Child & Adolescent Health
“Kids have so much potential. How can we optimize their health?”
Rita Mangione-Smith, MD, MPH
Vice President for Research and Health Care Innovation
Executive Director of Kaiser Permanente Washington Health Research Institute
Kaiser Permanente Washington Health Research Institute Senior Investigator
Research overview
Babies, children, and teens have specific health needs. Research and evaluation at Kaiser Permanente Washington Health Research Institute (KPWHRI) covers family health from pregnancy through childhood and early adulthood.
KPWHRI research and evaluation topics in child and adolescent health include:
- drug safety during pregnancy
- pediatric care quality in health systems
- quality of care for respiratory illnesses
- care and transitions for hospitalized children
- implementation of screening for adverse childhood experiences
- quality of youth mental health care
- programs to support trauma and resilience-informed care for youth
- impact of social determinants of health
- disease prevention through vaccines
“We’re working with families, helping them make healthy eating, exercise, and preventive care part of their busy daily lives,” says Paula Lozano, MD, MPH, Washington Permanente Medical Group associate medical director for research and translation, KPWHRI senior investigator, and Washington Permanente Medical Group pediatrician.
Recent publications on Child & Adolescent Health
Penfold RB, Hilt RJ, Schwartz N, Thompson EE, Robb AS, Correll CU, Newton D, Rogalski K, Earls MF, Kowatch RA, Beck A, Yarborough BJ, Crystal S, Kelleher KJ. Development of a symptom-focused model to guide the prescribing of antipsychotics in children and adolescents: results of the first phase of the Safer and Targeted Use of Antipsychotics (SUAY) clinical trial. J Am Acad Child Adolesc Psychiatry. 2022 Jan;61(1):93-102. doi: 10.1016/j.jaac.2021.04.010. Epub 2021 May 4. PubMed
Foster CC, Fuentes MM, Wadlington LA, Jacob-Files E, Desai AD, Simon TD, Mangione-Smith R. Caregiver and provider experiences of physical, occupational, and speech therapy for children with medical complexity. J Pediatr Rehabil Med. 2021 Apr 29. doi: 10.3233/PRM-190647. [Epub ahead of print]. PubMed
Southam-Gerow MA, Chapman JE, Martinez RG, McLeod BD, Hogue A Weisz JR, Kendall PC. Are therapist adherence and competence related to clinical outcomes in cognitive-behavioral treatment for youth anxiety? J Consult Clin Psychol. 89(3), 188-199. https://doi.org/10.1037/ccp0000538. PubMed
Lion KC, Gritton J, Scannell J, Brown JC, Ebel BE, Klein EJ, Mangione-Smith R. Patterns and predictors of professional interpreter use in the pediatric emergency department. Pediatrics. 2021 Feb;147(2):e20193312. doi: 10.1542/peds.2019-3312. PubMed
Bowles EJA, Miglioretti DL, Kwan ML, Bartels U, Furst A, Cheng SY, Lau C, Greenlee RT, Weinmann S, Marlow EC, Rahm AK, Stout NK, Bolch WE, Theis MK, Smith-Bindman R, Pole JD. Long-term medical imaging use in children with central nervous system tumors. PLoS One. 2021 Apr 21;16(4):e0248643. doi: 10.1371/journal.pone.0248643. eCollection 2021. PubMed
Researchers in Child & Adolescent Health
 Paula Lozano, MD, MPHSenior Investigator; Director, ACT Center |
 Lisa A. Jackson, MD, MPHSenior Investigator |
 Sascha Dublin, MD, PhDSenior Investigator |
 Rita Mangione-Smith, MD, MPHExecutive Director and Senior Investigator, KPWHRI; Vice President for Research and Health Care Innovation, Kaiser Permanente Washington |
 Robert Penfold, PhDSenior Investigator |
 Rosemary Meza, PhD, MSCollaborative Scientist |
 Annie Hoopes, MD, MPHActing Assistant Investigator |
adjunct and Affiliate researchers
John Dunn, MD, MPH
Pediatrician
Washington Permanente Medical Group
Medical Director of Preventive Care
Kaiser Permanente Washington
Gina Sucato, MD, MPH
Director of Adolescent Health Services
Washington Permanente Medical Group
Doug Opel, MD, MPH
Assistant Professor, Department of Pediatrics
University of Washington
Laura P. Richardson, MD, MPH
Adolescent Medicine
Seattle Children's Hospital
Professor, Department of Pediatrics
University of Washington
Research
Some adolescents are more likely to use patient portal than others
A new study aims to understand trends in digital care communication among teens.
Research
How did the pandemic impact hospital visits with animals?
Top pediatric oncology hospitals reported lasting changes to programs involving visits with animals.
New findings
Patient-centered perspectives on teen mental health
Annie Hoopes, MD, MPH, shares insights from an ACT Center study on integrating adolescent mental health in primary care.
Pediatric research
Improving child health and care with quality measures
KPWHRI Executive Director Rita Mangione-Smith, MD, MPH, talks about her research to advance pediatric care
IMPACT Center
Improving mental health care for youth
A new center will support using evidence-based practices in under-resourced settings such as schools.
Behind the scenes
Meeting participants' needs: Our research interventionists
Deborah King and Jessie Waiamau-Ariota describe their pivotal role in research on youth mental health — and more.
news
Screening for adverse childhood experiences
KPWHRI’s Center for Community Health and Evaluation offers 5 recommendations to improve ACEs screens.
KPWHRI In the Media
When does your child need antibiotics?
How do I know if my kid needs antibiotics?
New York Times, Apr 17, 2020
Land Acknowledgment
Our Seattle offices sit on the occupied land of the Duwamish and by the shared waters of the Coast Salish people, who have been here thousands of years and remain. Learn about practicing land acknowledgment.