Keystone named one of Jacksonville’s top 50 fastest-growing companies

Jacksonville Business Journal recently named Keystone to its Fast 50 list of the 50 fastest-growing companies in northeast Florida. By expanding based on need and stabilizing as necessary to remain financially sound, Keystone has steadily grown since its founding in 2008 as a small pediatric mental health behavior clinic.

In focusing on an integrated whole-child approach to assessment and treatment, Keystone quickly began to recognize the need for a school for special needs students who cannot function in a public school setting and who would benefit from having ready access to their behavioral therapists during the school day. As a result, in 2010, Keystone Academy was added as a special needs school for kindergarten through grade 12.

As more children and their families continued to come to Keystone for services, the clinic began seeing children with rehabilitative needs, with or without mental health/behavioral issues. Therapists were added to staff departments in occupational, feeding and speech and language with the goal of becoming truly interdisciplinary – one stop for services – to make it more convenient for families and less overwhelming to obtain services.

Keystone knows that early intervention is the key to successfully changing behaviors, so in 2013 Keystone Child Development Center was added to serve children 18 months through kindergarten. The center is VPK endorsed. In response to discovering that some children enrolled in the VPK program would benefit by having an extra year of kindergarten before transitioning to regular school, Keystone opened a one- or two- year kindergarten program this fall.

This summer Keystone transitioned Keystone Academy to Mainspring Academy, to enable it to grow as a separate, nonprofit, private, special needs school. Keystone therapists remain the primary providers of behavioral services for Mainspring Academy students, often working alongside academic teachers in the classroom, in addition to providing additional services after school.

In planning for the future, Keystone is adding more certified or credentialed staff because there is more need in the area than services available to meet the need. Keystone is focusing on making preschools and all public and private school in north Florida and south Georgia aware that it is available to train their staff on how to recognize and manage behavioral issues in the classroom.

Dr. Katherine Falwell, founder and CEO, continues to lead Keystone on its path to serving both typically developing children and children with special needs. While she was a professor and post-doc at the University of Florida, she became aware of the need for more pediatric behavioral services in general, and Jacksonville, as a large metro area, seemed a logical place to open a practice. The number of institutions of higher education in and near Jacksonville is a tremendous benefit to a growing practice like Keystone. The clinic regularly engages interns and practicum students majoring in psychology.

Keystone’s commitment to charitable organizations that relate to the developmental issues that its children face has helped it grow as well. For example, staff and families participate in annual runs and walks hosted by organizations such as the Early Learning Coalition, Walk Now for Autism Speaks, North Florida Chapter of American Foundation for Suicide Prevention, Jax4Kids, March for Babies – First Coast, HEAL Foundation and Down Syndrome Association of Jacksonville. These organizations work hard to raise money that goes towards improving and supporting services such as the ones Keystone provides and engaging and informing families with special needs children.

Keystone Behavioral Pediatrics is a full-service, outpatient clinic providing individual- and family-based services to both typically developing children and those with special needs from birth to 22 years of age. Keystone emphasizes an integrated whole-child approach to assessment and treatment. Treatment commonly involves new skill acquisition through evidence-based behavioral programming strategies to promote positive behaviors and to decrease problematic actions.


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