Canadian Observatory on Homelessness
The Canadian Observatory on Homelessness is the largest national research institute devoted to homelessness in Canada. The COH is the curator of the Homeless Hub.
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The Canadian Observatory on Homelessness is the largest national research institute devoted to homelessness in Canada. The COH is the curator of the Homeless Hub.
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Author(s): Jack Tsai, Natalie Jones, Dorota Szymkowiak, Robert A. Rosenheck
Publication Date: 2020
Millions of people are evicted from rental properties in the U.S. annually, but little is known about them and their mental health. This study followed a cohort of eviction court participants over time and assessed their housing and mental health outcomes. One hundred and twenty-one tenants were recruited from an eviction court in New Haven, Connecticut, and their housing, mental health, and psychosocial status were assessed at baseline, 1, 3, 6,...
Author(s): Maria J. O'Connell, Wesley J. Kasprow, Robert A. Rosenheck
Publication Date: 2016
Objective:
This study examined social network structure and function among a sample of 460 homeless veterans who participated in an experimental trial of the Housing and Urban Development– Veterans Affairs Supported Housing (HUD-VASH) program.
Methods:
Participants were randomly assigned to HUD-VASH (housing subsidies and case management), case management only, or standard care. Mixed-model longitudinal analysis was used to compare treatment grou...
Author(s): Jack Tsai, Bruce Link, Robert A. Rosenheck, Robert H. Pietrzak
Publication Date: 2016
Purpose: To examine the prevalence of lifetime homelessness among veterans and use of Veterans Affairs (VA) homeless services, as well as their association with sociodemographic and clinical characteristics.
Methods: A nationally representative sample of 1533 US veterans was surveyed July–August 2015.
Results: Among all veterans, 8.5 % reported any lifetime homelessness in their adult life, but only 17.2 % of those reported using VA homeless serv...
Author(s): Jack Tsai, Robert A. Rosenheck
Publication Date: 2015
Homelessness among US veterans has been a focus of research for over 3 decades. Following Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) guidelines, this is the first systematic review to summarize research on risk factors for homelessness among US veterans and to evaluate the evidence for these risk factors. Thirty-one studies published from 1987 to 2014 were divided into 3 categories: more rigorous studies, less rig...
Author(s): Robert A. Rosenheck, Julie Lam, Joseph P. Morrissey, Michael O. Calloway, Marilyn Stolar, et al
Publication Date: 2002
Evaluated the second of the 2 core questions around which the ACCESS (Access to Community Care and Effective Services and Supports) evaluation was designed: Does better integration of service systems improve the treatment outcomes of homeless persons with severe mental illness? The ACCESS program provided technical support and about $250,000 a year for 4 yrs to 9 sites to implement strategies to promote systems integration. These sites, along wit...
Author(s): Suzanne E. Decker, Robert A. Rosenheck, Jack Tsai, Rani Hoff, Ilan Harpaz-Rotem
Publication Date: 2013
Background
Both homeless women and women who have experienced military sexual assault (MSA) are at high risk of serious psychological sequelae. However, little is known about the combined impact of MSA and current homelessness on psychological distress, or about distinctive treatment preferences among homeless female veterans affected by MSA.
Methods
This observational study compared clinical symptoms, pre-military experiences, and treatment pref...
Author(s): Kelly M. Doran, Maria C. Raven, Robert A. Rosenheck
Publication Date: 2013
There is widespread concern about patients with frequent emergency department (ED) use. We identify sociodemographic and clinical factors most strongly associated with frequent ED use within the Veterans Health Administration (VHA) nationally (Authors).
Author(s): Jack Tsai, Robert A. Rosenheck
Publication Date: 2013
Despite national concern about homeless veterans, there has been little examination of their use of emergency department (ED) services. This study examines factors related to the use of ED services in the Veterans Affairs (VA) healthcare system, where insurance is not a barrier to ambulatory healthcare. National VA administrative data from fiscal year 2010 are used to describe the proportions of ED users among homeless and domiciled VA patients....
