Children and teens
Support that meets young people where they are.
Therapy, youth PRP, anger management and self esteem work, plus mentorship and Summer RISE.
Helping You Heal. Helping You Grow. Keeping Hopes Alive.
Therapy, psychiatric rehabilitation (PRP), medication management and community-based behavioral health support for children, adults and families throughout Maryland.
Accredited and licensed 
Joint CommissionKHA OMHC accredited
CARFKHA PRP accredited
Maryland BHALicensed OMHC
We accept MedicaidMaryland Medicaid
Accredited and licensed
Joint CommissionKHA OMHC accredited
CARFKHA PRP accredited
Maryland BHALicensed OMHC
We accept MedicaidMaryland Medicaid
As seen in
All pressTwo ways in
Looking for care, or sending a client our way?
Every page on this site has a door for you. Pick the one that fits and we will take it from there.
For individuals and families Start care for yourself or someone you love.
Therapy, PRP, medication management and support for youth, adults and families.
Start care
For providers and agencies Refer a client to an accredited partner.
Schools, hospitals, providers and case managers. Secure referrals and coordinated care.
Refer a clientWe accept Maryland Medicaid.
Keeping Hopes Alive accepts Maryland Medicaid. Call us or send the form and our intake team will check your coverage with you.
Your Thoughts Become Your Reality. “Mr. Karahn is changing our realities.”. Prevention Through Exposure. “True pillars of the community.”. Find Yourself. Build Your Value.. “He always feels supported and safe!”
Our story
From a grassroots PRP to an accredited clinic.
Founder Karahn Alston built Keeping Hopes Alive after working through depression and uncertainty of his own. He turned that pain into purpose.
What started as a psychiatric rehabilitation program is now a licensed outpatient mental health center, accredited by The Joint Commission and CARF, with a team that serves families across Maryland. The mission has not changed: help people find themselves, build their own value and have a safe place to do it.
Read our story
Who we serve
Children, teens, adults and families.
In fiscal year 2024 to 2025 KHA served 412 clients: 237 youth and 175 adults. Care is built around the person in the room, at any age.
Adults
Private, steady care for grown-up pressures.
Individual therapy, adult PRP, medication management, grief counseling and substance use support.
Families
When one person struggles, the household heals together.
Family therapy, case management and life skills support for parents, caregivers and relatives.
Services
Care for the whole person.
Clinical treatment and real world support under one roof, in person or by telehealth.
Individual Therapy
One on one time with a licensed clinician to talk through what you are carrying and build skills that hold up in real life.
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Family Therapy
Sessions that bring the people closest to you into the room to talk honestly, rebuild trust and support each other.
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Group Therapy
Guided sessions where people facing similar challenges learn from each other in a confidential, supportive setting.
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Psychiatric Rehabilitation Program (PRP)
Recovery focused support for youth and adults living with serious mental illness, built around real life skills and community.
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Medication Management
Psychiatric evaluation, prescribing and regular follow up so your medication plan keeps up with how you are actually doing.
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Grief Counseling
Support for the weight of losing someone, at your own pace, with a clinician who understands how grief shows up.
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Anger Management
Practical skills to notice what sets you off, slow it down and respond in a way you can stand behind.
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Self Esteem Building
Helping youth and adults see their own value, speak kindly to themselves and walk into rooms with confidence.
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Substance Use and Addiction Support
Early intervention and outpatient support for substance use, including medication assisted treatment paired with counseling.
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Life Skills and Community Support
Hands on help with the parts of life that hold recovery up: housing stability, career readiness, money management and crisis support.
Learn moreWhich program
What type of support do I need?
Not sure? Start with our intake team. We will help determine the appropriate next step.
Outpatient Mental Health Clinic (OMHC)
- Therapy
- Psychiatric evaluation
- Medication management
- Clinical treatment
Psychiatric Rehabilitation Program (PRP)
- Skill development
- Community integration
- Independent living
- Coping skills
- Social skills
- Rehabilitation support
Not sure where to start?
You don't have to know which service you need before reaching out. Tell us what's going on, and our intake team will help you understand the next step.
Your path to care
Your path to care at Keeping Hopes Alive
01 / Step 
Reach out
Call or send the secure form. However you reach us, a real person answers and listens.
