresentative cohortHealth outcomesSuicidal ideationGood healthMilitary veteransStandard deviation increaseVeteransProvision of supportHealthOddsOutcomesDeviation increaseCohort
2018
Mental Illness and Substance Use Disorders Among Homeless Veterans
Gabrielian S, Gores A, Gelberg L, Tsai J. Mental Illness and Substance Use Disorders Among Homeless Veterans. 2018, 35-60. DOI: 10.1093/oso/9780190695132.003.0003.Peer-Reviewed Original ResearchSubstance use disordersMental illnessHomeless veteransPsychiatric disordersInfluence of psychiatric disordersVeterans with mental illnessFactors associated with homelessnessAbstract Mental illnessMental health problemsHousing outcomesUse disorderVeteran statusVeteransHealth problemsUnited States Armed ForcesDisordersRisk factorsIllnessEpidemiological dataHomelessnessCo-occurrenceStates Armed ForcesQuantitative dataOutcomesArmed forcesVeterans Treatment Court research: Participant characteristics, outcomes, and gaps in the literature
McCall J, Tsai J, Gordon A. Veterans Treatment Court research: Participant characteristics, outcomes, and gaps in the literature. Journal Of Offender Rehabilitation 2018, 57: 384-401. DOI: 10.1080/10509674.2018.1510864.Peer-Reviewed Original Research
2017
Medical-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 improvement
2014
Homeless Female U.S. Veterans in a National Supported Housing Program: Comparison of Individual Characteristics and Outcomes With Male Veterans
Tsai J, Rosenheck RA, Kane V. Homeless Female U.S. Veterans in a National Supported Housing Program: Comparison of Individual Characteristics and Outcomes With Male Veterans. Psychological Services 2014, 11: 309-316. PMID: 24730678, DOI: 10.1037/a0036323.Peer-Reviewed Original ResearchConceptsFemale veteransHomeless female veteransMale veteransPosttraumatic stress disorderHUD-VASHGood working allianceSupported housing programsGender differencesNoncombat traumaU.S. veteransStress disorderCombat exposureSupportive housing programCase managersMore womenHomeless veteransFamily-oriented servicesVeteransIncarceration historyAdministrative dataOutcomesFamily membersDisordersProportion of femalesCurrent study
2013
Alcohol and drug use disorders among homeless veterans: Prevalence and association with supported housing outcomes
Tsai J, Kasprow WJ, Rosenheck RA. Alcohol and drug use disorders among homeless veterans: Prevalence and association with supported housing outcomes. Addictive Behaviors 2013, 39: 455-460. PMID: 23490136, DOI: 10.1016/j.addbeh.2013.02.002.Peer-Reviewed Original ResearchMeSH KeywordsAdultAlcohol-Related DisordersComorbidityFemaleHumansIll-Housed PersonsMaleMental Health ServicesMiddle AgedOutcome Assessment, Health CarePublic HousingQuality of LifeResidential TreatmentSelf ReportSocioeconomic FactorsSubstance-Related DisordersUnited StatesUnited States Department of Veterans AffairsVeteransConceptsDrug use disordersSubstance use disordersUse disordersHomeless veteransOutcomes 6 monthsHUD-VASHPrevalence of alcoholAlcohol use disorderClinical outcomesClinical statusDrug disordersBaseline differencesSubstance abuseSubstance useDisordersStrong associationPrevious monthMore nightsResidential treatmentVeteransMonthsProgram entryUrban Development-Veterans AffairsOutcomesPrevalence
2012
Trauma Experience Among Homeless Female Veterans: Correlates and Impact on Housing, Clinical, and Psychosocial Outcomes
Tsai J, Rosenheck RA, Decker SE, Desai RA, Harpaz‐Rotem I. Trauma Experience Among Homeless Female Veterans: Correlates and Impact on Housing, Clinical, and Psychosocial Outcomes. Journal Of Traumatic Stress 2012, 25: 624-632. PMID: 23225030, DOI: 10.1002/jts.21750.Peer-Reviewed Original ResearchConceptsHomeless female veteransFemale veteransLife-threatening illnessPoor physical healthType of traumaFrequency of traumaHomeless women veteransTraumatic eventsBaseline characteristicsClinical outcomesTreatment periodWomen veteransLifetime exposurePsychosocial outcomesPsychosocial functioningTrauma categoriesTraumaPhysical healthMore daysSexual assaultVeteran ProgramTrauma experiencesOutcomesIllnessVeteransOutcomes of a Group Intensive Peer-Support Model of Case Management for Supported Housing
Tsai J, Rosenheck RA. Outcomes of a Group Intensive Peer-Support Model of Case Management for Supported Housing. Psychiatric Services 2012, 63: 1186-1194. PMID: 22983658, DOI: 10.1176/appi.ps.201200100.Peer-Reviewed Original ResearchConceptsIntensive case managementCase managementPeer support modelGeneral medical problemsCase management supportRecovery-oriented approachBaseline characteristicsMedical problemsOne-yearSubstance useCase managersHomeless veteransSite one yearUrban Development-Veterans AffairsAdministrative dataOutcomesProgram admissionDefault modeGreater increaseGroup meetingsSection 8 housing vouchersService deliveryManagementAdmissionTrauma Experience Among Homeless Female Veterans: Correlates and Impact on Housing, Clinical, and Psychosocial Outcomes
