Macy’s Makes a Special Wish Come True at Thanksgiving for a Special Young Person

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Katie Falwell, CEO, hugs Sam LaManna, 14. She and other Keystone therapists have worked with Sam since he was six years old.

Sam LaManna is 14 years old and a student at Mainspring Academy a school for students with special needs. When he celebrated his birthday this past January, he had just one wish – to get an autograph from Macy’s Thanksgiving Day Parade Executive Producer, Amy Kule. Sam first saw Amy cut the ribbon at the parade a few years ago and she has been his hero ever since!

Sam’s mother had placenta previa, which caused birth trauma and low heart rate and oxygen levels for Sam. Five days after his birth, the doctors discovered that he had two intraventricular brain hemorrhages. Sam survived but now lives with hydrocephalus, the buildup of fluid in the cavities deep within the brain. The excess fluid increases the size of the cavities and puts pressure on the brain, which damages brain tissues and causes a large spectrum of impairments in brain function.

Macy’s has invited Sam and His Family to be Special Guests at the 90th Anniversary of its Thanksgiving Parade

Last year, with the help of his teacher, Sam made a video message asking Amy for her autograph. The video went viral, eventually Amy saw the video, and she was honored to make his wish come true. Not only did Amy send Sam an autograph, she made a video herself inviting his family, Sam and his former teacher to be her special guests at the 90th annual Macy’s Thanksgiving Day Parade! Amy and Al Roker, weather anchor on NBC’s Today and Sam’s other favorite person, have a special Thanksgiving Day planned for Sam.

Sam still attends Mainspring Academy, a private, nonprofit school located in Jacksonville’s Southside. The school opened in 2010 to serve children with a broad range of special needs from elementary through high school.

Sam also receives a number of therapies provided by Keystone Behavioral Pediatrics, which offers integrated healthcare for developmental, behavioral, emotional and learning issues. Using a collaborative team approach, more than 120 therapists are available to help children.

Sam’s lead therapist is Angela Chionchio. Keystone has worked with Sam since he was six years old. When his mother first brought Sam to Keystone in 2008, she described him as happy and affectionate, noting that he loved to read, learned quickly and had excellent memory. Yet, she was concerned that he was stubborn, easily distracted and developmentally delayed. He didn’t sit up until he was 13 months old and didn’t walk until he was 27 months old. Socially, Sam struggled to make friends and seemed disinterested and withdrawn around others.

According to Sam’s lead therapist, Angela Chionchio. “Sam has trouble with ‘first time listening,’ meaning he can be noncompliant when he impulsively sees an object that he wants play with but should not be available at the moment. In the classroom, his teacher and I prompt him to raise his hand to ask permission to do these things and offer him alternatives.”

Sam also has a problem with schedule change. “We help by preparing him for upcoming changes and praising him when he accepts change appropriately,” Angela says.

“Sam is doing great this year,” she says. His new classmates offer him opportunities to grow socially and behaviorally.

“When I asked Sam why he loved the parade so much, he said that it was because he loves when the producer cuts the ribbon at the start of the parade,” she laughs. “He said he also is very excited to see Santa Claus at the grand finale  and meet the host of the Today Show.”

“Sam is a wonderfully unique little guy,” his mom says. “I knew great things were inside him, but I needed Keystone’s help for Sam to bring out all that he has to offer the world.”

Sam’s trip to New York City is made even more special by the fact that his parents and he tried to visit the city last year, but had to cancel at the last minute because Sam needed emergency surgery. The IV shunt that was implanted in Sam’s brain unexpectedly quit working, so Sam had to endure hours of major surgery.

An implanted shunt diverts cerebrospinal fluid from the chambers within the brain to another body region where it will be absorbed. This creates an alternative route for removal of cerebrospinal fluid which is constantly produced within the brain and usually restores physiological balance.

Sam has blossomed under the therapy he receives at Keystone and in his classes at Mainspring Academy. All of us at Keystone and Mainspring are so excited for Sam that he has been able to achieve and even exceed his dream of getting autographs from Amy Kule and Al Roker.

“Sam is a wonderfully unique little guy,” his mom says. “I knew great things were inside him, but I needed Keystone’s help for Sam to bring out all that he has to offer the world.”