02 / Step 
Intake
We learn what is going on, check your coverage and answer every question before anything is scheduled.
03 / Step 
Matched with a clinician
You are paired with the right person and service: therapy, PRP, medication management or a mix.
04 / Step 
Ongoing care
Regular sessions in person or by telehealth, with a care team that coordinates and checks in.
05 / Step 
Thriving
New skills, steadier days and a life you are building on purpose. Your thoughts become your reality.
Impact
Measured in people, not promises.
From the KHA impact snapshot for fiscal year 2024 to 2025.
412
clients served, 237 youth and 175 adults
3,500+
families reached through toy drives, meals and outreach
88%
of enrolled clients stay active beyond six months
2
national accreditations, The Joint Commission and CARF
Hope Starts With One Conversation. “HIGHLY RECOMMENDED”. Healing Happens in Community. “A safe space for those who are experiencing anxiety, past traumas, insecurities.”. Your Thoughts Become Your Reality. “I can't wait for the next event!”
Voices of KHA
Hear it from them.
Short videos from the young people and families in our programs. Tap one to play with sound.
Google reviews
Families say it best.
Parents, participants and partners on what Keeping Hopes Alive means to them.
Best PRP and Mental Health Program in the Baltimore. KHA represents and redefines what it means to be a young kid in Baltimore and the limitless possibilities to have a life with purpose. From top to bottom the Owner cares and so does the mentors who work directly with the youth and adults. Thank you KHA for all that you do. Keep pushing community and fighting the good fight!! We are behind you 1000%. 5stars nothing less.
Such a great program for my son. He always feels supported and safe! I love that he has a space to be vulnerable and guided by great role models.
Excellent program. The owner and staff go above and beyond to get the job done correctly! I will definitely be using them again.
Keeping hopes alive is awesome. They do a great with connecting children with mentors to inspire them to work hard, teach them a wide range of skill sets, and also help with mental health. Which is helping break stereotypes and build a supportive network in our community. Its innovative approach and meaningful impact makes it a wonderful program.
Very committed. Very consistent. True pillars of the community.
Awesome program. I experienced Keeping Hopes Alive and it's journey for a safe space for those who are experiencing anxiety, past traumas, insecurities. The program host work shops and events repairing cracks in the armor of needed individuals with a professional staff and volunteers dedicated with a connection of real love for the community.
I am incredibly impressed with the work Keeping Hopes Alive is doing to support and uplift children and the community. Their dedication to creating a positive and nurturing environment is evident in everything they do. From providing essential resources to fostering creativity and personal growth, they truly make a lasting impact on young lives. The staff and volunteers are compassionate, professional, and deeply committed to making a difference. I wholeheartedly recommend Keeping Hopes Alive to anyone looking to support a cause that truly invests in the future of our children and the community.
The amount of community impact is amazing!! Not many organizations are actively and ACTUALLY impacting our young men!! HIGHLY RECOMMENDED
Great program. Each week the kids learn a new life skill. Mr. Karahn is changing our realities.
I enjoyed all of their events and workshops. This program has helped not only myself but many others. Keep up the great work!
Our team
The people in the room.
Clinicians, case managers and mentors who show up for Baltimore every day.
Karahn Alston
CEO
Taylor Miller
LGPC, Therapist
Nashae Early
Case Manager
Photos coming
More on the team
Therapists, PRP staff, prescribers and support staff. Their cutout portraits are added as their photos come in.
For referral partners
A partner your clients can count on.
Schools, hospitals, agencies and providers refer to KHA because the care is accredited, coordinated and close to home.
- Joint Commission and CARF accredited, licensed by Maryland BHA
- PRP, outpatient therapy and medication management in one place
- Secure referral form with document upload
- Coordinated care and follow up with the referring provider
- We accept Maryland Medicaid
Start care 
Take the first step today.
Reaching out is the hardest part. Start enrollment or call, and a real person on our intake team will follow up.
- Youth, adults and families welcome
- We accept Maryland Medicaid
- In person in downtown Baltimore or by telehealth
- Secure, private and HIPAA conscious
1 North Charles Street, Suite 302, Baltimore, MD 21201
Monday to Friday, 9:00 AM to 5:00 PM