Horovitz presents Research on Working Memory in ADHD and ASD

Max Horovitz, Ph.D., presented a guided poster tour of his research regarding working memory in children who have been diagnosed with attention-deficit/hyperactivity disorder (ADHD), autism spectrum disorder (ASD) or both ADHD and ASD as part of the 6th World Congress on ADHD hosted by the World Federation ADHA, April 20-23, 2017, in Vancouver, Canada.

 Working memory is the thinking skill that focuses on memory-in-action, which is the ability to remember and use relevant information while in the middle of an activity. For example, a child is using working memory as the child recalls the steps of a recipe while cooking a favorite meal.

Children who have trouble with their working memory skills will often have difficulty remembering instructions, recalling rules or completing tasks 

Children who have trouble with their working memory skills will often have difficulty remembering their teachers’ instructions, recalling the rules to a game, or completing other tasks that involve actively calling up important information. There are two types of working memory: auditory memory and visual-spatial memory. Auditory memory records what you’re hearing while visual-spatial memory captures what you’re seeing. Weak working memory skills can affect learning in many different subject areas including reading and math.

 For Keystone, Dr. Max serves as a clinical child psychologist, director of Keystone’s Attention Deficit Hyperactivity Disorder (ADHD) Clinic. Keystone’s Anxiety & Obsessive Compulsive Disorder (OCD) Clinic is a specialty clinic designed to provide evaluation, intervention and medication management for children and adolescents who experience anxiety. The Anxiety & OCD Clinic offers comprehensive assessments to accurately diagnose anxiety disorders. Common diagnoses include separation anxiety, phobias, social anxiety, generalized anxiety disorder, OCD, and selective mutism.

Dr. Max has experience working with individuals diagnosed with intellectual and developmental disabilities, particularly autism spectrum disorder (ASD), and children with attention-deficit/hyperactivity disorder in various capacities across development. He additionally has experience working with children with a wider range of emotional and behavioral needs, including oppositional and defiant behaviors, anxiety, depression, toileting issues, and sleep difficulties.  He currently provides a range of services including developmental, psychoeducational, and diagnostic assessments; individual therapy; parent training and school consultation. Dr. Max also has extensive research experience in the areas of ASD and intellectual disability. Dr. Max received a bachelor’s degree in psychology from the University of Florida. He subsequently obtained master’s and doctoral degrees in clinical psychology from Louisiana State University. Dr. Max completed an APA-accredited, predoctoral internship at the Devereux Foundation in Pennsylvania, where he provided clinical services at a residential center for adults with intellectual and developmental disabilities. Following his internship, he completed a postdoctoral fellowship at Keystone Behavioral Pediatrics and then joined the staff at Keystone as a licensed clinical child psychologist. Dr. Max is a qualified supervisor in the state of Florida for mental health counseling interns.

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.

Right from the Start Clinic Identifies Challenges Early for Best Outcomes

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Keystone Behavioral Pediatrics’ Right from the Start Clinic helps you know whether your child would benefit from early intervention to solve or alleviate any issues before they become problematic.

All children learn and grow at different rates. We know that getting help early can lead to the best outcomes for kids. Because these issues are often very subtle in young children, only 20-30 percent are identified as needing help before kindergarten. Keystone Behavioral Pediatrics’ Right from the Start Clinic helps you know whether your young child would benefit from early intervention to solve or alleviate any issues before they become problematic.

Developmental, learning, behavioral and socio-emotional issues are estimated to affect one in every six children

The Right from the Start clinic is a free screening clinic for children between the ages of 1 month and 5½ years old. We provide a multidisciplinary screening evaluation to assess your child’s developmental progress. You will meet with clinicians from our psychology, occupational therapy, and speech language departments, as well as our pediatrician. At the end of the visit, you will receive information on how your child is doing developmentally, with suggestions to target any areas of need that have been identified.

