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Articles by Jack Tsai
Toward a conceptual framework of economic security for health research: a scoping review
Abstract Background: Personal economic security, including stable income, employment, affordable housing, and protection against economic shocks, is fundamental to health. However, multiple and varied frameworks exist for defining or measuring economic security in health research and practice. Methods: We conducted a scoping review of the economic (in)security literature published 2015–2025.
Evaluation of a Collaborative Model Between Managed Care and Affordable Housing on Acute Care Costs
Faculty, Staff and Student Publications Publication Date 3-1-2024 Journal The American Journal of Managed Care DOI 10.37765/ajmc.2024.89514 Abstract Objectives: This study evaluated a collaborative service model between the largest Medicaid managed care organization (MCO) in Texas, Superior HealthPlan, and the affordable housing provider Prospera Housing Community Services.
Dental-Legal Partnerships: Extending the Medical-Legal Partnership Model to Dentistry
1 Introduction Oral health is a fundamental component of overall health [1-3] and is shaped not only by clinical care but also by social determinants of health (i.e., the conditions in which individuals live, work, and play) [4-6]. A growing body of research indicates that hardships such as food insecurity [6-8], housing instability [6, 9], lack of insurance coverage [10], and employment instability [11, 12] influence oral health and access to dental care.
Incarceration History, Dental Care Utilization, and Oral Health Difficulties Among U.S. Military Veterans
, , and , “Incarceration History, Dental Care Utilization, and Oral Health Difficulties Among U.S. Military Veterans,” Journal of Public Health Dentistry (2026): 1–8, https://doi.org/10.1111/jphd.70062. Disclosure The views presented are of the authors, alone, and do not represent the views of the US Department of Veterans Affairs, or any other federal agency. Conflicts of Interest The authors declare no conflicts of interest.
Addressing Issues with Housing for Those Who Have Served in Our Military
Topics Availability: Non-RAND Year: 2026 Pages: 3 Document Number: EP-71362 This publication is part of the RAND external publication series. Many RAND studies are published in peer-reviewed scholarly journals, as chapters in commercial books, or as documents published by other organizations. RAND is a nonprofit institution that helps improve policy and decisionmaking through research and analysis. RAND's publications do not necessarily reflect the opinions of its research clients and sponsors.
Links Between Toxic Exposures and Mental Health Conditions Among US Military
In accordance with the Sergeant First Class Heath Robinson Honoring our Promise to Address Comprehensive Toxics Act of 2022 (PACT Act),1 a committee of the National Academies of Sciences, Engineering, and Medicine (the National Academies) conducted a study of veterans to assess associations between environmental and occupational hazards (EOHs) experienced during military service and certain health outcomes.2 As members of the National Academies committee, we summarize the main conclusions in...
Changes in All-Cause, Overdose, and Suicide Mortality Risk in the First 2 Years of Supported Housing, United States, 2017–2021
Objectives. To examine whether there are reduced or elevated risks for all-cause, overdose, and suicide mortality after moving into supported housing. Methods. A national retrospective cohort study compared a census of 60 888 veterans experiencing homelessness in the US Housing and Urban Development–Veterans Affairs Supportive Housing (HUD–VASH) program with a 1:1 propensity-score matched group of veterans experiencing homelessness from 2017 to 2021. Results.
Changes in All-Cause, Overdose, and Suicide Mortality Risk in the First 2 Years of Supported Housing, United States, 2017–2021
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SynthEHR-eviction: enhancing eviction SDoH detection with LLM-augmented synthetic EHR data - npj Digital Medicine
Abstract Eviction is a significant yet understudied social determinants of health (SDoH), linked to housing instability, unemployment, and mental health. While eviction appears in unstructured electronic health records (EHRs), it is rarely coded in structured fields, limiting downstream applications.