Sam’s trip to New York City is made even more special by the fact that his parents and he tried to visit the city last year, but had to cancel at the last minute because Sam needed emergency surgery. The IV shunt that was implanted in Sam’s brain unexpectedly quit working, so Sam had to endure hours of major surgery.

An implanted shunt diverts cerebrospinal fluid from the chambers within the brain to another body region where it will be absorbed. This creates an alternative route for removal of cerebrospinal fluid which is constantly produced within the brain and usually restores physiological balance.

Sam has blossomed under the therapy he receives at Keystone and in his classes at Mainspring Academy. All of us at Keystone and Mainspring are so excited for Sam that he has been able to achieve and even exceed his dream of getting autographs from Amy Kule and Al Roker.

Second Keystone OT Therapist Named 2016 Fieldwork Educator

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Samantha Bean West helps develop skills that will lead to success in everyday life including: motor, social, personal, academic and vocational pursuits.

Samantha Bean West, pediatric occupational therapist, assistant director of occupational therapy, CMS Early Steps Provider, Handwriting Without Tears® Level 1 Certified Handwriting Specialist, joined RJ Navarro, director of rehabilitative medicine, in being recognized as 2016 Fieldwork Educator of the Year by Florida State College at Jacksonville and Florida Occupational Therapy Educational Consortium on Nov. 5, in Orlando, Fla., during the opening ceremony of the annual FOTA Conference.

Every year FLOTEC selects fieldwork educators from across the state and honors them with the Award of Excellence. Award recipients have been nominated and selected by an academic program or students as a fieldwork educator who exhibits superior communication, interpersonal behaviors, professional and teaching behaviors.

FLOTEC honors fieldwork educators with the Award of Excellence for exhibiting superior communication, interpersonal behaviors, professional and teaching behaviors.

The award recognizes Samantha and RJ as educators who are able to:

  • Clarify expectation of supervision at outset
  • Establish and maintain boundaries
  • Teach practical skills
  • Maintain membership in his/her state and national association.
  • Be assessable and available to the student
  • Encourage students to explore new ideas and techniques (think outside the box)
  • Use and promote reflective practice
  • Show enthusiasm for Occupational Therapy
  • Foster autonomy and independence
  • Model professional and ethical behavior
  • Assess student’s learning needs
  • Accept values and celebrate diversity
  • Be aware of our own limitations and strengths
  • Work collaboratively with students – listen more than talk to students
  • Maintain open and honest relationships with student
  • Convey a supportive and caring attitude

Keystone is proud of and congratulates both Samantha and RJ!

Keystone CEO Recognized for Integrated Healthcare

Keystone CEO Katherine Falwell, Ph.D. and clinical psychologist, was recognized in a recent issue of the Ponte Vedra Recorder for her efforts to help children with integrated healthcare that focuses on all areas of behavioral, developmental, socio-emotional and learning services provided by Keystone Behavioral Pediatrics, which Dr. Falwell founded in 2008.

The article chronicled the path that led Dr. Falwell to open Keystone, starting with her postdoctoral residency at the University of Florida, where Dr. Falwell became part of the faculty at University of Florida in the Department of Behavior Analysis. She became aware that Northeast Florida needed more comprehensive pediatric services than it had available at the time to meet the growing numbers of children with unique needs and took the opportunity to open Keystone Behavioral Pediatrics in 2008 to further her idea of collaborative, integrated healthcare.

Keystone provides Integrated Healthcare that Focuses on All Areas of Behavioral, Developmental, Socio-Emotional and Learning Services

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Katie Falwell (far right), in addition to her passion for helping children become successful, is also devoted to her family and northeast Florida beaches community.

Next, Dr. Falwell opened Keystone Child Development Center in 2013, because she believes passionately in research that supports the importance of providing individualized instruction and support as early as possible in a young child’s life. She designed KCDC to focus on all aspects of a child – mind, body and soul – to offer children the best opportunity for success in elementary school and throughout life.

In response to the paper’s question about her focus on early intervention, Dr. Falwell notes, “All children learn and grow at different rates. These first five years of a child’s life are filled with major developmental milestones that prepare them for lifelong learning.” She refers to research which shows that 90 percent of a child’s brain is developed by age 5.

Research also confirms that getting help early can lead to the best outcomes for kids. Developmental, learning, behavioral and social-emotional issues are estimated to affect one in every six children. Because these issues are often very subtle in young children, only 20 to 30 percent are identified as needing help before kindergarten.

