ThePlaybook_PRTF

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THE PLAYBOOK

Psychiatric Residential Treatment Facility (PRTF)

Empowering Our Team with Clear Goals and Collaborative Success

AMessageFromOurCEO

Alexander Youth Network

On behalf of the Senior Management Team, I am delighted to welcome you to the Alexander Youth Network! We are honored you have chosen to join us on this transformative journey.

Our mission is clear and powerful: to provide quality treatment to children with serious emotional and behavioral challenges, enabling them and their families to achieve their potential and contribute positively to society. Every day, you have the incredible opportunity to change lives and create lasting impact.

What sets us apart is not just our expertise but the compassion and dedication we bring to our work. As you become part of our vibrant community, remember to lean on your colleagues, ask questions, and share your insights. Every interaction and challenge you overcome brings us closer to fulfilling our mission.

Together, we can make a profound difference in the lives of countless children and their families. Here’s to a future filled with hope, resilience, and positive transformation.

Best regards,

Introduction:ThePlaybook

Purpose of the Playbook

Welcome to The Playbook! This eBook is a central resource for all employees, providing a clear overview of our program expectations and guidelines. Our goal is to ensure everyone in your department has consistent, accurate information, helping us maintain high standards and achieve our goals.

Why the Playbook?

Enhance Clarity: Ensure everyone understands their roles and aligns with department goals.

Improve Communication: Clearly communicate expectations, reducing misunderstandings.

Support Training: Serve as a resource for onboarding and ongoing training.

Facilitate Accountability: Establish clear benchmarks and performance indicators.

How the Playbook Can Help You

Program Overviews: Detailed descriptions of each program and key performance indicators.

Expectations: Clear outlines of your role and tasks.

Resources: Access to templates, forms, and contact information.

Procedures: Step-by-step guides to our processes.

Improvement: Best practices and tips for better performance.

Using The Playbook, you’ll have the tools to perform your job effectively and contribute to our department’s success. This eBook will be an invaluable resource in your professional journey.

VP of Residential Services

Executive Director - PRTF

Program Supervisor

Qualified / Associate Professionals Coordinators Discover

Behavior Health Counselor

Clinicians / Therapists

Nurse Manager Education Supervisor

Registered Nurse’s

Teacher / Physical Education Ins.

Lead Recreation Therapist Recreation Therapist

ProgramExpectations

Program Overview

Population: Children ages 5-14 with significant emotional, psychological, and behavioral challenges

Capacity: 42-bed treatment unit across 7 cottages

Model: Trauma-Informed Approach, utilizing the Neurosequential Model of Therapeutics (NMT)

Goals: Stabilize child, improve coping mechanisms, prepare for transition to less restrictive setting

Accreditation: Joint Commission on Accreditation of Healthcare Organizations

Service Focus: Structured residential care beyond typical outpatient settings but not requiring acute hospitalization

Click Here: PRTF Program Expectations

Approach:

Treatment&Therapeutic Interventions:

Individualized,trauma-informed,andculturallysensitivecare

Availability:24/7therapeuticandpsychiatriccare.Averagelengthofstay: 90-120days,adjustedbasedonindividualprogress

PrimaryModels:

IndividualTherapy:Focusesonpersonalchallengesandcoping strategies

GroupTherapy:Improvessocialskills,problem-solving,and emotionalregulation

FamilyTherapy:Supportsfamilyreintegration

24-HourPsychiatricNursingCare:Continuousmedicalandmental healthcare

SupplementaryModels:

RecreationalandMilieuTherapy:Structuredactivitiespromoting emotionalandphysicaldevelopment

ComprehensiveAssessments:Psychiatric,psychological, neuropsychological,behavioral,cognitive,andtraumaevaluations

Treatment&Therapeutic Interventions:

30 Day Assessment Program

Purpose: Comprehensive evaluation of a child's needs and appropriate level of care

Duration: 30 days of intensive assessment and observation

Components:

Psychiatric evaluation

Psychological testing

Educational assessment

Medical examination

Family dynamics assessment

Behavioral observation in structured and unstructured settings

Multidisciplinary Approach: Involves psychiatrists, psychologists, therapists, nurses, and educational specialists

Daily Activities: Participation in PRTF program activities to assess social skills and behavioral patterns

Family Involvement: Family sessions to gather historical information and assess family dynamics

Outcome: Detailed report with diagnosis, treatment recommendations, and appropriate level of care suggestions

Follow-up: Care coordination to ensure smooth transition to recommended services or continued PRTF stay if necessary

NeurosequentialModelofTherapeutics(NMT)

TheNeurosequentialModelofTherapeutics(NMT)isadevelopmentally sensitiveandneuro-biologicallyinformedapproachtoworkingwithchildren whohaveexperiencedtrauma.DevelopedbyDr.BrucePerryandthe ChildTraumaAcademy,NMTisbasedonextensiveresearchintotheimpactof earlychildhoodtraumaonthedevelopingbrain.

