2024
Drug overdose deaths among homeless veterans in the United States Department of Veterans Affairs healthcare system
Tsai J, Szymkowiak D, Beydoun H. Drug overdose deaths among homeless veterans in the United States Department of Veterans Affairs healthcare system. Addiction 2024 PMID: 39415621, DOI: 10.1111/add.16689.Peer-Reviewed Original ResearchNon-homeless veteransDrug overdose deathsOverdose deathsDepartment of Veterans Affairs (VA) healthcare systemVeterans Affairs (VA) healthcare systemHealthcare systemDepartment of Veterans Affairs healthcare systemNational Death Index dataHazard ratioVeterans Affairs Healthcare SystemConfidence intervalsDeath Index dataEstimate hazard ratiosMental health characteristicsAssociated with greater riskEpidemic of drug overdoseHealth characteristicsHomeless veteransUS veteransCox regression modelsVeteransGreater riskHomeless populationSubstance useMultivariate Cox regression modelRole of homelessness and psychiatric disorders in suicide deaths among veterans: A four-way decomposition analysis
Beydoun H, Szymkowiak D, Pietrzak R, Beydoun M, Treadwell R, Tsai J. Role of homelessness and psychiatric disorders in suicide deaths among veterans: A four-way decomposition analysis. Psychiatry Research 2024, 340: 116120. PMID: 39121758, DOI: 10.1016/j.psychres.2024.116120.Peer-Reviewed Original ResearchMental health disordersFour-way decomposition analysisSubstance useHealth disordersPsychiatric disordersMortality riskSuicide deathsHomeless veteransVeterans AffairsSubstance use disordersU.S. Department of Veterans AffairsDepartment of Veterans AffairsPredictors of suicide deathVA healthcare systemFully-adjusted modelsMental health characteristicsEffects of homelessnessProportion of suicide deathsSuicide riskUse disorderHealth characteristicsRetrospective cohort studySuicideHealthcare systemDisordersDigital 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 ResearchSuicide risk screening and evaluation among patients accessing VHA services and identified as being newly homeless
Holliday R, Hostetter T, Brenner L, Bahraini N, Tsai J. Suicide risk screening and evaluation among patients accessing VHA services and identified as being newly homeless. Health Services Research 2024, 59: e14301. PMID: 38590010, PMCID: PMC11366967, DOI: 10.1111/1475-6773.14301.Peer-Reviewed Original ResearchComprehensive suicide risk evaluationsSuicide risk screeningRisk screeningPositive screenUniversal suicide risk screeningHomeless patientsHealth record dataMental health servicesEvidence-based interventionsSuicide risk identificationPrimary carePatient health record dataVHA servicesHealth servicesUrgent careHomeless veteransSuicide risk evaluationRecord dataCalendar yearSuicide riskPercentage of patientsCareVHASuicideScreeningGrowing Concern About Unsheltered Homelessness Among Veterans: Clinical Characteristics and Engagement in Health Care Services
Kinney R, Szymkowiak D, Tsai J. Growing Concern About Unsheltered Homelessness Among Veterans: Clinical Characteristics and Engagement in Health Care Services. Public Health Reports 2024, 139: 582-590. PMID: 38323557, PMCID: PMC11344986, DOI: 10.1177/00333549241227155.Peer-Reviewed Original ResearchUnsheltered homelessnessHomeless ProgramHomeless veteransVA homeless programsMilitary sexual traumaVeterans AffairsPublic health approachVeteran homelessnessCollege educationHousing instabilityVA service-connected disabilityHomeless populationHealth care servicesSheltered statusUS Department of Veterans AffairsHomelessnessDepartment of Veterans AffairsHierarchical multivariable logistic regressionService-connected disabilityCorporate Data WarehouseSexual traumaCare servicesRepeated-measures analysisMultivariate logistic regressionHealth approachWhat We Know About Homeless Veterans With Other-than-honorable and Punitive Discharges: Data From the Grant and Per Diem (GPD) Program
Jutkowitz E, McCreedy E, Halladay C, Tsai J. What We Know About Homeless Veterans With Other-than-honorable and Punitive Discharges: Data From the Grant and Per Diem (GPD) Program. Military Medicine 2024, 189: e1443-e1449. PMID: 38252587, DOI: 10.1093/milmed/usad485.Peer-Reviewed Original ResearchPunitive dischargesProgram exitHomeless veteransPer diemCase management servicesSubstance abuse treatmentSubstance use treatmentHousing statusCommunity agenciesPunitivenessHomelessnessAbuse treatmentEmployment statusCommunity providersPolicy considerationsMilitary dischargeMental health careNegative healthVA servicesDischarged veteransVA programsOutcome measuresVA Corporate Data WarehouseMental healthDischarge status
2023
Chronically 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 attainmentUnmet 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 ResearchConceptsTransitional housingHomeless female veteransEthnic differencesEthnic categoriesLocal educationEthnic minoritiesBasic needsEmergency sheltersHomeless populationHomeless veteransProgrammatic attentionDiverse needsEthnic minority veteransWhite counterpartsMinority veteransHousingRaceRace/ethnicitySpecialized servicesGenderEthnicityUnmet needGroup surveyInsufficient researchNeed
