Amos Cottage houses programs for children with special needs; and it offers a number of outpatient developmental programs that are unique within our region.

If you are seeking contact information regarding services at Amos

Cottage please click here.

Therapeutic Day Program

The Therapeutic Day Program (TDP) is for children ages 3-7 who experience behavioral, emotional or social problems. The program is part of the Department of Developmental and Behavioral Pediatrics of Wake Forest Baptist Health. Multi-disciplinary treatment includes:

  • Evidence-based group treatment
  • Parent Training and Supportive Counseling
  • Case Management
  • Medication Management support

Specialized child-centered therapies which include behavioral, recreational and creative arts therapy. Academic services are provided through a Winston-Salem/Forsyth County Schools by a contracted credentialed teacher on-site. Specialized Pediatricians are co-located with program to conduct behavioral/developmental evaluations.

Outpatient Therapy Services are also available for children ages 3-10.

About the TDP
Program operates 7 hours daily Monday through Friday 8:30-3:30.
Located next to Forsyth Hospital but affiliated with Wake Forest University Health Sciences Department of Pediatrics.
Direct-care professional staff each has degree in area of expertise and include:

  • Educational Therapist
  • Creative Arts Therapist
  • Recreation Therapist
  • Behavioral Specialist

Therapy assistants have numerous years of experience in the field.
Day treatment services for client will include behavior management strategies which emphasize positive reinforcement, development of appropriate social skills, academic instruction by a Winston-Salem Forsyth County Teacher, and community outings to provide practice for reintegration to client’s school/home setting.
Each client has an Individualized ‘Person-Centered Plan’ to address treatment goals.
In addition, program employs a Clinical Social Worker to provide parent training and set up services for family in the community. The program’s Child Psychologist develops an individual behavior plan for each client, assists with parent training and provides psychotherapy and/or testing as needed. If client exhibits any other significant behaviors, The Psychologist and the Clinical Social Worker are qualified to identify and give a diagnosis.
Developmental and Behavioral Pediatricians from Wake Forest School of Medicine are on site for consultation and medication management if deemed advisable.
Professional therapy staff will provide training for classroom personnel when child is ready to transition back into his/her school setting.
Transportation Services are available for eligible clients.
Outpatient Counseling Services: Licensed clinician provides supportive counseling, utilizing creative and highly effective counseling techniques specifically designed to support the ‘younger’ child and family.

Admission Packet for Parents [PDF]
Admission Packet for Schools [PDF]

We are CARF accredited and licensed by State of NC Department of Health and Human Services, Division of Mental Health to provide day treatment services for 16 children with behavioral/emotional disorders. The program is also CABHA Certified/Critical Access Behavioral Health Agency. Credentialed by CenterPoint Human Services to be a contract provider. Families without Medicaid are assessed a sliding scale fee based upon income. We are also a United Way of Forsyth County partner agency. 

CDSA Services

The Winston-Salem CDSA approach to early intervention services emphasizes collaboration with the family. Each child enrolled in the program has an Individualized Family Service Plan, or IFSP, that outlines and describes the needs of the child and family, based upon the family’s priorities.
The CDSA seeks to provide families with educational, emotional, therapeutic, and financial support, in order to help each child achieve his or her maximum potential, and to help families with caring for their child.
Since families have the most contact with and are the greatest influence on their young children, we focus on building capacity for the family to learn to help their child. Our professionals serve as coaches and consultants to families, in promoting development.
Some of the services offered by the Winston-Salem CDSA include:

  • Assistive Technology Services and Devices
  • Early Identification and Screening
  • Evaluation and Assessment
  • Audiology Services
  • Health Services
  • Medical Services
  • Nutrition Services
  • Occupational Therapy
  • Physical Therapy
  • Psychological Services
  • Service Coordination
  • Social Work Services
  • Special Instruction
  • Speech-Language Therapy
  • Vision Services

Eligibility Categories – Infant-Toddler Early Intervention Program

There are two eligibility categories in the CDSA Infant-Toddler Program for children from birth to 36 months:

  • Developmental Delay
  • Established Conditions

The Infant-Toddler Program was designed for children who show delayed development or who have a diagnosed mental or physical condition that has a high probability of resulting in developmental delay. To qualify in either eligibility category, there must be an identified condition(s) and the need for developmental, therapeutic, or educational intervention.
For more information about Early Intervention and eligibility criteria in NC visit North Carolina Infant-Toddler Program.