CoreConcepts

NMTfocusesonassistingchildreninformingnewpathwaysforhealthy braindevelopment

Itprovidesaframeworkforassessingthechild,identifyingissuesand strengths,andapplyingeducational,enrichment,andtherapeutic interventions.

Themodelincludesanassessmenttoolthatproducesagraphical illustrationofthechild'scurrentbrainfunctioning,allowingforthe considerationofdevelopmentalriskandresiliencyfactors.

IntensivePsychiatricResidential Treatment(iPRTF)

WhatisiPRTF?

TheiPRTFprogramatAlexanderYouthNetworkcombinesresidentialcare fortroubledyouthwithintensivefamilysupportWhileachildreceives treatmentatourfacility,ourteamalsoworkswiththeirfamilyathome.This dualapproachaimstoshortenresidentialstays,betterpreparefamilies,and reducereadmissions.Byprovidingtherapybothon-siteandathome,we helpkidsreturnhomesoonerandstaytherelonger,improvingoutcomesfor bothchildrenandfamilies.

Focus:Providesenhancedfamilyengagement,decreasedlengthof stay,andimprovedoutcomesforadolescent’spost-discharge.

ServiceDelivery:Adedicatedteam,includingamaster’s-levelclinician andaFamilyPeerPartner,offersservicesbothintheresidentialsetting andinthechild’shometopreparethefamilyforsuccessfulreintegration.

TherapeuticFocus:Includesin-hometherapysessionsandon-site interventions,addressingchallengesinreal-time.

KeyComponents:

FamilyInvolvement:Beginsatadmission,withweeklyin-homefamily therapy,homepasses,andovernightvisitstopreparefamiliesfor reunification

SmallCaseloads:Serves4-6activeclients,allowingforfocused, individualizedcare,andsupports12-15post-dischargeclients.

ShorterLengthofStay:Providesintensivecareinashortertimeframe, aimingforfasterreunificationandreducedreadmissionrates.

ComprehensiveDischargePlanning:Beginsatadmission,ensuring continuityofcare,includingmentalhealthservices,schoolplacement, andcommunitysupports.

Post-DischargeFollow-Up:Continuesforuptooneyear,offeringhome visits,phoneconsultations,andcrisisinterventiontoensurestability duringtransition

ProgramExpectations

Person-CenteredPlan(PCP):

Purpose:Directsindividualizedgoals,includingaCrisisPlanandTransition Plan.

ChildandFamilyTeam:Includesfamilymembers,therapists,school personnel,andcommunitymembers.

ReviewProcess:Monthlyreviewstotrackprogressandadjustgoalsas needed.

Services(BasedonMedicalNecessity):

Individual,group,andfamilytherapy

Crisismanagement:Immediate,in-personortelephonicsupportasrequired

Intensivecasemanagement:Coordinatesservicesforsuccessful communityreintegration

Psychoeducationforfamilies

Medicationmanagement

Educationalsupportservices

ProgramObjectives:

Theprogramaimsto:

Stabilizeacutepsychiatricsymptomsandreducecrisisepisodes. Improveemotionalandbehavioralfunctioning. Enhancefamilyrelationshipsandsupportsystems. Fostercommunityreintegrationandacademicprogress. Promotetheabilitytoidentifyandmanagetriggersandsymptoms. Increasetheuseofnaturalandsocialsupports,ensuringsuccessful maintenanceinafamilyorcommunity-basedsetting.

ClinicalOutcomes

Wetrackandmeasurethefollowingclinicaloutcomes:

ACORNMeasurement:MonthlyevaluationsduringChildandFamilyTeam meetingstoassessprogress.

CGASAssessments:Conductedatadmissionanddischargebylicensed therapiststomeasureimprovements.