The article described Keystone’s new Right from the Start Clinic designed to help parents know whether their baby would benefit from early intervention to solve or alleviate any issues before they become problematic. The Right from the Start clinic is a free screening clinic for children between the ages of one month and 5-1/2 years old. Parents can complete a free questionnaire online by clicking on the ASQ logo on our website. The questionnaire gives Keystone therapists an idea of areas of a child’s development that are of concern to the child’s parents. A client care coordinator contacts the parents after the clinic receives their completed survey and invites them to visit Keystone for a free multidisciplinary screening evaluation to assess their child’s developmental progress. Parents will meet with clinicians from Keystone’s psychology, occupational therapy and speech language departments, as well as a pediatrician. At the end of the visit, they will receive information on how their child is doing developmentally, with suggestions to target any areas of need that have been identified.

Keystone Behavioral Pediatrics, located in Jacksonville, Duval County, northeast Florida, offers integrated healthcare by a collaborative, interdisciplinary team of 130 child psychologists, mental health counselors, social workers, behavior analysts and technicians, speech and language pathologists, occupational therapists, teachers, and pediatrician working in 17 specialized clinics. The focus is on early intervention regarding health and wellness, the whole child and all issues that affect a child’s potential for success including physical, developmental, learning, behavioral and social-emotional issues.

Keystone works with children from one month old to 22 years old on all types of behavioral, developmental, socio-emotional, physical and learning issues in four types of clinics: assessment clinics (Neuropsychological, Attention Deficit Hyperactivity Disorder (ADHD), Health and Wellness and Educational and Learning), developmental clinics (Autism and Developmental, Right from the Start, Early Intervention and Day Treatment); Rehabilitative Clinics (Feeding, Occupational Therapy and Speech and Language); and Treatment Clinics (Parent-Child Interaction Therapy, Anxiety and Obsessive Compulsive Disorders (OCD), Disruptive Behavior and Mood).

Keystone Child Development Center offers safe, nurturing and stimulating preschool and early intervention services from infancy through kindergarten. We have a minimum of two teachers in each classroom and a child development team that works with the teachers to focus on intellectual, social and behavioral success for each child. With maximum class sizes of 12, KCDC is able to create individualized learning plans.

Crafting is Good Occupational Therapy

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Making crafts with your child to celebrate the season is a great way to create memories, while helping your child improve hand and eye coordination.

With the holidays upon us, we turn our attention to decorating the house and entertaining friends and family. RJ Navarro, OT/L, cNDT and director of Rehabilitative Medicine for Keystone Behavioral Pediatrics, reminds parents that craft activities are a great way to have fun with your kids this holiday season, while helping them develop important skills that can translate into their daily activities at home and in school. Crafting with your children can promote: 

  • Fine motor coordination – Crafts that incorporate drawing, cutting and manipulation of small items will develop your child’s fine motor coordination. Fine motor skills are necessary for manipulating clothing fasteners such as buttons, for improving pencil skills and utensil use, and for manipulating other small objects.
  • Bilateral coordination – Crafts that involve the use of both hands together will develop your child’s bilateral coordination. Examples include cutting activities, gluing or taping, and beading. Bilateral coordination is necessary for any activity in which your child needs to use both sides of her body together, such as dressing or playing.
  • Visual perception – Crafts that incorporate following a pattern, following a template, and sorting or matching shapes or colors will develop your child’s visual perception skills. Visual perception is necessary for discriminating shapes and colors, for identifying objects, for avoiding obstacles and for reading.
  • Visual motor skills – Crafts that involve writing or drawing, cutting, beading and following designs will develop your child’s visual motor skills. Visual motor skills, or hand-eye coordination, are necessary for all pencil and paper tasks, for play and for dressing.
  • Problem-solving – Encourage your child to think by allowing him to attempt to figure things out on his own and make mistakes. Facilitate corrections as needed.
  • Sequencing – Crafts that follow steps or instructions will develop your child’s sequencing skills. Sequencing skills are important in daily activities such as toileting, dressing, brushing teeth and preparing food.
  • Social skills – Crafting together in itself has a social component. Encourage appropriate behavior, sharing, conversation and discussion!