Changes in All-Cause, Overdose, and Suicide Mortality Risk in the First 2 Years of Supported Housing, United States, 2017–2021 | AJPH | Vol. Issue
Objectives. To examine whether there are reduced or elevated risks for all-cause, overdose, and suicide mortality after moving into supported housing. Methods. A national retrospective cohort study compared a census of 60 888 veterans experiencing homelessness in the US Housing and Urban Development–Veterans Affairs Supportive Housing (HUD–VASH) program with a 1:1 propensity-score matched group of veterans experiencing homelessness from 2017 to 2021. Results.
Military Exposures and Mental, Behavioral, and Neurologic Health Outcomes Among Post-9/11 Veterans
RAND Epstein Family Veterans Policy Research Institute 4:00 – 5:00 p.m. ET Online Details on attending the event will be sent to registered attendees. Join the RAND Epstein Family Veterans Policy Research Institute for a discussion of the recent National Academies of Sciences, Engineering, and Medicine report, Exploring Military Exposures and Mental, Behavioral, and Neurologic Health Outcomes Among Post-9/11 Veterans.
Perceptions of the Impact and Utility of Battlefield Acupuncture Among Veterans Experiencing Homelessness: A Qualitative Pilot Study
Introduction Battlefield Acupuncture (BFA) is a type of acupuncture that was developed by an Air Force Surgeon and Acupuncturist, Richard Niemtzow1 in 2001 to provide a protocol to treat pain in soldiers on the front lines of battle. BFA is a protocol of auricular acupuncture with 5 specific sites of treatment located in the ear.
Correction: Developing an operational definition of housing instability and homelessness in Veterans Health Administration’s medical records
Loading metrics Introduction In Table 2, Row 2, Column 2, the outpatient stop codes 507, 522, and 530 were mistakenly included. Additionally, in Row 2, Column 3, the authors have added text referencing the Homeless Veterans Community Employment Services (HVCES) program, which is already represented by the stop codes. Please see the correct Table 2 here. Reference 1. Tsai J, Szymkowiak D, Jutkowitz E.
Mixed-Methods Study of Use and Attitudes About Psychedelics for Therapeutic Purposes Among Low-Income U.S. Veterans Nationally
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Usual prevention in unusual settings: A scoping review of place-based health interventions in public-facing businesses
Discussion This unique review of place-based health interventions in public business settings found that a number of studies have been conducted on the topic in the past two decades. We reviewed 42 studies of place-based health interventions offered for various chronic health conditions and certain select business settings. The majority of the interventions offered were health education and preventative health screenings.
The Origin, Public Health Significance, and Meaning of Veterans Day
Veterans Day is a day to recognize and honor those who served in the Armed Forces. Retired Sergeant First Class Allen Barton spends each Veterans Day thinking about his time in service and remembering those he served with. Allen was enlisted in the U.S. Army on active duty and in the Army Reserve for 23 years. Recalling a time when he was first stationed at the Demilitarized Zone (DMZ) in South Korea, Allen felt unprepared in his new role.
Drug overdose deaths among homeless veterans in the United States Department of Veterans Affairs healthcare system
Corresponding Author Jack Tsai VA National Center on Homelessness Among Veterans, US Department of Veterans Affairs, Washington, DC, USA Department of Management, Policy and Community Health, School of Public Health, University of Texas Health Science Center at Houston, Houston, TX, USA Department of Psychiatry, Yale School of Medicine, New Haven, CT, USA Correspondence Jack Tsai, Department of Management, Policy and Community Health, School of Public Health, University of Texas Health...
Multimorbidity of mental health and substance use disorders among housed and homeless U.S. veterans - Scientific Reports
Abstract Housing can be an important social determinant of mental health, which is why it is important to understand how mental health disorders (MHDs) and substance use disorders (SUDs) cluster and vary by housing instability. This study examined rates of comorbid MHDs and SUDs among three groups of U.S. veterans: those experiencing homelessness, those in supported housing, and those independently housed.
Return Length of Arguments Passed
By Jack Tsai 30 Days of JavaScript - Function Transformations Example 1 Input: args = [5] Output: 1 Explanation: argumentsLength(5); // 1 One value was passed to the function so it should return 1.
