Archive for the ‘DSW Magazine’ Category

Caterina Scorson and family

Caterina Scorsone and family (photo by Rebecca Couresy)

Actress, advocate, and mother of 3, Caterina Scorsone shares how having a child with Down syndrome challenged her to open her mind. What she discovered changed her life.

Best known for her role as Dr. Amelia Shepherd on ABC’s Grey’s Anatomy, award-winning actress Caterina Scorsone has spent her career playing different characters by learning how to empathize and connect with people, a skill she developed as a child actor in Canada. In November of 2016, Caterina received unexpected news and she had to prepare for her most challenging role yet: mother to a child with Down syndrome.

When Caterina learned that her daughter, Paloma, “Pippa,” had Down syndrome, she recalls feeling scared and intimidated by the diagnosis. “I have always been the type of person who tackles challenges with careful planning and thoughtful preparation, and this, I was completely unprepared for,” Caterina explains. “And that caused me so much anxiety and worry. What type of mother did that make me, not knowing how to care for my own child?”

Honing her years of practice studying how people think, feel, and act, Caterina realized she had all the tools she needed to be a good mother to Pippa. “No one is ready for a Down syndrome diagnosis for their child, but they become ready one way or another, because they have to.

“Pippa has taught me how to be a better mother to all my children, and to be a better person in general. A better friend, sister, daughter, colleague,” says Caterina, who is using her public platform to share her parenting experiences with the world.

A rising advocate in the Down syndrome community, Caterina hopes to spread awareness to society and serve as a source of information and support for families.

Caterina Scorsone with her family

Caterina Scorsone with her family (photo by Rebecca Couresy)


Today, Caterina is a mother to three beautiful children: Eliza (9), Paloma aka “Pippa” (4), and Lucinda aka “Lucky” (19 months). She says that while they are all very different from each other, the thing all her children have in common is their very distinct and strong personalities. The proud mother describes Eliza as the problem-solver and creative thinker, Pippa as insightful and determined, and Lucky as fun-loving and strong.

Caterina shares how her ever-changing and ever-growing journey as a parent has continued to challenge her and teach her important lessons.

“When I was pregnant with my first, Eliza, I was so excited and ready to be a mom. I wanted to make sure I was the best mom I could be, so I read all the books and articles I could find on parenting. It was like preparing for a role. By the time Eliza was born, I felt really prepared.

“Three years later, when Pippa was born, the whole game changed. When we received her Down syndrome diagnosis, I was scared. I was intimidated by my lack of knowledge and skill in this area. I didn’t know what her needs would be or how I would meet them. I worried about what the future would hold for her.”

Searching for support and information, Caterina was frustrated by the lack of resources available to new parents of children with Down syndrome. She recalls how, at first, she allowed her frustration to take over, and her mind became overwhelmed with thoughts of fear, worry, and doubt. “My mind was stuck in the future, worrying about all the what-ifs, that I was missing the what-is right in front of me,” Caterina explains.

Caterina realized she needed to put her worries aside and move her focus to the real priority – which was to be there for her children. Shifting her focus to Eliza and Pippa, Caterina’s worries transformed into curiosity. She observed how the two interacted with each other and how both were developing and growing, in their own ways, at their own speed.

Caterina describes Pippa as very determined, insightful, sensitive, fun, and honest. “One of the most beautiful things about Pippa is how connected she is to her experience. If she wants to do something, she is very excited to do it and thoroughly enjoys it. And if she doesn’t want to do something, she is very connected to her gut and knows what she doesn’t want. Pippa’s self-acceptance frees her limiting beliefs, like worry about other people’s expectations of her.

“Once I embraced the diagnosis, I was able to appreciate what it invited into our lives, which was a beautiful shift in perspective that enhanced our whole way of living. Pippa has forced me to leave behind preconceptions about who people are and what they should or should not be like. It allowed me to see every person I encounter as completely unique, no longer subjected to some sort of list of standards that people are either succeeding or failing to live up to. I had to radically reconsider everyone’s individuality, including my own.”

In December of 2019, when Caterina had her third daughter, Lucinda, “Lucky,” she felt more prepared than ever before. Caterina knew this newfound life perspective would instill important values in all her kids and that she could handle any challenge that comes their way with grace. Similar to the creative environment she grew up in, Caterina says the family enjoys lots of dressing up and dance parties together in their home.

Pippa scorsone daugther to Caterina Scorsone

Pippa Scorsone daugther to Caterina Scorsone (photo by Rebecca Couresy)

Giving Back

“When Caterina took to Instagram to announce Pippa’s birth and diagnosis with excitement, we could tell right away that she was one of us and that she would be a powerful voice in the Down syndrome community,” says GLOBAL President and CEO, Michelle Sie Whitten. “After developing a relationship with her over the next several years, and learning about her passion for our research, we proudly selected Caterina as the recipient of our 2020 Quincy Jones Exceptional Advocacy Award, GLOBAL’s most prestigious honor.”

Due to COVID-19 restrictions, Caterina accepted the award virtually at the 2020 Be Beautiful Be Yourself Fashion Show. Caterina was proud to be a co-awardee with Spanish model Marián Ávila, who is dedicated to getting people with Down syndrome more represented in the media. “Marián is such a beautiful person inside and out. After the show, she even mailed me a box of ‘Congratulations’ chocolates! It was such a personal, sweet touch,” Caterina remembers.