Common concerns that might indicate your child could benefit from a screening include delayed speech, not making eye contact, not smiling in response to you smiling, poor coordination, toileting delays, motor delays, prematurity, concerns about emotional or behavioral development, or other developmental delays.

The Ages and Stages Questionnaire (ASQ) is a developmental screening test that assesses communication, fine motor, gross motor, problem solving and person-social skills. Complete the ASQ online before your appointment, and the results will be reviewed with you during your visit.

At the conclusion of the Right from the Start screening appointment, you will meet with a psychologist to review the findings and recommendations. We will help you create an action plan of next steps to take, based upon what concerns were identified, if any. We provide local resources to assist your family, and our Client Care Coordinators are available to provide further guidance in accessing those resources.

Contact info@keystonebehavioral.com, 904.619-6071, to talk to a Client Care Coordinator.

By Rebecca J. Penna, Ph.D., NCSP, Neuropsychologist and Clinical Psychologist, Director of Right from the Start Clinic

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.

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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.

Keystone Child Development Center students enjoy Navy Woodwind Quintet’s holiday music

Navy Band Southeast’s Woodwind Quintet, Fair Winds Quintet, will perform Christmas music for students at Keystone Child Development Center’s Christmas party, 11:30 a.m. to noon, Friday, Dec. 18. The performance will be extra special for one KCDC student, 3-year-old Oliver Corneanu, whose father, Ovidiu Corneanu, plays the clarinet in the quintet. Oliver is a member of KCDC’s Early Intervention Program.

“We started the Early Intervention Program this fall because we recognize that early identification, intervention and treatment are the keys to maximizing potential and preventing major challenges throughout a child’s life,” Ashley Kiser, M.S., BCBA, director of early childhood services, said. Clinicians work to reduce students’ problem behaviors and promote acquisition of appropriate skills while the students simultaneously attend the classes appropriate for their level.

KCDC, a private preschool located in the Southpoint Office Park on Jacksonville’s Southside, offers children, ages 18 months through kindergarten, early childhood care including individualized instruction and a nurturing and stimulating learning environment that includes both children with special needs and typically developing children. In addition to its Early Intervention Program, KCDC offers Preschool (18 months – 3 years), Pre-K/VPK (3½ – 5 years and including free VPK funded by the state), Kindergarten (a one- or two-year program), and Aftercare.

Students attending KCDC may take advantage of services offered by Keystone Behavioral Pediatrics, 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.

Navy Bank Southeast's Woodwind Quintet
Oliver Corneanu’s father, Ovidiu Corneanu (second row, center), plays clarinet in the Navy Band Southeast’s Woodwind Quintet, Fair Winds Quintet, and will be performing for his son and other students at Keystone Child Development Center’s Dec. 18 Christmas Party.

Navy Band Southeast’s Woodwind Quintet performs musical styles ranging from traditional woodwind quintet literature to patriotic fare, Broadway hits and the popular music of today.  They have performed at numerous military ceremonies, official receptions, public concerts and schools throughout the Southeast region.  They also have a dynamic educational program specifically designed for elementary-aged children.

For more information about Keystone Child Development Center or Keystone Behavioral Pediatrics, make an appointment online or contact info@keystonebehavioral.com or 904.619.6071.

PCIT improves parent-child relationships

keystoneD34Keystone offers Parent-Child Interaction Therapy (PCIT) to improve caregiver-child relationships and increase children’s positive behaviors. PCIT is a 14-session parent training intervention that teaches caregivers specific behavior management techniques as they play with their child.

This type of therapy is an exceptionally effective treatment backed by 20 years of research. A Keystone therapist coaches parents in specific play therapy and discipline skills through an earpiece while observing the caregiver and child through a one-way mirror.

Caregivers are taught effective commands and specific behavior management techniques, such as time-out procedures, as they play with their child, so that they can manage their child’s behaviors in real-world settings. Caregivers usually see marked improvement in three to four sessions.

To learn more, visit PCIT on Keystone’s website, email Keystone client care coordinators or call 904.619.6071.