80%completionofevaluationswithinthefirst30days.

80%successfultransitiontopost-dischargeservices

Lessthan5%ofparticipantsutilizingemergencyroomswithin90daysof discharge.

80%ofchildrenachievingstablecommunitytenure90dayspost-discharge.

80%ofchildrenreceivingcommunity-basedtreatmentserviceswithinseven daysofdischarge.

ProgramStaff

ExecutiveDirector-PRTF:Overseesprogramdevelopment,staff supervision,compliance,andcommunityrelations,whileidentifyingnew serviceopportunities.

PRTFSupervisor:Supportsprogramimplementation,supervisesstaff, andensurescompliancewithprotocolsanddocumentation

PRTFTherapist:Providesclinicalservices,therapy,dischargeplanning, andstafftrainingforacaseloadof12children.

PRTFCoordinator:Managescaseservices,facilitatesfamilymeetings, tracksprogress,andmaintainsfamilycontactpost-discharge.

LeadBehavioralHealthCounselor:Deliversdirectcare,implements treatmentplans,supervisesroutines,andmonitorsmedicationeffects.

NursingManager:Overseesnursingprogram,supervisesstaff,ensures compliance,managesbudget,andleadsinfectioncontrolefforts.

RegisteredNurse(RN):Monitorsclientsafety,managesmedications, coordinatescare,andcollaborateswithfamiliesonhealthcareneeds.

FoodServiceManager:Plansmenus,supervisesstaff,managesfood supply,andensureshealthandsafetycomplianceinthekitchen.

FoodServicesCook:Preparesandcooksbalancedmeals,maintains cleanliness,andfollowsfoodsafetyprotocols.

EducationSupervisor:OverseesECprogram,supervisesstaff,manages IEPprocesses,andcoordinateswithclinicalteamsandfamilies.

ECTeacher:Providesinstruction,developsIEPs,maintainsstudent records,andparticipatesinclinicalplanning.

LeadTherapeuticRecreationTherapist:Leadsrecreationtherapy activities,guidescaremodels,andensurestimelydocumentation

RecreationalTherapist:Developsandimplementsrecreationactivities andtreatmentplanstoenhanceclientskills.

ResidentialCoach:Providescoachingtostaff,facilitatesactivities, ensuresdocumentation,andrespondstocrises.

ProgramExpectations

TrainingandSupervision:

Comprehensiveonboardingincludingtrauma-informedcare,crisis intervention,NMT

Ongoingprofessionaldevelopmentandannualcertifications

Clinicalsupervisionunderboard-certifiedchildandadolescent psychiatrist

Regularperformanceevaluationsanddocumentationrequirements

SpecifictrainingincludesHandlewithCare,CPRforPRTF,TCIStress ModelofCrisis,MedManagement,developmentalassessments,and individualizedtreatmentplanning

Documentation:

ProgressNotes:Within24hoursofeachtherapeuticintervention

WeeklySummaries:Recordsprogressduringteammeetings

CrisisDocumentation:Detailedrecordsofincidentsandresolution strategies

MonthlyPCPReviews:DocumentedincollaborationwiththeChildand FamilyTeam

Accuratedocumentationofyouthprogress,treatmentplans,and interventionsensuringcompliancewithregulatorystandards

ProgramExpectations

IncidentReporting:

Anincidentorunusualoccurrenceisanyhappeningnotconsistentwith routineoperationorcarethatmayleadtoadverseeffectsonachildincare StaffmustcompleteanIncidentReportwheneversuchaneventoccurs,or theybecomeawareofone.

Examplesofreportableincidentsincludebutarenotlimitedto:

Injuryrequiringmedicalattention

Hospitalizationoroff-siteemergencyassessment

Suicidalthreatsorgestures

Possessionofaweaponorillegalsubstance

Allegationofmaltreatment

Runaway

Seriouspropertydestruction

Medicationerrors

Serioussexualactingout

Death

Rapeorsexualassault

Schoolsuspensionorremoval

Physicalaggressiontowardothers

ReportingProcess:

1.

NotifysupervisororQualifiedProfessional(QP)oncallwithin4hoursof theincident.

3.

2Completetheincidentreportassoonaspossible. . SupervisororQPwilltakeappropriateactionandcompleterelated documentation.

4.