As a GLOBAL advocate and spokesperson, Caterina aims to use her public platform to raise awareness about Down syndrome and help new parents navigate the diagnosis. “I want to help new parents feel less scared and more excited about their child’s future, knowing that they have support,” she says.  “My hope is that as a culture and a society, that we can learn to lead with the person, not the diagnosis. That we can recognize the humanity in each one of us. The Global Down Syndrome Foundation embodies that vision.”

One of the elements of GLOBAL’s work that Caterina feels most passionate about is the breakthrough research. “GLOBAL’s research arm, the Crnic Institute, published a groundbreaking study on how the overactive immune system in people with Down syndrome is part of a different disease spectrum, which opens up so many opportunities for research,” Caterina explains. “It’s really hard as a parent to make sound medical decisions for your child when the information that your doctor has is often not complete based on the genetic makeup of our kids with Down syndrome. It’s priceless to have the full picture of information.”

Caterina encourages families who are interested in advocacy to read about the important breakthroughs in research on GLOBAL’s website and to join them in their fight for increased federal funding for Down syndrome research.

Pippa Scorsone daugher of Caterina Scorsone

Pippa Scorsone daugher of Caterina Scorsone (photo by Rebecca Couresy)

“Down syndrome is just one aspect of the deep and multi-faceted human beings that have the condition,” Caterina continues. “I’ve found that the key to being a good parent, and a good person, is in curiosity. Be curious about your children and who they are. Be curious about yourself. Be curious about what scares you. Lead with the search for knowledge and understanding, rather than judgement, and you will be surprised by how much you will continuously learn about the world.”

To learn more about Caterina and to watch her inspiring Quincy Jones Award speech, visit

To access GLOBAL’s informative resources on research and medical care, visit

Like this article? Join Global Down Syndrome Foundation’s Membership program today to receive 4 issues of the quarterly award-winning publication, plus access to 4 seasonal educational Webinar Series, and eligibility to apply for Global’s Employment and Educational Grants.
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April 28th, 2021 by Global Down Syndrome Foundation

From Down Syndrome WorldTM 2021 Issue 1 of 4


This article was published in the award-winning Down Syndrome World™ magazine. Become a member to read all the articles and get future issues delivered to your door!

WHEN MANY OF US HEAR THE WORDS “IRON MAN,” we might think of the rich Marvel hero in a flying suit. For the 21-year-old athlete, Chris Nikic, “Iron Man” means he can do anything he sets his mind to. In November of 2020, Chris became
the first individual with Down syndrome to complete an Ironman triathlon competition, earning him a coveted spot as a GUINNESS WORLD RECORDS® holder as ‘First person with Down’s syndrome to complete an IRONMAN® triathlon.’

The Ironman consists of a 2.4-mile swim, a 112-mile bicycle ride, and a 26.22-mile run. In the world of triathlons, this is considered to be one of the most challenging one-day events. Chris made history by competing in and finishing the race, and serves as an inspiration to the Down syndrome community and the world.

An ambitious attitude, drive, and family support have been the driving forces to propel Chris to new and more extraordinary accomplishments.

“I want to be a world champ at something!” Chris added to his list of New Years’ Eve goals in 2018.

Chris and his father Nik did research and some soul searching to determine that the Ironman triathlon was the way Chris would accomplish that. Nik, who is also an athlete, was ready to train for, and compete in, the triathlon with his son.

Nik made sure Chris was ready to put in the work. “I told him, if you sit on the couch playing video games, you will never get your dreams,” says Nik. “But if you work hard to accomplish your goals, you can do an Ironman and become a motivational speaker.”

After Chris set his intention to compete in Ironman, there was no stopping him. Little did he know what would continue to unfold after successfully completing this intense race.


Chris trains with the mindset of becoming 1 percent better every day. “I built my core 1% at a time. A year ago, I started by doing one push up, one sit up, and one squat. Then every few days, I did a little more,” Chris tells. “Eventu ally, before Ironman, I was doing 200 of each plus weights, pull-ups, and other strength exercises.”

Chris trains from 3 to 8 eight hours per day, with some stretching and recovery in between. He runs, bikes, swims, and completes strength training four times a week. On the weekends, training is kicked into even higher gear, “I’ll put in 6-8 hours of training each day when I do my 100-mile bike rides, and 18-mile runs.”

Chris’ training is not just physical. His dedication requires a lot of mental strength training too. Chris maintains that anything is possible as long as he can get 1 percent better each day. This mentality helps him stay focused and enjo y his training more.

If Ironman training wasn’t already hard enough, Chris had t o deal with the threat of COVID-19. He admits that training during an unprecedented worldwide pandemic was more challenging, but he wasn’t going to let that get in hi s way. “There were no gyms to work out in, no lakes to swim or bike trails to ride on,” Chris explains. “So we found ways to train in my home, pool, and neighborhood. It was much harder and less fun, but we found a way to do it anyway.”


Throughout his training process, Chris had great support from h is family, friends, and community organizations.

Chris and his dad Nik started with intensive training sessions, but when Nik got injured, he decided he was not going to compete in the race and shifted his efforts to being the best coach and cheerleader for Chris.

“Some days, it felt too hard, and I felt like I couldn’t do it,” Chris recalls. “But my dad kept reminding me of my dreams and how important it is to fight for your dreams.”