Easy - Is Object Empty
30 Days of JavaScript - JSON Example 1 Input: obj = {"x": 5, "y": 42} Output: false Explanation: The object has 2 key-value pairs so it is not empty. Example 2 Input: obj = {} Output: true Explanation: The object doesn't have any key-value pairs so it is empty. Example 3 Input: obj = [null, false, 0] Output: false Explanation: The array has 3 elements so it is not empty.
Four seasons, five regions, and other reasons for localizing laws on homelessness
The United States Supreme Court is scheduled to hear the case of Grants Pass v. Johnson to decide whether the country should make it illegal to sleep on public property. This commentary makes a case for why it may be sensible for local jurisdictions to adjudicate their own laws and policies about unsheltered homelessness. Homelessness in the United States is a major public health problem that is heterogeneous and may be best addressed locally (by state, city, or county).
Theorizing Pathways Between Eviction Filings and Increased Mortality Risk
Theorizing Pathways Between Eviction Filings and Increased Mortality Risk Evictions have become recognized as important social determinants of individual and community health, largely due to the revelatory work of Desmond in the past decade.1 During the COVID-19 pandemic, evictions became a major public health topic as the Centers for Disease Control and Prevention (CDC) issued a federal moratorium on evictions that lasted from September 4, 2020, through August 26, 2021.
Systematic Review of Financial Interventions for Adults Experiencing Behavioral Health Conditions
Access content To read the fulltext, please use one of the options below to sign in or purchase access. Personal login Institutional Login Sign in via OpenAthens Register for access Purchase Save for later Item saved, go to cart Not a subscriber? Subscribe Now / Learn More PsychiatryOnline subscription options offer access to the DSM-5 library, books, journals, CME, and patient resources.
Predicting homelessness among transitioning U.S. Army soldiers
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Underdiagnosis of Postpartum Disorders Across Ethnic Groups
In this issue, Hall and colleagues (1) found that the rate of diagnosis of postpartum mood and anxiety disorders (PMADs) was generally low; only 19.8% of respondents with a positive two-item Patient Health Questionnaire (PHQ-2) score received a diagnosis within 3 months of delivery. More important, Black respondents were less likely than White respondents to receive a PMAD diagnosis.
Heterogeneity of COVID-19 symptoms and associated factors: Longitudinal analysis of laboratory-confirmed COVID-19 cases in San Antonio
Loading metrics Open Access Peer-reviewed Research Article Citation: Choi BY, Grace AR, Tsai J (2023) Heterogeneity of COVID-19 symptoms and associated factors: Longitudinal analysis of laboratory-confirmed COVID-19 cases in San Antonio. PLoS ONE 18(12): e0295418.
Risk of dementia among veterans experiencing homelessness and housing instability
CONFLICT OF INTEREST STATEMENT None declared. Supporting Information Filename Description jgs18680-sup-0001-supinfo.pdfPDF document, 157.1 KB Supplementary Table S1a. Alzheimer's disease and related dementias (ADRD) ICD-9 and ICD-10 codes. Supplementary Table S1b. Homelessness and housing instability ICD-10 codes. Supplementary Table S2. Characteristics of pre-matched cohort for veterans with and without housing instability in 2010. REFERENCES 1 The U.S. Department of Housing and Urban Development.
Estimating the Lifetime Prevalence of Incarceration in the U.S. Veteran Population
This brief report estimates the lifetime prevalence of incarceration among U.S. military veterans using data from three nationally representative U.S. samples: the National Health and Resilience in Veterans Study (NHRVS; n = 4069), the National Epidemiologic Survey on Alcohol and Related Conditions-III (NESARC-III; n = 3119 veterans, and the National Veteran Homeless and Other Poverty Experiences (NV-HOPE; n = 1004).