Incidentsareclassifiedasminor(levelI),moderate(levelII),orserious (LevelIII).

5.

CriticalIncidents(LevelIIorIII)requireadditionalreportingintheNC IncidentResponseImprovementSystem(IRIS).

Additionalnotificationsmayberequiredforspecificincidents,suchas medicationerrorsorassaultallegations.

RestrictiveInterventionsGuide

ImportantNote

Beforeproceeding,pleasereviewtheBHPoliciesfoundinourAYNConnect PoliciesandProcedures.Thesepoliciesprovidecomprehensiveguidelinesthat complementthisguide.

Overview

Restrictiveinterventionsareemergencymeasuresusedonlywhenthere's imminentriskofharm.Ourgoalistominimizetheirusethroughproactive preventiontechniques.

KeyPointsforStaff

Authorization:Onlytrained,authorizedstaffmayinitiaterestrictive interventions.

Training:Youmustcompletetraininginde-escalation,physicalholding, clientmonitoring,CPR,andfirstaid.

Procedures:

Alicensedindependentpractitioner(LIP)mustordertheintervention. Documenteachinstancethoroughly. Followage-basedtimelimitsforrestraintorders. Continuouslymonitortheclientduringandaftertheintervention.

Discontinuation:

Stoptheinterventionassoonastheindividualiscalm. Informthechildofbehaviorcriteriaforendingtheintervention.

Post-Intervention:

Conductadebriefingwithin24hourswiththechild,staff,andwhen appropriate,thelegalcustodian.

PlannedInterventions:

MaybeincludedinthePerson-CenteredPlanifapprovedbytheClient RightsandEthicsCommittee. MustbereviewedmonthlybytheChildandFamilyTeam.

Remember:Ourprimaryfocusisonpreventionandde-escalation.Restrictive interventionsarealastresort.AlwaysrefertothefullBHPoliciesinAYNConnect forcompleteandup-to-dateinformation.

ProgressNotesExpectation

ShiftResponsibility

LeadBHCsareresponsibleforensuringalldocumentationiscompleted duringtheirshifts.

IfnoLeadBHCispresent,thisresponsibilityfallstotheProgram Manager.

End-of-ShiftConfirmation

LeadBHCsmustconfirmallprogressnotesarecompletedbefore endingtheirshift.

Thisconfirmationisrequiredeveryshift,everyday.

ProgramManagerOversight

ProgramManagersmusttagprogressnoteswithin24hours. Incompletenotesrequireimmediatedisciplinaryaction,includinga writtenwarning.

WrittenwarningsmustbesubmittedtotheExecutiveDirectorwithin24 hoursoftheinfraction.

QualityandCompliance

Allstaffareaccountableforfulfillingdocumentationduties. Documentationmustbecomplete,accurate,andtimelytoensure funding,qualitycare,andlegalcompliance.

ContinuousImprovement

ProgramManagersmustaddressdocumentationinconsistencies promptly.

Staffshouldstriveforongoingimprovementindocumentationpractices.

Remember

Accuratedocumentationimpactsfunding,qualityofcare,andlegal compliance.

CommunicationbetweenProgramManagers,LeadBHCs,andstaffiscrucial formaintaininghighdocumentationstandards

Consistentlymeetingtheseexpectationsisessentialforjobperformance andcontinuedemployment.

LeadBHCsareresponsibleforensuringallstaffcompletetheirdocumentation bytheendoftheirshiftswithProgramManagersprovidingoversightand addressinganyinconsistenciespromptly.

ProgramExpectations

Referrals:

Accepted Sources: Referrals are accepted from schools, social service agencies, healthcare providers, mental health providers, juvenile justice, and families.

Processed By: Managed through the Alexander Youth Network Access Department, ensuring all documentation is complete and evaluating the appropriateness of the referral.

Criteria for Appropriateness: Youth must meet the medical necessity for the highest level of residential care, including those with significant emotional or behavioral challenges.

Exclusion Criteria: Referrals are not appropriate for youth whose primary diagnosis is substance abuse without accompanying behavioral health needs.

Alternative Recommendations: If the PRTF program is not suitable for a child, the Access Department will recommend alternate services to meet the child’s needs.

Final Note:

Our staff are more than caregivers; they are mentors, guides, and advocates for each adolescent’s future. By engaging deeply with youth and their families, they foster resilience, build hope, and ensure that every transition is a step toward a brighter tomorrow. Your dedication makes a difference every day. Together, we are shaping a path toward recovery and success for every young person we serve.