Chris joined a triathlon club and was paired with a special training coach through the Special Olympics. “My guides at Special Olympics, Simone and Dan, made it fun and helped me through my journey to compete,” Chris tells. “My family and friends were there every step of the way. I thank God for all the special angels he brought into my life.”

“Watching Chris cross that finish line with a huge smile on his face was a moment I will never forget,” says Patty, Chris’ mother. “Seeing your child accomplish something they have worked so hard for is something every parent dreams
of experiencing.”

Chris’ impressive athletic accomplishments have been recognized around the world. His story was featured in national media everywhere including outlets like ESPN, New York Times, Today Show, CNN, NBC, Sports Illustrated, and more.

Special Olympics named Chris a Champion Ambassador, invited him to compete in the USA games, and honored him with the Florida Hero award where he met the state’s governor Ron DeSantis. Ironman gave him the title of Global Ambassador and invited him to Hawaii for the next Ironman competition.

When asked how all of this feels, Chris responded with a simple “I am living my dream.”


“People have been telling us our whole lives what we can’t do,” says Chris. “And I want to tell you to stop listening to those opinions because they are wrong. We are capable of so much more. Yes, we have disabilities, but we also have big abilities.”

Chris wants to share his experiences and message with the world. He is working on publishing a book this year and he has secured several public speaking events with companies like Dell and Microsoft.
To encourage other athletes in his community, Chris has also launched his own “1% Better Challenge” to promote Down syndrome awareness. The process is simple. Partner up with a sponsor (friend, family, coach), set a 30-day goal you want to achieve, and post your progress with your partner on social media.

“I want to inspire others the way that my community has inspired me. The inclusion revolution is real! Nothing is too big to accomplish or too challenging to do if you commit to being 1% percent better every day.”

Like this article? Join Global Down Syndrome Foundation’s Membership program today to receive 4 issues of the quarterly award-winning publication, plus access to 4 seasonal educational Webinar Series, and eligibility to apply for GLOBAL’s  Grants.
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Pursuing Your Passions

November 17th, 2020 by Global Down Syndrome Foundation


From Down Syndrome WorldTM 2020 Issue 2 of 4


This article was published in the award-winning Down Syndrome World™ magazine. Become a member to read all the articles and get future issues delivered to your door!

“IF YOU CAN DREAM IT, YOU CAN DO IT,” Tim Harris, the vibrant 34-year-old from Albuquerque, New Mexico, says with a smile. “That famous Walt Disney quote has led me through my life.”

From the time Tim was a kid, he dreamed of owning a restaurant. After graduating college, he made that dream a reality and opened “Tim’s Place” in 2010. The restaurant served classic American and New Mexican dishes but was more well-known for Tim’s world-famous hugs. Tim became the first person with Down syndrome in the United States to own and operate his own restaurant. The restaurant attracted celebrities like Paul Bettany, Jennifer Connelly, Aloe Blacc, J.R.R. Martin, and Mel Gibson, parents of newborns with Down syndrome, and national media outlets. Tim was also featured in People Magazine, CBS Evening News and CBS Sunday Morning, America Online, ABC News, NBC Today Show, NBC Nightly News, National Public Radio, and CNN News.

After an impressive 75,402 hugs over 5 years, Tim and his family decided to close Tim’s Place. Seeking to expand his impact, he started Tim’s Big Heart Enterprises in 2016, hosting charity events such as the Hug-A-Thon for the local fire department. Now, Tim spends his time traveling the world, advocating for those with Down syndrome, and giving motivational speeches. Tim is also a recipient of the Quincy Jones Exceptional Advocacy Award, the prestigious honor given by the Global Down Syndrome Foundation (GLOBAL).
At GLOBAL’s 2019 Be Beautiful Be Yourself Fashion Show, Tim had the pleasure of watching his girlfriend Megan Bomgaars accept the same award. “Megan asked me to escort her on the red carpet, and it felt awesome having reporters ask us about our advocacy together. I loved it,” Tim explains.

That night at the Fashion Show, Tim met Shamari and Ronnie DeVoe, who are known as a power couple in the music industry. Shamari is a platinum artist and actress, best known for her role on the Real Housewives of Atlanta. Ronnie is also a platinum selling artist, best known for being in the bands New Edition and Bell Biv DeVoe as well as his off-stage career in real estate.

“We learned about GLOBAL and the Be Beautiful Be Yourself Fashion Show from our friends Jamie and DeOndra,” says Shamari. “The Fashion Show was a perfect way to combine our passions for music, helping others, spending time with friends and making new ones
all in one night.”

“Jamie Foxx and his sister DeOndra Dixon are long-time GLOBAL supporters and an iconic sibling duo. Seeing them at GLOBAL events over the years and meeting a successful power couple like Shamari and Ronnie was inspiring,” says Tim. “I thought, hey look at all Megan and I have accomplished on our own, I wonder what we could accomplish together! TiMeg? BomHarris? We’ll need to work on that.”

From a Solo Force to Power Couple
“The most important thing we’ve learned about being a success- ful couple, both professionally and personally, is to be a strong individual in both areas first,” says Ronnie. “Shamari and I developed ourselves and our careers years before even meeting each other. When we met, we combined our talents and became even stronger together.”

