1 Dutch Down Syndrome Foundation, Meppel, The Netherlands.
2 Down Syndrome Education International, Kirkby Lonsdale, Cumbria, UK.
3 Down Syndrome Education USA, Irvine, CA, USA.
4 Down Syndrome Program, Division of Medical Genetics and Metabolism, Department of Pediatrics, Massachusetts General Hospital, Boston, MA, USA. bskotko@mgh.harvard.edu.
5 Department of Pediatrics, Harvard Medical School, Boston, MA, USA. bskotko@mgh.harvard.edu.