 Resources:

 Pinterest – Crafting

DLTK’s Crafts for Kids

Parents – Creative Holiday Crafts for Kids

Crafts for Kids

ActivityVillage.co.uk Crafts

 

Keystone Therapist Earns Handwriting Without Tears Certification

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Samantha West, MOTR/L, occupational therapist, assistant director of occupational therapy, CMS Early Steps Provider, recently earned Handwriting Without Tears (HWT) certification.

Samantha Bean West, assistant director of Keystone’s Occupational Therapy Clinic, has added to her education, including a master’s in occupational therapy and recognition by the Florida Health Department as a Children’s Medical Services provider, by earning Handwriting Without Tears (HWT) Level 1 Certification.

Level 1 Certified handwriting specialists must complete an extensive process successfully to achieve certification. These individuals are recognized for their expertise in using the Handwriting Without Tears® program and The Print Tool® assessment.

Handwriting is one of the fastest growing areas of referral to occupational therapy. Because handwriting is such a complex skill, there are many children who have difficulty mastering it. This may cause frustration and distress and affect a child’s desire to write. It may also cause anxiety for the parents and teachers who watch the child struggle to put his or her ideas on paper. Not all difficulties are the same or caused by the same factors, and any assessment of the problem must take into account the age and experience of the child.

As a result, more and more educators are sharing what they have learned from the Handwriting Without Tears® program. The only such program in the country—Level 1 Certification provides exceptional training.

Samantha is now available to provide handwriting assessments and individual or group treatment sessions. She provides parent-friendly reports, sets goals, determines remediation activities and documents progress for evidence-based practice to help children from Pre-K through Grade 5.

Should you as a parent be concerned about your child’s handwriting? Some initial questions to ask are:

  • Has your child received any direct teaching of handwriting?
  • What is the policy for handwriting in the school?
  • Are the concerns about the handwriting shared by the teacher, the parents and the child?
  • What are the main areas of concern?
  • Legibility? (All or most of the words written can’t be read out of context.)
  • Neatness? (The handwriting is messy or poorly controlled.)
  • Comfort? (The child is experiencing pain, strain or discomfort when writing.)
  • Pressure? (S/he is pressing too hard or not hard enough, or pressure within one piece of writing is variable.)
  • Speed? (S/he writes very slowly, producing too little writing, or too fast, becoming inaccurate.)
  • Motivation/enjoyment? (S/he is reluctant to write or gives up too easily.)

If you are concerned, contact us to schedule an appointment or ask questions.

Resources:

National Handwriting Association

Handwriting Without Tears Certification

HWT Certification Specialist – Samantha (Bean) West

Keystone offers Free Developmental Screenings Targeting Birth to Five Years

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Keystone Behavioral Pediatrics is offering community infants and toddlers from 1 month to age 5½ free comprehensive screenings to help parents identify as early as possible any physical or developmental issues that children may have. Study after study has shown that the earlier a delay is recognized and intervention is begun, the better chance a child has to substantially improve. Developmental screening is one of the best things you can do to ensure a child’s success in school and life.

Parents are invited to complete an ASQ Developmental Pre-Screening Survey, which involves answering a series of simple questions regarding your child’s abilities (for example, “Does your child climb on an object such as a chair to reach something he wants?” or “When your child wants something does she tell you by pointing to it?”).

Parents’ answers to the screening go directly to Keystone for therapists to identify any possible concerns. Then, parents are scheduled to bring their child in for a 1-hour session that includes free screenings by a licensed child psychologist, pediatric occupational therapist, pediatric speech/language therapist and pediatrician trained in developmental growth. Parents who participate will have access to a number of free resources about developmental stages to anticipate and ways to help their child.

Keystone CEO and child psychologist Katie Falwell, Ph.D. and RJ Navarro, Keystone’s director of rehabilitative medicine and occupational therapist, were recently interviewed on WJXT’s The Morning Show about the importance of early intervention and the Right from the Start Clinic.

Dr. Katherine Falwell
Dr. Katherine Falwell, founder and CEO of Keystone, focuses on the whole child and making sure that each child has the best chance of success.

Contact info@keystonebehavioral.com or 904.619.6071 for more information.