Ronnie grew up in Boston, Massachusetts and was always interested in the entertainment industry. In 1980, Ronnie’s uncle Brooke Payne introduced him to the guys in New Edition after they won a chance to record a song with Maurice Starr, a well-known pop and soul music producer. He auditioned to become the 5th member and three years later, they released their first record, Candy Girl. New Edition broke up in 1989. After that, Ronnie, Ricky Bell, and Michael Bivins founded Bell Biv DeVoe. “Their debut album, Poison, sold more than 5 million copies and garnered 5 hit singles including the timeless classic, Poison.” New Edition reunited in 1996 with the #1 album Home Again. Since then, NE and BBD have received all kinds of accolades, lifetime achievement awards, and even produced a record-breaking movie about their journey in the music business. BBD’s most recent album was released in 2017 and the group continues to tour around the world.

Shamari grew up in Atlanta, Georgia and started singing when she was just 3 years old. At 17, she landed her first record deal on the multi-platinum group Blaque, with Lisa Lopes. In 1999, the group won “Best New Artist” by Billboard for their debut album, which sold over one million copies. In addition to her music career, Shamari has appeared in the movies Bring it On and Honey, and TV shows V.I.P. and Bravo TV’s Real Housewives of Atlanta.

In 2001, Ronnie and Shamari met at the after party for the MTV Icon Awards honoring Janet Jackson in Los Angeles. From that day on, they were inseparable. Their involvement in the music industry helped connect them and strengthen their relationship over the years. “We share the same love for traveling and inspiring people through our music and performances,” says Ronnie. The couple was married in 2006, and in 2017, they welcomed twin boys, Ronald and Roman. Ronnie and Shamari began to collaborate on music together and in 2018, they released Love Comes Through, their first song together.

When Tim met Shamari and Ronnie, they got along right away. “They were so fun to be around and easy to talk to,” he remembers. And the feeling was mutual. “Tim is an amazing individual with loads of energy, ambition, and laughter,” says Shamari. “His spirit and personality were infectious. He made us feel right at home. I can see why his restaurant was so successful.”

Tim and Megan had a similar journey of individual growth before they met. Tim attended Eastern New Mexico University and graduated in 2008 with certificates in restaurant management. His restaurant, “Tim’s Place,” became famous for being the “friendliest restaurant” in the country and he was invited to be a keynote speaker for and received awards from dozens of organizations including Keller Williams International, Clay Aikin’s National Inclusion Project, Children’s Miracle Network, The NYC Welcome Conference, National Down Syndrome Congress, Special Olympics International, Kiwanis International, Civitan International , and many more. Additionally, Tim’s foundation has successfully raised thousands of dollars for organizations in his local community.
“Tim brings such joy to everyone around him,” says his mother, Jeannie. “He’s always been a big hugger. He makes everyone feel loved and celebrated.”

“His happy attitude brings him from one adventure to the next,” his father Keith adds. “If one door closes, he won’t spend too long dwelling on it, he’ll just move on to the next thing. And that’s what allows him to accomplish so much.”

Regularly attendees of GLOBAL events, Tim met Megan at one of GLOBAL’s “must-attend” quarterly I Love You Dance Parties, where Megan was being followed by a camera crew for the Emmy-award winning Born this Way. Not intimidated, Tim began to court Megan, they got to know each other as friends, and eventually started dating. But continue to prioritize their careers along the way. After several months of dating, at GLOBAL’s 2019 Fashion Show, Tim made their relationship public and official. “I gave her a special necklace, and she kept it!”

Megan is a businesswoman in her own right. Her student video about inclusive learning environments, where she coined her catch phrase “Don’t Limit Me” went viral in 2013. She was later recruited to be cast on A&E’s Emmy Award winning show Born This Way. Additionally, Megan is an entrepreneur, opening her own clothing line in partnership with Sanrio’s Hello Kitty and “Don’t Limit Me” makeup line in collaboration with Artpop Cosmetics.

“It was so heartwarming to see how supportive and encouraging Megan and Tim are to each other,” says Shamari. “Tim gave Megan her spotlight as the 2019 Quincy Jones Award winner, and Megan was proud to show Tim off.”

When Tim asked Ronnie and Shamari what their biggest lesson as a couple is, Ronnie said, “When we put our mind, focus, and attention on something we are passionate about, it will manifest positive results. And that applies to not only relationships, but just about everything in your life.”

Shamari and Ronnie were eager to hear about Tim’s and Megan’s business endeavors. “They both have such a thirst for advocacy. They want to change the world,” Shamari explains. “And putting their heads and hearts together, I can’t wait to see how they grow.”


“Our first GLOBAL Fashion Show was beyond amazing, an A+ operation all around. Michelle, Sophia, the Sie family, and the GLOBAL staff were all so accommodating and gracious,” says Ronnie. “It was truly moving to see how much they care and how dedicated they are to making sure that people with Down syndrome get a voice and their fair share of research funding.”

Shamari and Ronnie walked down the GLOBAL runway with Piper and Jacob. “Piper was such a princess. She was quiet, but observant. And she had the most beautiful smile!” Shamari tells. “And Jacob had so much energy and excitement for life. He was a ball of joy wrapped up in a tiny package full of love!”

“Once they gave us the greenlight to go, both Piper and Jacob exploded down the runway like they owned the place,” Ronnie adds. They loved it so much, they are attending as celebrity guests again this year for the virtual event!

