interview with the cdsa

Kesha Lynch, a supervisor with the Mecklenburg County Children’s Developmental Services Agency (CDSA), explained the agency’s work. Her multidisciplinary team, which includes administrators, evaluators, and case coordinators, serves families with children from birth to age three who may be experiencing developmental delays. She has been with CDSA for 16 years and has served in various roles, including case coordinator and senior case coordinator. CDSA consists of approximately 105 staff members organized into several teams; some specialize in supporting specific populations, such as children involved with child protective services or those transitioning out of NICUs.

While CDSA doesn’t regularly work directly with preschools or preschool social workers, they collaborate with Early Head Start programs and receive referrals from local pediatric offices. Kesha described the referral process, which is designed to be accessible. Families or other concerned individuals—such as providers with parental consent—can submit referrals through an online form. The intake team then follows up to verify eligibility and explain the next steps.

Eligibility for CDSA services is based on specific criteria, including developmental delays of 30% in one area or 25% in two or more areas. Assessments are comprehensive, evaluating six developmental domains and incorporating parent input, clinical opinion, and standardized tools. Kesha noted that while many referrals are for communication delays, assessments often reveal broader developmental concerns. Overlapping developmental challenges are common, and more children are being referred with global delays and signs of autism spectrum disorder.

The assessment process emphasizes a strengths-based approach, helping families focus on their child’s abilities while addressing areas of need. CDSA recognizes the importance of meeting families where they are and offering education so they can make informed decisions. While many families learn about the agency through pediatricians, brochures, and word of mouth, CDSA also has a presence at community events when invited. Their outreach is not regularly scheduled but occurs through partnerships, such as events with local hospitals and programs that serve children ages birth to five.

CDSA services are provided up to the child’s third birthday, as mandated by federal law under Part C of the IDEA. When children are approaching age three, CDSA works with local school systems to ensure a smooth transition to Part B services for continued support. Although CDSA cannot serve children past three, some community providers may continue coordinating services with families.

Finally, Kesha reflected on systemic barriers, noting a shortage of early childhood mental health providers and the challenges this presents for families and children dealing with trauma or behavioral concerns. She emphasized the need for broader education and awareness about CDSA’s services, especially because evaluations are free and available to all families, regardless of income or insurance status. Many people mistakenly believe the program is only for low-income families, but it is designed to support any family in need of developmental assessment and early intervention.

Written By:

Madolin Purcell

Master of Social Work Intern

University of North Carolina at Charlotte

2025