Keystone Behavioral Pediatrics’ Speech/Language Department has been selected as one of the top 14 best in Jacksonville by Expertise. Out of the 210 speech pathologists reviewed, 131 were curated and only 14 selected as top picks for 2017. Speech/language therapy is designed to treat speech, language, cognitive-communication and swallowing disorders in individuals up to age 18 and includes early intervention.
Director Jennifer Martin, M.A., CCC-SLP, and her team of speech/language therapists uniquely function as part of an interdisciplinary team, coordinating findings and recommendations with other professionals. They also offer treatment focused on helping children and their parents learn strategies for improving functional communication and oral motor or feeding/swallowing skills. In some cases, treatment sessions will be offered jointly with other departments, if coordination would benefit the child most.
Keystone offers a range of specialized services unique in northeast Florida including:
PROMPT (Prompts for Restructuring Oral Muscular Phonetic Targets) therapy
Articulation therapy – therapy
PECS (Picture Exchange Communication System)
Development and training in augmentative & alternative communication systems
In selecting Keystone as one of the top 14 speech pathologists in 2017, Expertise created lists of the best local professionals in Jacksonville. After searching the area for every business that provides speech-language pathology, the Expertise team filtered out any businesses that fail to meet its definition of an expert. It also flagged and removed any business with a history of dissatisfied customers or with limited online information that makes them difficult to contact.
Next, Expertise used in-house software to grade each business on 25 variables across five judgment criteria:
A history of delighted customers as a signal of outstanding service
Building customer confidence with licensing, industry accreditations, and awards
Masters of their craft, based on years of practical experience and education
Consistently approachable and responsive, so customers never feel ignored
Providing customers seamless experiences both online and off
Once the businesses were ranked, the Expertise team manually reviewed the highest scoring results to ensure that they can proudly stand behind each of their selections.
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
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.
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.
Contact firstname.lastname@example.org or 904.619.6071 for more information.
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?”).
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 email@example.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.
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.
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!
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 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 management 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.
This is a wonderful story about a Caring Santa (the brother of one of Keystone’s employees, by the way!) at a Charlotte mall who made one autistic boy’s holiday very special. The Avenues (http://bit.ly/1N49SPp) and Orange Park (http://bit.ly/1Oy2jou) malls also offer the Caring Santa program and the Santa Photo Experience by the Noerr Programs.
Autism Speaks is offering this program in partnership with Simon Property Group, Inc. and the Noerr Programs Corporation through their Caring Santa program, in association with AbilityPath! Caring Santa is an opportunity to connect with multitudes of families that have children who need behavior therapy for autism and and other special needs, providing a more controlled and welcoming environment to visit Noerr’s Santa Photo Experience!
Child behavior disorders such as oppositional defiant disorder (ODD) and childhood apraxia of speech (CAS) were the topics discussed in Jax4Kids.com‘s November 2015 issue by Dr. Andrew Scherbarth, clinical child psychologist, and Kaitlyn Kludjian Shrum, a licensed speech pathologist, part of Keystone Behavioral Pediatric’s integrative team in Jacksonville, Florida.
In his article, Andrew acknowledges that ODD symptoms such as aggression, tantrums and refusal are annoying and frustrating for parents and peers. But, he also reassures parents that ODD “is entirely treatable by a clinician skilled in one of several Behavioral Parent Training programs.” BPT is effective in changing the parental factors in the Coercive Family Cycle that develops in families with a child experiencing ODD. The cycle consists of a parent who gives an instruction to which the child reacts negatively, and then both the parents and child proceed with increased negativity until one or the other gives up.
Kaitlyn discusses the struggle that children with childhood apraxia of speech face of knowing what they want to say but not being able to get the words to come out right. She points out that the first step in determining if a child has apraxia of speech is to rule out normal, but delayed, development through an evaluation by an ASHA certified speech language pathologist (SLP). If a differential diagnosis is made, the SLP will determine the best course of treatment.
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 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.