“I was happy just watching Megan do her thing from the audience,” says Tim. “I remember what it was like being on that stage 6 years ago accepting my award, and this was her turn. We’re each other’s rock.”

“Getting the Q-Award at GLOBAL’s Fashion Show was one of the biggest honors of my life,” said Megan, “It felt amazing to be recognized for my work on such a large scale and have my mom and boyfriend there supporting me. Seeing all 1,400 people in the room learning about Down syndrome and raising more money for research with Michelle was a dream come true and I would want to do it again.”

The event ended with an impromptu after-party concert led by Jamie Foxx. Later, Ronnie joined in and the two sang together. “Jamie saw me, nodded to the DJ, and we sang a few Bell Biv DeVoe/New Edition songs together,” Ronnie tells. “It was a great crowd, with so much enthusiasm and energy. It felt so organic. And I remember Megan Bomgaars dancing and singing harder and better than Jamie and myself combined!”

“GLOBAL’s Fashion Show is always full of exciting and unforgettable moments, and in my 11 years running this event, that after-party show has to be one of my favorites memories of all time!” says Michelle Sie Whitten, GLOBAL President and CEO. “Our celebrities and self-advocates danced and sung their hearts out, and everyone let loose.”


“It’s only right that we assist one another and continue to serve our purpose in life, which is to use our gifts, talents, resources, influence, time and energy to be a blessing to others,” says Ronnie. “Considering Down syndrome is the one of the least funded genetic condition by our federal government, the money raised at this event is necessary for research andoverall understanding.”

“Without Michelle and her team, who knows where we would be in the fight to help the lives of men, women, and children with Down syndrome,” Shamari adds.

This year, due to the unprecedented COVID-19 pandemic, GLOBAL has shifted priorities to best provide for the Down syndrome community. “Unfortunately, our Down syndrome community is high-risk for COVID-19, so we’ve done everything we can to serve our families, including creating a Down syndrome/COVID-19 Q&A, advocating for important legislation, and providing emergency relief grants to over 140 families and 42 member organizations,” says Michelle.

GLOBAL has had to cancel or postpone many fundraising events and is facing financial challenges. For GLOBAL’s 2020 Be Beautiful Be Yourself Fashion Show, the event will go virtual for the first time. Fortunately, celebrities including Jamie Foxx, DeOndra Dixon, Shamari and Ronnie DeVoe, Tim Harris and Megan Bomgaars will be showing up in full force to support GLOBAL’s important work.

“I can’t wait to reconnect with my friends Shamari and Ronnie this year, even if it is virtual!” Tim exclaims. “I’ve seen them rock a place, and I’m sure they’ll do it again. But the real question is, are they ready for what I have in store?”

To learn more about GLOBAL’s Be Beautiful Be Yourself Fashion Show, visit

To learn more about Tim’s Foundation, visit

Like this article? Join Global Down Syndrome Foundation’s Membership program today to receive 4 issues of the quarterly award-winning publication, plus access to 4 seasonal educational Webinar Series, and eligibility to apply for Global’s Employment and Educational Grants.
Register today at!

From Down Syndrome WorldTM 2020 Issue 2 of 4


This article was published in the award-winning Down Syndrome World™ magazine. Become a member to read all the articles and get future issues delivered to your door!

CONTRIBUTING IN A MEANINGFUL WAY to the body of science and medical practice surrounding an unprecedented world-wide pandemic is not something most people ever get the opportunity to do. It certainly was not what Executive Director of the Linda Crnic Institute for Down Syndrome, Dr. Joaquín Espinosa, and his team of scientists were thinking about in early March 2020.

During this time, the University of Colorado Anschutz Medical Campus (CU) shut down all research operations, locking scientists out of their buildings and laboratories in response to and to prevent the spread of the novel coronavirus (COVID-19) pandemic. Thankfully, Dr. Espinosa and the Crnic Institute team had their valuable experiments and supplies already gathered and stored away safely. With numerous grants from the National Institutes of Health (NIH), the National Science Foundation, and others, the team had plenty of work that could be performed remotely – analyzing data, writing up results for scientific journals, and preparing new proposals for funding.

Their biggest worry was something they could not work on remotely – the delay of their NIH clinical trial grant to treat autoimmune diseases in people with Down syndrome. In 2016, shortly after launching the Crnic Institute Human Trisome ProjectTM (HTP), the Crnic Institute made one of the most important scientific discoveries – Down syndrome can and should be characterized as an immune system disorder.

In particular, they discovered that an immune system pathway called the “interferon pathway” was “lit up” in people with Down syndrome pretty much 24/7, versus in typical people where it is only turned on when they are fighting a virus or infection and then it turns off.

The constant taxation of the immune system in people with Down syndrome creates low intensity inflammation that over time probably contributes to the co-occurrence of various diseases, including dementia. The Crnic Institute discovery was even more consequential because there are FDA-approved drugs that turn down the interferon pathway in typical people. Crnic Institute scientists were about use one of these FDA-approved drugs, a JAK inhibitor called tofacitinib, in an unprecedented clinical trial for adults with Down syndrome when the pandemic forced lab closures around the world.

As serendipity would have it, two days into quarantine, the Crnic team was doing a quick review of the research literature on COVID-19. Their findings revealed something that was both shocking and yet made perfect sense – it appeared that hospitalized COVID-19 patients were displaying many of the same patterns of immune system dysregulation that the Crnic Institute team had spent years studying, analyzing, and annotating in people with Down syndrome.