Free developmental screenings target birth to five years

Keystone Behavioral Pediatrics will open a new Right from the Start Clinic beginning Aug. 2. The clinic is offering community infants and toddlers from birth to age 5 free comprehensive screenings to help parents identify as early as possible any physical or developmental issues that children may have. Study after study has shown that the earlier a delay is recognized and intervention is begun, the better chance a child has to substantially improve. Developmental screening is one of the best things you can do to ensure a child’s success in school and life.

Parents are invited to contact Keystone for a login code to complete a FREE online screening tool, part of the Ages and Stages Assessment and Toolkit. The screening involves answering a series of simple questions regarding their kid’s abilities (for example, “Does your child climb on an object such as a chair to reach something he wants?” or “When your child wants something does she tell you by pointing to it?”).

Keystone Behavioral Pediatrics' Right from the Start Clinic identifies early developmental and behavioral delays.
Keystone founder and CEO Katie Falwell, Ph.D., works with young children to identify developmental delays and issues as early as possible to correct them before children start school.

Parents’ answers to the screening go directly to Keystone for therapists to identify any possible concerns. Then, parents are scheduled to bring their child in for a 1-hour session that includes free screenings by a licensed child psychologist, pediatric occupational therapist, pediatric speech/language therapist and pediatrician trained in developmental growth. Each of these four disciplines will give parents a “report card” with green, yellow or red light results. A green light means that the child is on track with peers, yellow means that there are slight indications of a developmental or behavioral delay compared to peers that parents will be advised to watch closely, and red means that a definite delay has been identified and should be addressed by professional therapy immediately so that the child is prepared for elementary school.

For children who receive a green light, the screening reassures their parents. Parents of a child who receives a red light report will be given recommendations of next steps that they may want to take on how to get the intervention services they need. All parents who participate will have access to a number of free resources about developmental stages to anticipate and ways to help their child.

To further encourage parents to get their infant a developmental check-up as early as possible, Keystone is offering FREE on-site first birthday screenings (by appointment on Tuesdays beginning Aug. 2, 2016). These screenings look for physical, developmental and behavioral delays, beyond what pediatricians typically monitor at a child’s 1-year well visit. Local pediatric health providers and daycare providers may contact 904.619.6071 or info@keystonebehavioral.com to request free Happy First Birthday postcards to give to their parents with 1-year-old children.

Parents of children from birth to age 5 should call Keystone Behavioral Pediatrics, 904.619.6071, to receive a log-in code to complete the Ages & Stages Questionnaire, which will be accessed on Keystone’s website, www.keystonebehavioral.com.

Background

Keystone Behavioral Pediatrics offers integrated healthcare by a team of highly educated child psychologists, behavior therapists, occupational therapists, speech/language therapists, feeding therapists and a medical director who lead the 120-person staff in collaborating to bring the best resources for addressing behavioral, developmental and physical issues in children. It offers one stop services to parents plus collaboration is the most effective way to address interactive issues that children often have. The organization is led by Katie Falwell, Ph.D. and a Florida licensed psychologist who specializes in child development. 

The American Academy of Pediatrics (AAP) recommends that all infants and young children be screened for delays as a regular part of their ongoing health care. Research shows that addressing these issues in children before they start elementary school can produce significant gains in language and mental abilities, improve their social communication and correct any physical delays or impairments before they become disabling. Because these issues are subtle in young children, most children who would benefit from early intervention are not identified until after they start school. 

As the National Academy of Sciences stated in From Neurons to Neighborhoods, “Compensating for missed opportunities, such as the failure to detect early difficulties or the lack of exposure to environments rich in language, often requires extensive intervention, if not heroic efforts, later in life.” 

Developmental delays, learning disorders and behavioral and social-emotional problems are estimated to affect 1 in every 6 children, yet only 20-30 percent of these children are identified as needing help before school begins. Identifying these issues prior to children starting kindergarten has huge academic, social and economic benefits. Studies have proven that children who receive early treatment for developmental delays are more likely to graduate from high school, hold jobs, live independently and avoid teen pregnancy, delinquency and violent crime which results in saving to society of about $30,000 to $100,000 per child. Plus, getting help with these issues as early in a child’s life as possible improves quality of life and reduces stress for the whole family.

Celebrate children with autism through Light It Up Blue for Autism Awareness 2016

Join Keystone Behavioral Pediatrics in bringing awareness to children in Jacksonville, Florida, and surrounding Northeast Florida areas, who have autism by sharing information out about Light It Up Blue on April 2 through your social media and wearing blue on Saturday, April 2. Keystone will be wearing blue on Friday, April 1, too, so that we can celebrate the occasion as a company!

