Engagement patterns in pediatric integrated behavioral health: investigating service utilization and attrition among children with mental health and neurodevelopmental disorders

Project Type(s):

Principal Investigator(s):
  • Emily Warner, MD
Co-Investigator(s):

Children with comorbid mental health and neurodevelopmental disorders (NDDs) often require more intensive and coordinated care than those with mental health disorders alone. These two categories of disorders often present with comorbidity and engagement disparities in integrated behavioral health programs among this population remain poorly understood. This study examines differences in service utilization and attrition rates between these two populations using retrospective electronic health record (EHR) data from the SCCN study population (ages 6-18) across multiple primary care sites.

We will analyze visit frequency over a 6-12 month period to assess whether children with comorbid NDDs have higher service utilization. Additionally, early dropout rates will be examined using Kaplan-Meier survival analysis and Cox proportional hazards models to identify risk factors for attrition. Findings will provide critical insights into engagement patterns, informing strategies to enhance retention, reduce access disparities, and improve care coordination for children with complex behavioral needs. This study will contribute to investigating further integrated care model improvements in order to ensure more equitable and sustained mental health treatment for vulnerable pediatric populations.

Project Period:
July 1, 2025 — June 30, 2026

Accepting Trainees?

Unknown

Funding Type(s):
State/UW

Funder(s):
Clinician Scientist Training Program

Research Program(s):

Geographic Area(s):
Washington

Patient Population(s):
Children

Targeted Condition(s):
General Mental Well-Being