In COVID-19, the body’s antiviral defense system, which utilizes the interferon pathway, is sent into overdrive, causing the release of high levels of inflammatory signaling molecules known as cytokines. In COVID-19 and other viral infections, this “cytokine storm” is associated with respiratory distress, heart damage, and higher mortality rates. Similarly, people with Down syndrome have higher-than-normal levels of interferon signaling and often display more of a mini cytokine storm, even without a viral infection. Crnic Institute scientists believe this could contribute to many of the hallmarks of and co-occurring medical conditions associated with Down syndrome and are working to understand those connections.

Within a week, Dr. Espinosa and the Crnic Institute were one of a handful of research teams allowed back, with COVID-19 safety measures, into their labs to work on COVID-19 treatments for the general populations and to understand the connection and possible affects and treatments on people with Down syndrome.

Today, Dr. Espinosa is the leader of an international consortium looking at JAK inhibitors to treat COVID-19. The treatment is one of several clinical trials that Dr. Anthony Fauci, Director of the National Institute of Allergy and Infectious Disease at the NIH, has been supporting in the United States. The international consortium includes labs from the United States, China, Italy, France, Spain, Argentina, Mexico, Canada, Germany, and Denmark.

In reviewing the COVID-19 literature, Crnic Institute scientists also realized that people with Down syndrome should probably be considered a “high-risk” group for COVID-19. “High risk” means a person who gets COVID-19 has a higher probability of experiencing more severe illness than a member of the general population without other risk factors. This idea rests on the basis that the strength of the cytokine storm in COVID-19 correlates with disease severity and outcomes, and that people with Down syndrome will be more likely to develop a stronger, more prolonged cytokine storm due to higher levels of baseline interferon signaling. Although the direct studies of COVID-19 in Down syndrome needed to prove or disprove this idea have not yet been performed, ample supporting evidence already exists in the context of other viruses and in our basic understanding of immunology in Down syndrome.

It is also important to consider that people with Down syndrome have increased susceptibility to bacterial pneumonia. Although seemingly unrelated, it has been well documented that pandemics of respiratory viral infections are followed by a surge in cases of bacterial pneumonia, and that a large portion of deaths are actually attributed to secondary bacterial infections. Children with Down syndrome have much higher rates of viral pneumonia and bacterial pneumonia, with the latter being a leading cause of mortality in adults. Taken together, these known phenomena suggest that a person with Down syndrome who contracts COVID-19 would have an increased risk of also acquiring bacterial pneumonia.

#1 – People with Down syndrome have higher levels of interferon signaling.

#2 – Once infected, people with Down syndrome have an increased risk of experiencing a stronger cytokine storm and thus a more severe case of COVID-19.

#3 – Both during and after infection with SARS-CoV-2, people with Down syndrome will be more likely to also contract bacterial pneumonia.

It is important to note that these are hypotheses and predictions based on existing evidence outside of COVID-19 and should be taken into consideration with caution. The studies needed to fully understand COVID-19 in people with Down syndrome are still just starting to get underway. The good news is, there are people with Down syndrome, with and without underlying conditions, who are surviving COVID-19. We simply need more data and to better understand this virus before we can definitively come to conclusion.

Since March, every member of Dr. Espinosa’s team, from the basic scientists to the clinical researchers, and even the administrators, have been utilizing their unique skills and knowledge gained while working in Down syndrome to rapidly advance COVID-19 research at CU.

For example, Crnic Institute scientists immediately started testing potential therapeutics for the COVID-19 cytokine storm in their mouse model of Down syndrome, nicknamed Dp16. They weren’t actually exposing the Dp16 mice to SARS-CoV-2; they didn’t need to. Instead, the scientists could activate the immune system and stimulate a cytokine storm much like what is seen in COVID-19, simply by using a molecule that tricks the immune system into sensing a virus when there isn’t one. Crnic scientists then treat the mice with JAK inhibitors targeting the interferon signaling pathway that is chronically activated in people with Down syndrome and that drives the cytokine storm in COVID-19. The data resulting from these experiments will be extremely valuable because it can be interpreted and utilized in two contexts: COVID-19 and Down syndrome.

Who would have ever guessed that Down syndrome research and the discovery that interferon signaling is chronically activated in people with Down syndrome would one day so greatly impact the science and research behind a historic, global pandemic? This meaningful contribution to the body of science and medical practice surrounding COVID-19 is something the Down syndrome community should be proud to be part of. Together, this community of researchers, self-advocates, families, and supporters can clearly make positive scientific impacts not only for people with Down syndrome, but also for the entire world.

At the beginning of the quarantine, CU assembled a centralized team tasked with rapidly creating a biobank to collect blood and other biological samples from COVID-19 patients. These samples would then be administered to researchers with approved projects. This model essentially replicates one of the Crnic Institute’s flagship research initiatives, the Crnic Institute Human Trisome ProjectTM (HTP). The HTP is generating multiple layers of “omics” data (think big data from sequencing all of someone’s DNA and RNA and measuring all their proteins, metabolites, immune cells, and much more) on hundreds of people with and without Down syndrome in order to understand the hallmarks of and co-occurring medical conditions associated with Down syndrome. Having heard about the Crnic Institute’s HTP and Biobank, the CU COVID-19 team reached out to Crnic scientists to tap into their expertise. The Crnic team shared detailed protocols and helped advise the CU team during the development of the CU COVID-19 Biobank.