Author(s): Jack Tsai, Robert A. Rosenheck, Wesley J. Kasprow, James F. McGuire
Publication Date: 2013
The Veterans Health Administration (VHA) has been increasing efforts to reach out to assist incarcerated veterans. While previous studies have shown strong associations between incarceration and homelessness, few studies have examined distinctive characteristics of incarcerated homeless and non-homeless veterans. National administrative data on 30,348 incarcerated veterans served by the Health Care for Re-entry Veterans (HCRV) program were analyz...
Author(s): Jack Tsai, Wesley J. Kasprow, Robert A. Rosenheck
Publication Date: 2013
This study examines the prevalence of alcohol and drug disorders among homeless veterans entering the Housing and Urban Development-Veterans Affairs Supported Housing (HUD-VASH) program and its association with both housing and clinical outcomes. A total of 29,143 homeless veterans were categorized as either having: no substance use disorder, only an alcohol use disorder, only a drug use disorder, or both alcohol and drug use disorders. Veterans...
Author(s): Jack Tsai, Robert A. Rosenheck, Suzanne E. Decker, Rani A. Desai, Ilan Harpaz-Rotem
Publication Date: 2012
This study examined lifetime exposure to traumatic events as reported by 581 homeless female veterans enrolled in a Homeless Women Veterans Program across 11 sites to characterize the types of trauma they experienced; their correlation with baseline characteristics; and their association with housing, clinical outcomes, and psychosocial functioning over a 1-year treatment period. Almost all participants endorsed multiple types and episodes of tra...
Author(s): Maria J. O'Connell, Wesley J. Kasprow, Robert A. Rosenheck
Publication Date: 2012
<b>Objective</b>: Studies have demonstrated that supported housing is an effective intervention for individuals who are homeless and have a mental illness or substance use disorder. This study examined data from an experimental trial of the U.S. Department of Housing and Urban Development–Veterans Affairs Supported Housing (HUD-VASH) program to identify differences in the program’s impact on subgroups defined by socio...
Author(s): Jack. Tsai, Alvin S. Mares, Robert A. Rosenheck
Publication Date: 2012
Objective: Supported housing programs have been successful in helping homeless adults obtain housing. This study examined whether improvements in social integration occur after clients obtain supported housing. Methods: Measures of social integration were examined for 550 chronically homeless adults with mental illness who participated in the 11-site Collaborative Initiative to Help End Chronic Homelessness. Social integration was conceptua...
Author(s): Jack Tsai, Robert A. Rosenheck
Publication Date: 2012
The multiple dimensions of social integration among formerly homeless adults with severe mental illness have not been well-studied. Previous studies have focused on clinical measures or narrow components of social integration. We used a multisite study of chronically homeless adults who were provided housing to (a) identify the main factors related to social integration, (b) examine the association between clinical symptoms and social integration...
Author(s): Rebecca J. Gordon, Robert A. Rosenheck, Richard A. Zweig, Ilan. Harpaz Rotem
Publication Date: 2012
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Author(s): Jack Tsai, Robert A. Rosenheck
Publication Date: 2012
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Author(s): Jack Tsai, Robert A. Rosenheck
Publication Date: 2011
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Author(s): Jack Tsai, Robert A. Rosenheck, Wesley J. Kasprow, James F. McGuire
Publication Date: 2012
This study examined whether homeless clients enrolled in transitional housing programs that required sobriety (SR) as an admission criterion have outcomes comparable to clients enrolled in programs that did not require sobriety (NSR) as an admission criterion. (Authors)
Author(s): Jack. Tsai, Robert A. Rosenheck, Wesley J. Kasprow, James F. McGuire
Publication Date: 2011
Data on 1,271 clients in three residential care services funded by the Department of Veterans Affairs was used to examine: (1) how religious-oriented programs differ in their social environment from secular programs, (2) how religious-oriented programs affect the religiosity of clients, and (3) how client religiosity is associated with outcomes. Programs were categorized as: secular, secular now but religious in the past, and currently religiousl...
Author(s): John A. Schinka, Roger J. Casey, Wesley. Kasprow, Robert A. Rosenheck
Publication Date: 2011
Objective: An important distinction in models of housing for the homeless is whether programs that require abstinence prior to program admission produce better outcomes than unrestricted programs. Data from a large transitional housing program were used to compare client characteristics of and outcomes from programs requiring abstinence at admission and programs not requiring abstinence. Methods: The U.S. Department of Veterans Affairs...