Rates and predictors of returns to homelessness among veterans, 2018-2022
The progress made by the U.S. Department of Veterans Affairs (VA) towards ending veteran homelessness requires attention be paid to preventing returns to homelessness. Using national VA data on 293,820 exits from a VA homeless program to a permanent housing destination between January 2018 thru December 2022, rates and predictors of returns to homelessness among veterans were examined. Analyses were conducted June-August 2023.
Benzodiazepine Prescriptions for Homeless Veterans Affairs Service Users With Mental Illness
Access content To read the fulltext, please use one of the options below to sign in or purchase access. Personal login Institutional Login Sign in via OpenAthens Register for access Purchase Save for later Item saved, go to cart Not a subscriber? Subscribe Now / Learn More PsychiatryOnline subscription options offer access to the DSM-5 library, books, journals, CME, and patient resources.
[2212.02762] Automated Identification of Eviction Status from Electronic Health Record Notes
arXiv:2212.02762 (cs) [Submitted on 6 Dec 2022 (v1), last revised 20 May 2023 (this version, v3)] Download a PDF of the paper titled Automated Identification of Eviction Status from Electronic Health Record Notes, by Zonghai Yao and Jack Tsai and Weisong Liu and David A.
Factors related to COVID-19 vaccine hesitancy among middle-income and low-income adults in the USA
Descriptive analysis Table 1 shows raw frequency counts and weighted percentages of respondent’s vaccine intentions and the distribution of people who endorsed specific reservations to the COVID-19 vaccine. Vaccine acceptance was high comprising nearly 76% of the sample, including 9.1% reporting having received the vaccine and 66.9% who were planning to vaccinate. Additionally, 38.8% had no concerns regarding COVID-19 vaccination regardless of intent to vaccinate.
Developing an operational definition of housing instability and homelessness in Veterans Health Administration’s medical records
PLOS ONE, Dec 2022 This is a preview of a remote PDF: https://journals.plos.org/plosone/article/file?id=10.1371/journal.pone.0279973&type=printable Jack Tsai, Dorota Szymkowiak, Eric Jutkowitz. , PLOS ONE, 2022, Volume 17, Issue 12, DOI: 10.1371/journal.pone.0279973
Actualizing and Sustaining Recovery-Oriented Care
J Clin Psychiatry 2023;84(2):22com14697 To cite: Tsai J. Actualizing and sustaining recovery-oriented care. J Clin Psychiatry. 2023;84(2):22com14697. To share: https://doi.org/10.4088/JCP.22com14697 © 2023 Physicians Postgraduate Press, Inc.
Developing an operational definition of housing instability and homelessness in Veterans Health Administration’s medical records
Loading metrics Open Access Peer-reviewed Research Article Abstract The main objective of this study was to examine how homelessness and housing instability is captured across data sources in the Veterans Health Administration (VHA). Data from 2021 were extracted from three data repositories, including the Corporate Data Warehouse (CDW), the Homeless Operations Management System (HOMES), and the Homeless Management Information System (HMIS).
The Annual Homeless Point-in-Time Count: Limitations and Two Different Solutions
Affiliation Jack Tsai PhD, Jemma Alarcón MD, MPH Jack Tsai is with the School of Public Health, University of Texas Health Science Center, Houston, and the US Department of Veterans Affairs National Center on Homelessness Among Veterans, Tampa, FL. Jemma Alarcón is with Ventura County Medical Center, Ventura, CA. Correspondence should be sent to Jack Tsai, PhD, 1200 Pressler St, Houston, TX 77030 (e-mail: ). Reprints can be ordered at http://www.ajph.org by clicking the “Reprints” link.
Mental health during the COVID-19 pandemic: Some worse, some better, and some the same
The COVID-19 pandemic has been a once-in-a-generation event that has had far-reaching impacts on the global economy, politics, population health, and the social well-being of communities around the world. Some might say the pandemic has brought out the best and worst in us. As we are over 2 years into the pandemic, a large body of studies has been generated in that time that has studied the effects of the COVID-19 pandemic on mental health and well-being.