IntroducingAlexander'sOneStopShop:

CentralizedResourceFolder:Accessourcollaborativedocumentlibrary, whereinterdepartmentalfilesharingbecomeseffortless.

PoliciesandProcedures:Neverwonderwheretofindcriticalinformation again.Accessallagencypoliciesandproceduresinonecentralized,easy-tonavigatelocation.

DedicatedTeamSites:Eachdepartmentenjoysatailoreddigitalspacefor filestorageandteamwork,enhancingproductivityandorganization.

AYNStream:UnlockthefullpotentialofAYNConnectwithlivestreamsand videotutorials,ensuringyou'realwaysup-to-speedwithourlatestfeatures.

VivaEngage:YourCommunicationPowerhouseStayconnectedwith colleaguesthroughthisdynamicplatformforannouncements,discussions, andtimelyupdates.

AYNConnectisn'tjustatool;it'syourgatewaytoamoreefficient,collaborative, andinformedworkexperience.Embracethefutureofworkplaceconnectivity withAYNConnect–whereinformationmeetsinnovation.

PoliciesandProcedures: AgencyWide

Agency Policies

Agency Policies

Click Here

Agency Procedures

AYN Connect

At Alexander Youth Network, we provide top-quality care through comprehensive policies ensuring safety and consistency. Visit our Policies & Procedures page on AYN Connect for more information.

Access Our Policies Instantly!

Get to know our agency policies in no time. Simply click the folder to your left and find all the important guidelines at your fingertips.

Employee Handbook

Behavior Healthcare Policies IT Policy

Need to find our Agency Procedures?

Click the folder to your left and access all our Agency Procedures instantly!

CCA and Reassessment Procedure

Agency Procedures

Click Here

Emergency and Inpatient Notifications

IHAP Procedure

Handle with Care Physical Intervention

Emergency and Inpatient Notifications

AYN Connect

Program Procedures

Program Procedures is designed to assist our staff in efficiently accessing and implementing essential protocols within your PRTF program. By following these procedures, we collectively contribute to delivering the best possible care and services to the youth under our care.

Here are some of the most frequently used procedures:

Procedures - RTC Progress notes submission

RTC 3rd Shift Supervision Procedure

RTC 3rd Shift Support Procedure

PRTF Procedures Click Here

Simplyclickthefoldertoyourrighttoaccessthe streamlinedPRTFProcedures!

Procedures Streamlined Click Here

AYNConnect: ResourceFolder

Resource Folder

Welcome to AYN Connect's Resource Folder, designed to support all staff with comprehensive departmental information, standardized templates, checklists, forms, best practices, and training materials. This centralized hub ensures you have the tools and resources needed for success. Our goal is to equip you for excellence and enhance our mission.

Connect - Resource Folder Click Here

Welcome to the PRTF Resource Folder! Here, you'll find essential tools, guidelines, templates, checklists, workflows, forms, and training materials tailored for the PRTF program. Access and contribute valuable resources to empower your team and support our mission effectively.

Explore the Top PRTF Resources Available Inside!

Administrative Staff

iPRTF Folder

Self-Care-Assessment

Feelings Chart

Relationship Conflict Resolution

Self Aware (TCI) Training for parents

Automatic Thoughts

PRTF Resources Click Here

EnvironmentofCare (EOC)

The EOC is a comprehensive approach to safety and well-being within our organization.

Key Points Include:

Safety Philosophy

Highest safety standards in all operations

Safety is everyone's responsibility

Prevention of injury and illness is a primary goal

EOC Committee

Assists in implementing campus safety plans, policies, and procedures

Develops, implements, and evaluates the safety program

Aims to create and maintain a safetyconscious environment

Principles:

All injuries and accidents are preventable

Safety is the first consideration in all workplace actions

Written safety plans are essential

Off-job safety awareness is encouraged

Employee Expectations

Follow all safety program aspects

Contribute to a safe, organized, and efficient workplace

Know and follow written safety plans

Suggest improvements to the safety program

Enviroment of Care Resources

Explore the top resources!