Tsai J, Rosenheck R, Decker S, Desai R, Harpaz‐Rotem I. Trauma Experience Among Homeless Female Veterans: Correlates and Impact on Housing, Clinical, and Psychosocial Outcomes. Journal Of Traumatic Stress 2012, n/a-n/a. DOI: 10.1002/j.1573-6598.2012.21750.x.Peer-Reviewed Original ResearchHomeless female veteransFemale veteransLife-threatening illnessPoor physical healthType of traumaFrequency of traumaHomeless women veteransTraumatic eventsBaseline characteristicsClinical outcomesTreatment periodWomen veteransLifetime exposurePsychosocial outcomesPsychosocial functioningTrauma categoriesTraumaPhysical healthMore daysSexual assaultVeteran ProgramTrauma experiencesOutcomesIllnessVeteransLongitudinal Association of Therapeutic Alliance and Clinical Outcomes in Supported Housing for Chronically Homeless Adults
Tsai J, Lapidos A, Rosenheck RA, Harpaz-Rotem I. Longitudinal Association of Therapeutic Alliance and Clinical Outcomes in Supported Housing for Chronically Homeless Adults. Community Mental Health Journal 2012, 49: 438-443. PMID: 22820927, DOI: 10.1007/s10597-012-9518-x.Peer-Reviewed Original ResearchConceptsPrimary mental health providersMental health providersTherapeutic allianceHealth providersClient outcomesCase managersHigh therapeutic allianceClinical outcomesBaseline differencesLongitudinal associationsHomeless adultsGroup differencesOutcomesMonthsSocial supportHomeless clientsTherapeutic relationshipAssociationParticipantsProvidersComparison of Outcomes of Homeless Female and Male Veterans in Transitional Housing
Tsai J, Rosenheck RA, McGuire JF. Comparison of Outcomes of Homeless Female and Male Veterans in Transitional Housing. Community Mental Health Journal 2012, 48: 705-710. PMID: 22294507, DOI: 10.1007/s10597-012-9482-5.Peer-Reviewed Original ResearchMeSH KeywordsAdultAge FactorsAgedFemaleFollow-Up StudiesHumansIll-Housed PersonsInterviews as TopicMaleMental DisordersMiddle AgedOutcome Assessment, Health CarePublic HousingResidential TreatmentRisk FactorsSex CharacteristicsSocioeconomic FactorsSubstance-Related DisordersTreatment OutcomeUnited StatesUnited States Department of Veterans AffairsVeteransConceptsMale veteransFemale veteransComparison of outcomesEpisodes of treatmentMore psychiatric symptomsSubstance use disordersQuality of lifeBaseline differencesHomeless female veteransOutcome measuresPsychiatric symptomsUse disordersMulti-site studyMental healthSubstance useMale participantsVeteransOverall gender differencesFemale participantsTransitional housingOutcomesGender differencesTransitional housing programsDifferent outcomesParticipantsDo Homeless Veterans Have the Same Needs and Outcomes as Non-Veterans?
Tsai J, Mares AS, Rosenheck RA. Do Homeless Veterans Have the Same Needs and Outcomes as Non-Veterans? Military Medicine 2012, 177: 27-31. PMID: 22338975, DOI: 10.7205/milmed-d-11-00128.Peer-Reviewed Original Research
2011
Religiosity Among Adults Who Are Chronically Homeless: Association With Clinical and Psychosocial Outcomes
Tsai J, Rosenheck RA. Religiosity Among Adults Who Are Chronically Homeless: Association With Clinical and Psychosocial Outcomes. Psychiatric Services 2011, 62: 1222-1224. PMID: 21969651, DOI: 10.1176/ps.62.10.pss6210_1222.Peer-Reviewed Original ResearchRacial Differences Among Supported Housing Clients in Outcomes and Therapeutic Relationships
Tsai J, Rosenheck RA. Racial Differences Among Supported Housing Clients in Outcomes and Therapeutic Relationships. Psychiatric Quarterly 2011, 83: 103-112. PMID: 21811835, DOI: 10.1007/s11126-011-9187-x.Peer-Reviewed Original ResearchMeSH KeywordsAdultBlack or African AmericanCase ManagementConsumer BehaviorFemaleHealthcare DisparitiesHousingHumansIll-Housed PersonsLinear ModelsLongitudinal StudiesMaleMental DisordersMental Health ServicesOutcome Assessment, Health CareProfessional-Patient RelationsProgram EvaluationReligion and PsychologySubstance-Related DisordersUnited StatesWhite PeopleConceptsHealth care providersCare providersRacial differencesMental health care providersSignificant racial differencesSubstance abuse outcomesClinical outcomesHealth servicesMental healthBlack clientsAbuse outcomesWhite clientsBlack participantsOutcomesWhite participantsTherapeutic relationshipClient ratingsProvidersParticipantsDifferences
2010
A Multisite Comparison of Supported Housing for Chronically Homeless Adults: “Housing First” Versus “Residential Treatment First”
Tsai J, Mares AS, Rosenheck RA. A Multisite Comparison of Supported Housing for Chronically Homeless Adults: “Housing First” Versus “Residential Treatment First”. Psychological Services 2010, 7: 219-232. PMID: 21829324, PMCID: PMC3151537, DOI: 10.1037/a0020460.Peer-Reviewed Original ResearchObservational studyResidential treatmentGreater healthcare costsHealth service costsCommunity adjustment outcomesCurrent observational studyIndependent housingHealthcare costsClinical advantagesCommunity housingSuperior outcomesPhysical healthMore daysLess daysHomeless adultsSupported HousingTreatmentOutcomesTransitional housingCommunity adjustmentMultisite ComparisonService costsDirect placementDaysHousing First