As part of a synergized endeavor with the COVID-19 Biobank, leading researchers at CU also partnered with Dr. Espinosa and the Crnic team to replicate the experimental platform from HTP and apply it to COVID-19. The parallel effort by CU to apply the HTP platform to COVID-19 has been aptly dubbed “The COVIDome Project,” and Crnic scientists are leading the ongoing data generation to advance COVID-19 research for better diagnostics and therapeutics.

The Crnic team is also partnering with a national COVID-19 collaborative group to specifically study COVID-19 in people with Down syndrome. As explained earlier in this article, so much is yet unknown about COVID-19 in Down syndrome and numerous studies are needed to understand its impacts. The team is working with top data scientists at CU to identify differences in risk factors, symptoms, clinical course, immunological parameters, response to various treatments, and outcomes and long-term effects of COVID-19 in people with Down syndrome. Alongside these efforts, the Crnic team is also studying individuals with Down syndrome who have recovered from a SARS-CoV-2 infection as part of the HTP, in order to assess changes induced by COVID-19 across all the layers of omics data. Together, Crnic scientists hope these efforts will advance our understanding of interferon signaling and the cytokine storm in COVID-19 and Down syndrome and
inform the development of customized preventative and therapeutic solutions.

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What Parents Need to Know About Life Expectancy & Pediatric Medical Care

February 27th, 2020 by Global Down Syndrome Foundation

From Down Syndrome WorldTM 2019 Issue 4 of 4

Dr. Fran Hickey, a parent to a son with Down Syndrome with over 30 years experience caring for children with Down Syndrome, provides insights and important takeaways

This article was published in the award-winning Down Syndrome World™ magazine. Become a member to read all the articles and get future issues delivered to your door!

ACCORDING TO THE CENTERS FOR DISEASE CONTROL AND PREVENTION (CDC), approximately 6,000 people are born with Down syndrome in the United States every year. The average life expectancy of a person with Down syndrome has more than doubled since the 1980s – from 25 years to 60 years today. The dramatic increase in lifespan for people with Down syndrome over the last 30 odd years can be attributed to many factors. First, there was the dismantling of inhumane institutions in the 1980s and early 1990s where people with intellectual and developmental disabilities to be placed in institutions where they were not provided basic medical care, let alone life-saving procedures such as appendectomies or heart surgery. In fact, at the notorious Willowbrook State School on Staten Island, New York, there was no plumbing and residents were injected with diseases in an attempt to discover cures over a sixteen-year period. It was finally closed in 1987.

With deinstitutionalization came more inclusion at home, in schools, and eventually society – all of which also play a role in health outcomes. In addition, since an estimated 40-50% of children with Down syndrome are born with a congenital heart defect, another big factor leading to increased lifespan was advancement in cardiac repair and surgery.

While basic and even clinical research has languished for people with Down syndrome even until recently, medical care has progressed significantly over these same decades. An important resource that has made a substantial difference in health outcomes is the publication of Health Supervision for Children with Down Syndrome by the American Academy of Pediatrics (AAP).

“The best thing a parent can do for their child with Down syndrome is to utilize the pediatric care guidelines set by American Academy of Pediatrics,” says Dr. Fran Hickey, a beloved Down syndrome expert and the medical director of the Anna and John J. Sie Center for Down Syndrome at Children’s Hospital Colorado.

The Sie Center, part of the Crnic Institute for Down Syndrome and an affiliate of the Global Down Syndrome Foundation, was established in November 2010 and now has nine weekly clinics including a feeding clinic, sleep clinic, education clinic, and mental wellness clinic. The center is also home to other renowned medical providers including Patricia C. Winders, PT; Dee Daniels, RN, MSN, CPNP; and Dr. Lina Patel, PsyD. Together, they serve over 1,800 patients from 28 states and 10 countries.


People with Down syndrome are born with three copies of chromosome 21 instead of two. The result is a dramatically different disease profile whereby people with Down syndrome are highly predisposed to certain diseases (e.g. Alzheimer’s disease and autoimmune diseases) and highly protected from others (e.g. solid tumor cancers, certain heart attacks and stroke). As such they require different medical care visits compared to those in the general population or other intellectual and developmental disabilities.

Despite being underfunded, the Down syndrome community has benefitted from the guidelines organized between 1981 and 1999 by dedicated clinicians, many from the Down Syndrome Medical Interest Group, who drew primarily on their vast experience with this patient population. Then in 2000, with the leadership of Dr. Marilyn Bull and many other contributors, the American Academy of Pediatrics used its resources, vast network, and peer reviewed vetting apparatus to create its first Health Supervision for Children with Down Syndrome. The guideline was last updated in 2011.

The AAP’s Health Supervision for Children with Down Syndrome is a comprehensive report of healthcare guidelines for children with Down syndrome from birth to 21 years of age. While it is designed for the pediatrician and subspecialists caring for child with Down syndrome, there is an 11-page family-friendly version also published by the AAP called “Health Care Information for Families of Children with Down Syndrome.”