2022
“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 careSuccessPreventing 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 increaseAdministrationCareService use and barriers to care among homeless veterans: Results from the National Veteran Homeless and Other Poverty Experiences (NV‐HOPE) study
Tsai J, Kelton K. Service use and barriers to care among homeless veterans: Results from the National Veteran Homeless and Other Poverty Experiences (NV‐HOPE) study. Journal Of Community Psychology 2022, 51: 507-515. PMID: 35748189, DOI: 10.1002/jcop.22912.Peer-Reviewed Original ResearchConceptsHomeless servicesExperience of homelessnessBetter public informationHomeless veteransRepresentative surveyEthnic groupsRace/ethnic groupsHomelessnessTransportation barriersService uptakeHealthcare servicesPublic informationService useServicesVeterans Affairs (VA) healthcareCommon barriersU.S. DepartmentBarriersHomelessShameStigma
2021
Twenty-year trends in use of electroconvulsive therapy among homeless and domiciled veterans with mental illness
Tsai J, Szymkowiak D, Wilkinson ST, Holtzheimer PE. Twenty-year trends in use of electroconvulsive therapy among homeless and domiciled veterans with mental illness. CNS Spectrums 2021, 28: 183-189. PMID: 34895380, DOI: 10.1017/s1092852921001061.Peer-Reviewed Original ResearchElectroconvulsive therapyMental illnessECT utilizationECT useSessions of ECTVeterans Affairs Healthcare SystemHealthcare systemTwenty-year trendsMedical recordsHigher overall rateVA facilitiesSocioeconomic disparitiesIllnessComprehensive healthcare systemHomeless veteransVeteransOverall rateNational dataTherapyRegional differencesLocal factorsYear 2000Prevalence 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 insecurityAdmissionADRDEffects 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 dataTop 10 presenting diagnoses of homeless veterans seeking care at emergency departments
Tsai J, Szymkowiak D, Kertesz SG. Top 10 presenting diagnoses of homeless veterans seeking care at emergency departments. The American Journal Of Emergency Medicine 2021, 45: 17-22. PMID: 33647757, DOI: 10.1016/j.ajem.2021.02.038.Peer-Reviewed Original ResearchConceptsNon-homeless veteransEmergency departmentAlcohol-related disordersED useRace/ethnicityDiagnostic categoriesDepressive disorderHomeless veteransNational VA administrative dataSuicidal behaviorCommon diagnostic categoriesLow back painVA administrative dataED service useVA homeless programsED visitsMusculoskeletal painPain conditionsRespiratory infectionsBack painED careDiagnostic codesObservational studyHispanic veteransService use
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 forcesRisk Factors, Service Delivery, and Prevention of Veteran Homelessness
Tsai J, Rosenheck R. Risk Factors, Service Delivery, and Prevention of Veteran Homelessness. 2018, 183-195. DOI: 10.1007/978-1-4939-7438-2_13.Peer-Reviewed Original ResearchVeteran homelessnessRapid Rehousing ProgramTransitional housingCriminal historyHomelessnessService deliveryRisk factorsCommunity-based programsEducation benefitsNational effortsPublic concernCase studyHousingSocial supportHomeless ProgramResearch literatureLow incomeSpecial accessSubstance abuse problemsStrong risk factorPotential risk factorsResidential programsVeterans Affairs (VA) healthcareFuture researchHomeless veterans
2017
Characteristics of urban male homeless veterans and non-veterans in Omaha, Nebraska
Ramaswamy S, Driscoll D, Tsai J, Rose J, Smith L, Rosenheck R. Characteristics of urban male homeless veterans and non-veterans in Omaha, Nebraska. Journal Of Social Distress And The Homeless 2017, 26: 51-57. DOI: 10.1080/10530789.2017.1304185.Peer-Reviewed Original ResearchHomeless veteransMajor depressionMale homeless veteransProportion of veteransClinical characteristicsNon-adult childrenHigh prevalenceMultivariable modelPsychosocial factorsMedical problemsVeteransResearch staffStructured interviewsHomeless menDepressionCurrent studyHigher numberPrevious studiesPrevalenceSociodemographicsStudy
2016
Psychosis, Lack of Job Skills, and Criminal History: Associations With Employment in Two Samples of Homeless Men
Tsai J, Rosenheck RA. Psychosis, Lack of Job Skills, and Criminal History: Associations With Employment in Two Samples of Homeless Men. Psychiatric Services 2016, 67: 671-675. PMID: 26766756, DOI: 10.1176/appi.ps.201500145.Peer-Reviewed Original ResearchConceptsPublic support incomeHomeless menJob attainmentUrban Development-Veterans Affairs Supportive Housing (HUD-VASH) programSupportive housing programCriminal justice involvementHousing programsEnd Chronic HomelessnessChronic homelessnessCriminal recordsUnskilled manual workersJustice involvementCriminal historyJob skillsCollaborative initiativesIncarceration historyEmploymentManual workersWhite participantsHomeless veteransIncomeEarningsAttainmentHomeless male veteransHomelessness
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 homelessness