Safety Checklist

Medication Resources

Safety Plan

Logs Checklist

Discharge Resources

Field Trip Permission Form

Power Outage Flowchart

MAR EOC Plan

Program Sinage

EchoVantage

At Alexander Youth Network, we use EchoVantage to streamline our operations and ensure we provide the best care possible. EchoVantage is an advanced electronic health record (EHR) system designed specifically for behavioral health organizations, and it's a key tool in our daily work.

WhatisEchoVantage?

Click Here

EchoVantage’s Knowledge Base

EchoVantageisacomprehensiveEHRsystemthatintegratesvariousaspectsof clientmanagement,documentation,billing,andreporting.Ithelpsusmaintain accurateandup-to-dateclientrecords,manageappointments,andensure compliancewithindustrystandardsandregulations.

KeyUses

ClientManagement:Maintaindetailedclientprofilesandtreatmentplans. Scheduling:Manageandcoordinateappointments.

Documentation:RecordSessions,ProgressNotes,andIncidentReport.

Billing:Automatebillingandclaimssubmission.

Reporting:Generatereportsforperformancetrackingandcompliance.

AYN Stream - EchoVantage

Visit our playlist on AYN Stream, you'll find a collection of recordings that offer: Guidance and Support: Step-by-step video guides on logging in, troubleshooting, and using new updates.

New Feature Explanations: Detailed breakdowns of the latest EchoVantage features. Assessment and Note Guides: Comprehensive tutorials on conducting assessments and managing notes effectively.

EchoVantage Videos Tutorials

Create a Ticket

Access Teams: O Microsoft Teams. 1.

Open AlexAI: Fin con and click 2.

Restart Session: Click restart" or type it. 3. Open Ticket: Click "Open a New Ticket". 4. Select Support Team: Click the right team. 5. Enter Request: Provide lots of details. 6. Submit Ticket & Attach files if needed. 7.

Restart & Quit Commands

Starting a Conversation: Type "restart" to clear previous chats and start fresh

Ending a Conversation: Type "quit" to properly end the conversation.

Switching Topics: Type "quit" to end the current topic, then "restart" to begin a new one This keeps the chatbot on track Click Here: AlexAI Tips & Tricks

Paycom is a comprehensive and user-friendly HRIS solution where we complete HR processes (submitting timesheets / time off requests, viewing benefits, etc.)

Learn more: AYN Connect: Paycom

Need Help? Visit Paycom’s Help Center

Paycom offers a comprehensive Knowledge Base with 125 articles and guides on features and troubleshooting. Additionally, there are 123 step-by-step instructional videos and FAQs addressing common questions on various topics.

Examples of tutorials in Paycom’s Help Center:

Benefits: Show Me How: to Enroll in Benefits

Paycom Basics: Payroll: Show Me How: to Approve My Check (Mobile)

Payroll: Show Me How: to Set Up My Direct Deposit

Time Management: Show Me How: to Approve My Timecard

Time Management: Show Me How: to Submit a Punch Change Request

Time-Off Requests: Show Me How: to Request Time Off (Video)

Scheduling: Show Me How: to Review My Schedule

Scheduling: Show Me How: to Offer and Pick Up Shifts

Click Here: Show Me How to Download the iOS App

Click Here: Show Me How to Download the Android App

NextSteps

Thank you for taking the time to read through our PRTF Program Playbook. We hope this resource has provided you with clear expectations, useful guidelines, and valuable insights to help you thrive in your role. If you have any questions please contact your manager, search the PRTF SharePoint site, or ask AlexAI for assistance.

Recap of Key Points

Program Expectations: Understand the standards and responsibilities for PRTF staff.

Streamlined Procedures: Follow the outlined processes for efficient and effective operations.

Resources and Tools: Access the tools and information you need to succeed.

Your Role in Our Mission

Each member of our team plays a vital role in achieving our mission to provide exceptional care and support to those we serve. Your dedication, professionalism, and compassion make a significant impact.

Stay Connected

For ongoing support and updates, stay connected through: Microsoft Teams: Join discussions, ask questions, and share insights SharePoint: Access the latest documents, updates, and resources Stream Videos: Watch quick demos and tutorials for visual guidance

Looking Forward

We are excited to have you as part of our team and look forward to your contributions. Together, we can achieve excellence and make a difference in the lives of those we serve.

Thankyou, AlexanderYouthNetwork

THE PLAYBOOK Empowering Our Team with Clear Goals and Collaborative Success

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