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
Hahn EE, Haupt EC, Chawla N, Osuji TA, Shen E, Smitherman AB, Casperson M, Kirchhoff AC, Zebrack BJ, Laurent CA, Keegan THM, Abrahão R, Ruddy KJ, Chubak J, Nichols HB, Wernli KJ Transitions Within and Use of Outpatient Primary and Oncology Care in Survivors of Adolescent and Young Adult-Onset Cancers 2026 May;22(5):780-792 doi:10.1200/OP-24-00886. doi: 10.1200/OP-24-00886. Epub 2025-06-20. PubMed
Ryan TC, Angerhofer JE, Stewart C, Rossom RC, Harry ML, Ahmedani BK, Lynch FL, Beck A, Owen-Smith A, Daida YG, Coleman KJ, Penfold RB Impact of the Transition from ICD9-CM to ICD10-CM on Measuring Rates of Child and Adolescent Self-harm in Nine Health Systems 2026 Apr 17 doi: 10.1016/j.acap.2026.103327. Epub 2026-04-17. PubMed
Williams JTB, Cruz H, Stein A, Breslin K, Brtnikova M, Crane B, Irving SA, Glenn S, Kenigsberg T, Lewin B, Tartof S, Sundaram ME, Fuller S, Schmidt T, O'Leary S, Canedo D, Glanz JM, DeSilva M, Fuller CC, Zerbo O, Hambidge SJ Hepatitis B Vaccine Series Completion by 18 Months in Infants Without a Birth Dose 2026 Apr;9(4):e269962. doi: 10.1001/jamanetworkopen.2026.9962. Epub 2026-04-01. PubMed
Hoopes AJ, Matson A, Cramer ER, Meza RD, Klasnja P, Dorsey S, Weiner BJ, Lyon AR, Palazzo L, Martinez RG From Creative Engagement to Illustrative Insights: Exploring the Role of Design Probes for Implementation Research 2026 Jan;7:26334895261467984. doi: 10.1177/26334895261467984. Epub 2026-08-12. PubMed
Munro S, Ennis M, Jacob K, Olure B, Khan Z, Seiyad H, Arhinson A, Abramson R, Paller V, Carson A, Hoopes AJ, Norman WV, Di Meglio G Trust, autonomy, and informed consent: a qualitative investigation of youth experiences accessing contraception in Canada 2025 Dec;33(1):2678063 doi:10.1080/26410397.2026.2678063. doi: 10.1080/26410397.2026.2678063. Epub 2026-06-01. PubMed
Researchers in Child & Adolescent Health
 Sascha Dublin, MD, PhDSenior Investigator |
 Annie Hoopes, MD, MPHAssistant Investigator |
 Lisa A. Jackson, MD, MPHSenior Investigator |
 Paula Lozano, MD, MPHSenior Investigator; Director, ACT Center |
 Rita Mangione-Smith, MD, MPHExecutive Director and Senior Investigator, KPWHRI; Vice President for Research and Health Care Innovation, Kaiser Permanente Washington |
 Rosemary Meza, PhD, MSAssistant Investigator |
 Robert Penfold, PhDSenior 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
Study links medical imaging to cancer risk in children
New research finds that 10% of pediatric blood and bone marrow cancers may have stemmed from radiation exposure.
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.
KPWHRI in the media
Safely prescribing antipsychotic medications to youth
Safer use of antipsychotics in youth
Mind the Kids podcast, April 28, 2025