VPK program 2016-17 registration begins for 4-year-olds

 

You can now register your child for Keystone Child Development Center’s (KCDC) free Voluntary Pre-Kindergarten (VPK) program at https://familyservices.floridaearlylearning.com/. KCDC serves both typically developing children and children with special needs, from 18 months through first grade. Children with needing help with behavioral issues and learning challenges benefit from Keystone Behavioral Pediatric’s comprehensive team including a pediatrician, licensed clinical psychologists, board certified behavior analysts, master’s level clinicians and occupational therapists that provide behavior therapy as well as occupational, speech/language and feeding therapy to toddlers and all ages of children for ADHD, autism. The team works collaboratively in the diagnosis, monitoring and treatment of a broad range of developmental, behavioral, learning and genetic disorders in children and adolescents (birth to 22 years of age).

KCDC classrooms use an inclusive model. This type of classroom gives special education students the support they need while they learn alongside their general education peers. General education students benefit from the additional resources and supportive techniques used in an inclusion classroom.

The program is designed to prepare children for school with specialized VPK standards implemented within all lesson plans. The multi-age classroom setting allows younger students to learn from their older, more experienced peers, while giving older students the opportunity to lead and support their younger peers.

To be eligible for Keystone’s free pediatric VPK program, children must reside in Florida and have been born between 9/2/2011 and 9/1/2012.

To register, you will need:

  • Access to the internet and a scanner
  • Child’s Social Security Number
  • One proof of current residency (driver’s license, utility bill or pay stub)
  • One proof of age (birth certificate, passport or military ID)
  • Shot records cannot be accepted

How to register:

  • Set up a working email address.
  • Log on to VPKDuval.org to complete the online VPK application.
  • Separately scan and submit required supporting documents in PDF format:
    • Current proof of residency (see above)
    • Current proof of age (see above)
  • Once application and documentation has been reviewed and approved by ELC, a certificate will be emailed to families.

You can learn more about KCDC’s VPK classroom and the other classrooms and programs it offers by visiting online and touring in person by contacting Paige Norton at 904.619.6071 for an appointment.

Keystone’s VPK program earns perfect inspection by DCF

Keystone Child Development Center’s Pre-K/VPK program for 3½- to 5-year old children offers individualized instruction to prepare both children with special needs and also those typically developing for its kindergarten program, which is a one- to two-year program designed to fit the individual needs of each student. The Florida Department of Children & Families (DCF) monitors KCDC’s facilities because the center offers a free voluntary prekindergarten program, which is funded by the state.

Under new KS48-croppedmanagement by Ashley Kiser, M.S., BCBA, director of early childhood services, and Greta Hernandez, RBT, assistant director of early childhood services, the KCDC facility has been 100 percent compliant in the past four quarterly inspections.

The Voluntary Prekindergarten Education Program (VPK) provides 4-year-old children who reside in Florida and were born on or before Sept. 1 each year with an opportunity to attend quality preschools such as KCDC for free, to enable them to receive age-appropriate curricula with a strong emphasis on early literacy skills, accountability, manageable class sizes and qualified instructors. The Florida VPK program supports Keystone’s emphasis on the importance of a child’s early years in learning to be attentive and to follow directions.

KCDC supports the philosophy that the most important growth and development in the brain happens by the age of five. Structured early learning fosters these abilities for later success in school and in life. In addition, KCDC’s Pre-K/VPK program uses a multi-age classroom setting, which allows younger students to learn from their older, more experienced peers while giving older students the opportunity to lead and support their younger peers.

KCDC uses the “Making Friends, Pre-K – 3: A Social Skills Program for Inclusive Settings” (Second Edition) curriculum. Students enjoy structured and unstructured social activities while reaping the benefits of weekly themes and lessons.

As a department within Keystone Behavioral Pediatrics, KCDC offers its children services offered by other Keystone departments, such as onsite medical care including a pediatrician and nurse/ psychological assessment; applied behavior analysis (ABA); early identification and intervention of developmental delays and behavioral challenges; and feeding, speech and occupational therapy.

To learn more, arrange a visit or apply, visit Keystone’s website or contact info@keystonebehavioral.com, 904.619.6071.