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Established in 2009, K.E.Y.S. Development Psychiatric Rehabilitation Program (PRP) was developed in response to the lack of community resources offered to youth with intense mental health needs. It has been designed to respond efficiently and effectively to the needs of youth in our community. We recognize that the current trend in mental health service delivery, due to limited resources, is transitioning to community-based rehabilitation and treatment rather than facilitating care and treatment in more expensive institutional settings. This trend is very favorable for PRP’s that are responsible for providing services in a non-institutional setting. In response to the demand for community based treatment, we have developed a PRP program in a jurisdiction that has a high level of need for services and limited resources. We have also developed a program that is cost effective when compared to alternative service options.

The vision of KEYS Development Psychiatric Rehabilitation Program is to provide family-centered therapeutic services that will supply innovative life skills training to youth with mental and emotional health diagnoses transitioning into living independently and self-sufficiently in the community. Youth will achieve self-sufficiency through developing life skills consistent with their goals and life expectations. KEYS Development will provide services that maximize the potential of the youth in becoming a successful functioning part of the community. Through the optimal functioning of these services, families will be empowered and individuals will gain the knowledge and skills necessary for rehabilitation success to be obtained.

The services provided by KEYS PRP are unique because they are strengths-based and solution-focused. While our rehabilitation services are designed to respond to our clients’ diagnoses, they are administered in a manner that seeks to empower our clients to develop their talents, gifts, and resources that exist beyond pathology. KEYS programs and services were developed and codified by the owners of the program who are experienced, licensed social work professionals with a passionate desire to create opportunities for healing and restoration. Program oversight of the clinical, administrative, and fiscal functions of KEYS PRP will be performed in a manner that offers the highest quality of services provided.

Our approach to service delivery empowers and affirms youth, according to their individualized strengths, at every phase of rehabilitation and treatment. This approach allows us to be more effective at establishing therapeutic relationships. As a result, clients build trust for the staff and our organization, and therefore make a greater commitment to treatment. Clients that successfully commit to rehabilitation services experience an increase in the consistency and continuity of services. In addition, our services and our service delivery method increases the chances of authentic rehabilitation of our clients.

Demonstrated Experience
KEYS Development’s goal is to empower youth to enrich their lives through our psychiatric rehabilitation services. KEYS Development is dedicated to improving access to mental health services for individuals and families residing in the Brooklyn, Cherry Hill, Greenmount East, and Guilford communities of Baltimore City.

KEYS’ Program Director, Mr. Muhajid Muhammad, LGSW, is a passionate community advocate dedicated to the holistic well-being of youth and families. In his current role as a School Therapist at the University of Maryland’s School Mental Health Program, he offers one-on-one cognitive behavioral and psychotherapy services to youth identified as having serious mental health disturbances and maladaptive behaviors. He is familiar with and regularly utilizes Maryland’s Public Mental Health System’s fee-for-service system in service to low-income youth and their families. He has established strong working relationships with the Department of Social Services, CASA Blueprint Program for Baltimore City Public Schools, and Prisoner’s Aid, Inc. In collaboration with local Department of Social Services agencies he has successfully ran three 10-week behavior modification programs for over 30 youth aged 15 to 18. His experience in the mental health field has prepared him to lead a quality Psychiatric Rehabilitation Program.

KEYS’ Rehabilitation Specialist, Mr. Kamil Madina, LCSW-C, is a seasoned mental health professional with over 30 years of formal academic training and over 25 years of direct service experience. Currently he serves as the Associate Director of Clinical Services for the University Psychological Center, Inc.’s Recovery Network. In this role, he serves as the supervisor and trainer of staff responsible for the delivery of intensive case management and substance abuse counseling. His professional career also includes work as a private practitioner, director of a methadone clinic, and clinician at John Hopkins Hospital.

Mr. Keith Roles and Mr. Abdul-Jaami Salaam II are identified as KEYS’ direct care staff. Combined they have over 20 years of experience as helping professionals who mentor and offer hands-on life skills training to youth. Having life experiences relevant to those of the youth they serve, they are uniquely prepared to serve KEYS PRP youth population.

Program Operations
KEYS Development PRP’s office will be located in a commercially zoned area nearby many East Baltimore residential communities. To ensure that services are accessible to youth clients, our standard office hours will be Monday through Friday from 9:00a.m. to 7:00p.m. and Saturday from 11:00a.m. to 3:00p.m. These hours are office hours and do not reflect out of office hours and crisis intervention services which can occur 24 hours a day and 7 days a week. The office will be closed on federal and state holidays. Off-site hours will vary according to youth and Direct Care staff schedules. KEYS Development will maintain an emergency response system, facilitated by staff, and available by telephone 24 hours a day, seven days a week, 365 days a year.