Prospective association between receipt of the economic impact payment and mental health outcomes
Prospective association between receipt of the economic impact payment and mental health outcomes Free http://orcid.org/0000-0002-0329-648XJack Tsai1,2,3, Minda Huang4, Suja S Rajan1, Eric B Elbogen2,5 1 School of Public Health, The University of Texas Health Science Center at Houston, Houston, Texas, USA 2 National Center on Homelessness Among Veterans, U.S. Department of Veterans Affairs, Tampa, Florida, USA 3 Department of Psychiatry and Behavioral Sciences, Duke University School of...
Prospective association between receipt of the economic impact payment and mental health outcomes
Prospective association between receipt of the economic impact payment and mental health outcomes Free http://orcid.org/0000-0002-0329-648XJack Tsai1,2,3, Minda Huang4, Suja S Rajan1, Eric B Elbogen2,5 1School of Public Health, The University of Texas Health Science Center at Houston, Houston, Texas, USA 2National Center on Homelessness Among Veterans, U.S. Department of Veterans Affairs, Tampa, Florida, USA 3Department of Psychiatry and Behavioral Sciences, Duke University School of...
Association of Symptoms of Posttraumatic Stress Disorder With Posttraumatic Psychological Growth Among US Veterans During the COVID-19 Pandemic
Introduction Although extensive research has documented the negative psychiatric consequences of the COVID-19 pandemic,1,2 no study, to our knowledge, has examined whether the pandemic may be associated with positive psychological changes or posttraumatic growth (PTG).
A psychosocial mediational model of homelessness among U.S. male and female veterans who served in Iraq and Afghanistan
ORIGINAL ARTICLE Suzanne Spinola PhD orcid.org/0000-0002-2361-8802 U.S. Department of Veterans Affairs, New England Mental Illness Research, Education, and Clinical Center, West Haven, CT, USA Department of Psychiatry, Yale University School of Medicine, New Haven, CT, USA Search for more papers by this author Jack Tsai PhD Corresponding Author Jack.Tsai@yale.edu orcid.org/0000-0002-0329-648X Department of Psychiatry, Yale University School of Medicine, New Haven, CT, USA U.S. Department of...
Is the Housing First Model Effective? Different Evidence for Different Outcomes
Journal List Am J Public Health v.110(9); Sep 2020 PMC7427255 Author information Article notes Copyright and License information Disclaimer Copyright © American Public Health Association 2020 For more than two decades since the development of the Housing First model, there have been debates about the model’s effectiveness in serving individuals experiencing homelessness.
COVID-19: a potential public health problem for homeless populations
Severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) is infecting people throughout the world. It is probable that coronavirus disease (COVID-19) will be transmitted to people experiencing homelessness, which will become a major problem in particular in North America where there are sizable populations of people experiencing homelessness in nearly every metropolitan city in the USA and Canada.
Association between suicide attempts and homelessness in a population-based sample of US veterans and non-veterans
Association between suicide attempts and homelessness in a population-based sample of US veterans and non-veterans Jack Tsai1,2, Xing Cao3,4 1 U.S. Department of Veterans Affairs New England Mental Illness Research, Education, and Clinical Center, West Haven, Connecticut, USA 2 Department of Psychiatry, Yale University School of Medicine, West Haven, Connecticut, USA 3 CAS Key Laboratory of Mental Health, Institute of Psychology, Chinese Academy of Sciences, Beijing, China 4 Department of...
Association between suicide attempts and homelessness in a population-based sample of US veterans and non-veterans
Association between suicide attempts and homelessness in a population-based sample of US veterans and non-veterans Jack Tsai1,2, Xing Cao3,4 1U.S. Department of Veterans Affairs New England Mental Illness Research, Education, and Clinical Center, West Haven, Connecticut, USA 2Department of Psychiatry, Yale University School of Medicine, West Haven, Connecticut, USA 3CAS Key Laboratory of Mental Health, Institute of Psychology, Chinese Academy of Sciences, Beijing, China 4Department of...
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