All Evaluations are at No Cost to Families
This may include testing/assessment in: audiology, psychology, social work, physical, occupational, and speech therapies, nutrition, medicine, and overall developmental testing.
Service Coordination is at No Cost to Families
Early Intervention Service Coordination to assist families in identifying needs, finding resources, and setting family goals.
Other Interventions
An Individualized Family Service Plan developed by the family and service team details support services and activities designed to promote child development and support the family. Costs for therapy services are based on a State sliding fee scale.
Children’s Developmental Services Agencies bill insurance, Medicaid and all other available third-party resources. 
Families of children covered by Medicaid are not billed for services. 

CDSA Referrals

Anyone may refer a child for evaluations and Early Intervention Services. If a family member, doctor, or other care provider feels that a child under 3 may qualify for early intervention services, referral can be made to the Winston-Salem CDSA.
Referrals may be phoned to 336-713-7412 or faxed to 336-768-2095.

CSDA: Frequently Asked Questions

Who may refer a child and family to the CDSA? 
A parent, physician, allied health or education professional may refer a family to the CDSA. Please call 336 713-7412.

Are there any costs to the family for Early Intervention services through the CDSA? 
Evaluations, screenings, and Service Coordination are at no cost to all families. Some services, such as occupational therapy, physical therapy, and speech-language therapy, may have family costs based on a state sliding fee scale that takes family size and income into consideration. There are no costs to families for any services for children covered by Medicaid. Some costs may be covered by a family’s private insurance.

How can Early Intervention help my child? 
Early intervention is designed to help both children and families. There is extensive literature showing that early intervention is effective in helping children with disabilities and their families. See, for example,

Early intervention for infants and toddlers takes a family-centered approach. Families are free to pursue or decline any supports or services offered, and to proceed with early intervention at their own pace. All supports and services are based on the family’s priorities and needs. CDSA staff work collaboratively with families to help clarify and prioritize outcomes, interventions, and strategies. As professional interventionists, we strive to help families with educational, emotional, and financial supports, and to help parents and other care givers best promote their child’s development.

Where are early intervention services delivered? 
By law, early intervention services are delivered, to the maximum extent appropriate, in natural environments including the home and community settings in which children without disabilities participate. Some services, such as hearing and other evaluations, may be provided in a clinic setting.

Are there any local parent support groups or agencies I can talk with about early intervention? 
Yes. Please visit the Family Support Network’s website for information.

What happens when my child leaves the Infant-toddler Early Intervention program? 
Your assigned Service Coordinator will work with you well before your child leaves the program to assure a smooth transition. Families choose whether or not to pursue other programs and services as their child prepares to transition following CDSA enrollment. For more information about transitioning, please refer to the North Carolina Infant-Toddler Program.

Where can I get more information about the NC Early Intervention Program 
Please visit

Where can I get more information about early intervention in general? 
Please visit the Center for Parent Information and Resources.

CDSA Staff
The Winston-Salem CDSA staff consists of clinical, business, and support professionals necessary to serve more than 800 families in 6 counties each year:

  • Developmental-Behavioral Pediatricians
  • Social Workers
  • Psychologists
  • Speech-Language Pathologists
  • Audiologists
  • Occupational Therapists
  • Physical Therapists
  • Nutritionists
  • Nurses
  • Education Specialists
  • Early Child Development Specialists
  • Service Coordinators
  • Business Office and Billing Specialists
  • Quality Assurance, Medical Records, and Intake Coordinators
  • Administrative, Information Services, and other support staff  


NICU Follow-up Program
Brenner’s NICU also operates the NICU Follow-up Program. Located at Amos Cottage (3325 Silas Creek Parkway), the program is specially designed to provide long-term follow-up care for infants who were in a NICU. The multidisciplinary health professionals at our NICU Follow-up Program monitor your child’s development carefully, including your child’s emotional and physical development, to make sure he or she is on track. Our experts can spot problems, if any, early and take steps to get each baby back on track.

Additional Pediatric Developmental and Behavioral Programs include:

  • Pediatric Eating, Assessment and Treatment Program (KIDS-EAT): a multi-specialty clinic and treatment program for oral feeding disorders.
  • Augmentative Communication and Assistive Learning Clinic: a multidisciplinary program that offers prescriptive evaluations, treatment and outreach services to children with expressive language impairments who have the ability to communicate and interact with assistive devices.

For more information contact Amos Cottage at 336-713-7400.