Per COMAR, KEYS Development will maintain a public office facility that: meets all relevant federal, state and local ordinances, laws, regulations, and orders governing the program; is not located in a private residence; is accessible to the public; and contains a secure area where records, logs, and business information will be kept. Additionally, the office will be handicap accessible and prominently display the hours of operation of the office. We will carefully adhere to all Health Department requirements and maintain current up-to-date licenses and liability insurances for all clinical staff. We will also ensure that all staff meet and maintain state regulated certifications and training in service delivery. This will be done through orientation training for all new employees, monthly follow-up training and supervision, and prominently displayed signs.

In the initial start-up year, it is anticipated that up to 105 youth clients will be served by KEYS Development PRP. This amount will allow for KEYS Development staff to focus on providing its skill development and support-based approach. The program endeavors to serve 10 clients in its first phase, first three months, of service to youth. In Phase 2 (4 to 6 months), KEYS intends to serve 35 youth. 55 youth are expected to be served in Phase 3 (7-9 months). And 105 youth served in Phase 4 (10-12 months).

Range of Services
KEYS Development promotes services that focus on life skill development and the rehabilitation activities outlined in COMAR Therefore we offer options to youth that are preventive and preserves the dignity of the family. KEYS Development will hold workshops to teach our youth client’s the skills relevant for community adaptation. These workshops include modules for recreation, social skills/friendship, and workplace fundamentals. To further promote our services founded upon rehabilitation and self-help, our clients are given positive reinforcement of progress toward goals, and actively participate in weekly activities that simulate real-life scenarios wherein they can practice the skills learned in the workshops.

KEYS Development’s service delivery model is guided by the following quality assurance standards:
• PRP program participants, in accordance with their IRP goals, will be able to receive in-home PRP services;
• PRP program participants, in accordance with their IRP goals, will be able to receive weekly community integration activities;
• Each PRP participant will receive legal rights and regulations training which is an important need with this particular population of youth;
• Gender and non-gender specific rehabilitation groups will consist of social skills and self-care skills training;
• Youth will receive enhanced goal-directed vocational rehabilitation skills training that they otherwise would not receive; and
• Youth participants will benefit from the valued enhancement of cultural interests.

Life skills trainings, provided in creative one-on-one and small group dynamics, are a major component of KEYS Development’s approach to service delivery. The life skill areas that we help strengthen for youth include the following life domains as a guide to service for youth:
• Self-Care – Basic needs for housing/food/utilities, self-care/hygiene, sanitary practices, grooming, nutrition, housekeeping skills (cleaning, laundry, etc), developing good tenant practices, money management, neighbor relationships, mobility
• Community Integration – Developing personal support networks, inclusion in community activities, community involvement/integration, situational awareness, developing community accountability, safety responsibilities, engaging in healthy leisure activities, sense of heritage and connection, fulfilling cultural responsibilities/expectations, participating in relevant activities, special issues around language, race, sexual orientation, and so forth
• Somatic Health – Routine health and dental care, care for physical health condition, sex/sexuality information, reducing harm, risk, and negative impact of substance abuse, managing stress
• Behavioral/Emotional Health – Managing/increasing ability to reduce mental health problems, symptom self-management, crisis planning, engaging in helpful services, self-medication administration, developing emotional resources and resiliency, anger management, conflict resolution, reducing emotional distress and pain, developing coping skills, managing stress, self-esteem, positive sense of identity, hope/future orientation
• Social Skills – Develop coping skills, contact with family/children, reciprocal relationships, building interpersonal/relational skills, building trust, earning respect, socially acceptable interactions, accepting responsibility for actions taken, communication skill building, developing personal support networks, stability, time management
• Individual Wellness & Self-Management – Developing interests, hope/future orientation, making own decisions, self-advocacy, self-improvement, participating in relevant cultural/spiritual activities, making own decisions, tolerating risks, accepting responsibility for actions taken, exerting control, managing personal finances
• Educational/Vocational /Legal– Getting GED, attending college, involved in a vocational program, developing work skills, getting and keeping work, building a career, minimizing legal restraints on personal liberties and decision-making, fulfilling legal obligations
All rehabilitation goals will fall under one of these aforementioned Life Domains.

Population Served
KEYS Development PRP’s primary target market is DSS-committed youth, ranging from 15 to 18 years of age. This population includes: youth who are near in age or planning to be transitioned or emancipated out of the Department of Social Services system; youth who are being transitioned to a higher level of care into placement; youth in need of support services after being discharged from an RTC into a foster home; and/or youth transitioning to an independent living program. This population is unique in that they have the challenge of preparing to leave structured environments and transition independently into the community.

KEYS Development PRP will provide services to youth who are experiencing major life transitions that have substantial imminent impact on their social and emotional self and how they live in their environment. KEYS Development believes that in order to maximize the potential of youth, services should be geared to imparting relevant life skills that empower the youth and their families. A holistic service delivery model that fuses the connection between the mental self, the social self, the cultural self, and the spiritual self is a widely acclaimed best practice for serving this population of youth. Our youth’s treatment will be directed by their identified life goals. We will also provide connections to resources to encourage positive opportunities in which youth can continue their development and growth to become positive and productive members of society.
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