Dr. Hickey completed his undergraduate degree at Harvard University and his medical degree at University of Cincinnati College of Medicine, and his internship and residency at Cincinnati Children’s Hospital where he was mentored by Dr. Bonnie Patterson, a national leader in Down syndrome founded the renowned Thomas Center for Down Syndrome and DSMIG. Dr. Hickey is recognized as one of “America’s Top Doctors,” and has received numerous awards including the Maxwell J. Schleifer Distinguished Service Award from Exceptional Parenting Magazine, The Ross Award for Excellence in Ambulatory Pediatrics, the Senior Resident Teaching Award in Pediatrics, the Professional of the Year award, and Lifetime Achievement Award from the Down Syndrome Association of Greater Cincinnati. He and his wife Kris have four children, one of whom has the dual diagnosis of Down syndrome and autism.

Today, Dr. Hickey and his multi-disciplinary team of experts at the Sie Center for Down Syndrome at Children’s Hospital Colorado provide excellent medical care and conduct many research projects related to improving healthcare outcomes through improved medical care therapies, mental wellness and school interventions and therapies, as well as through applying the AAP Health Supervision for Children with Down Syndrome guidelines.

Dr. Hickey encourages parents to work closely with their medical team to determine the proper healthcare plan for their child’s specific needs. “Anyone who is providing care to a child or adolescent with Down syndrome should be aware of common co-occurring conditions and have a specific plan to monitor and evaluate the child’s health,” says Dr. Hickey.

As a supplement to the AAP pediatric guidelines, Dr. Hickey and his “Dream Team” of experts at the Sie Center have developed a simple one-page check-list and chart based on the AAP guidelines that lays out a roadmap of appointments, screenings, vaccines, and treatments. “The AAP has endorsed these guidelines to maximize the health of our children,” Dr. Hickey says. “They are so important to follow as long-term health guidelines and to allow children with Down syndrome to reach their health potential.”

“The AAP guidelines and Sie Center’s guidelines check-list are so important because they provide medical professionals a roadmap on how children with Down syndrome need different medical care,” says Michelle Sie Whitten, President & CEO of the Global Down Syndrome Foundation. “For example, a typical child may only get a hearing test if there is some evidence that child is not hearing. For children with Down syndrome who tend to have inner ear issues, they must get tested every year. You can imagine what not hearing does to our children’s lives.”


The AAP 2011 guidelines can be broken down into medical areas of focus and by age group. In september 2019, Dr. Hickey provided an informative webinar to over 100 attendees about the guidelines. Below are key insights and takeaways from Dr. Hickey’s webinar.


In an infant’s first 24 hours of life, he/she will receive a physical examination for the state newborn screening, a public health service that tests for a variety of health disorders, including Down syndrome. If there was no prenatal testing and if the clinician feels enough criteria are present on physical examination to diagnose the baby with Down syndrome, then a blood sample should be sent for chromosome evaluation. Providing a diagnosis at birth should be done with care and counseling, and resources should be offered at the appropriate time.

There is a high rate of neonatal complications for newborns with Down syndrome; the overwhelming majority of which can be addressed and/or corrected. According to an article published by the Sie Center representing data from the Colorado mountain (an elevated region), an estimated 73% of newborns require a stay in a Neonatal Intensive Care Unit (NICU),which underscores the importance of appropriate medical readiness and intervention from birth to discharge. Well over half of these NICU stays are driven by additional oxygen needs, and approximately 60% require phototherapy to treat jaundice. Another driver of NICU stays are feeding problems which may require a nasogastric tube (NG tube).


Congenital heart disease (CHD) and pulmonary hypertension (PH) go hand-in-hand. Since almost half of the babies with Down syndrome are born with a CHD, a newborn echocardiogram is imperative. This will show if and which exact heart abnormalities exist. In addition, every newborn should be evaluated for PH. PH compromises blood flow from the heart to the lungs due to tiny arteries in the lungs becoming narrowed, blocked or destroyed. This slowing or blockage of blood flow to the lungs puts undue stress on the heart.

An estimated 20% of 50% of babies with Down syndrome having CHD will need surgery within the first 4 months. The advancement of infant heart surgery has seen outcomes for all patients with CHD improve dramatically. Even with a more serious CHD that requires open heart surgery, the survival rate is well above 90% if caught in time.

Compared to the typical population with CHD, the prevalence of PH is still high. Signs to look for are hypoxia, polycythemia, obstructive sleep apnea, and feeding problems and aspiration. Keeping children with Down syndrome appropriately oxygenated is integral for prevention and treatment of PH.


In the United States, all newborns get a newborn hearing screen. Approximately 20% of newborns with Down syndrome will initially fail. But only 2% have congenital hearing loss. The guidelines recommend a rescreen at 6 months with a Behavioral Audiogram. Hearing tests should continue every six months until 3 years of age after which children with Down syndrome should get their hearing tested annually.

An estimated 30-40% of infants with Down syndrome have stenotic ear canals (narrow ear canals), which makes it difficult to see the tympanic membrane and evaluate hearing. If a child with Down syndrome has stenotic ear canals, he/she should see an otolaryngologist or Ears, Nose, Throat (ENT) specialist for an otoscope with a microscope in order to avoid undiagnosed serous. otitis media and subsequent hearing loss. Clearly, hearing loss will not only impede the development of speech, but may also affect many other developmental milestones.


Every newborn with Down syndrome should have a hematology test called a “complete blood count” (CBC). While only 2% of people with Down syndrome will have leukemia, this is still 10x or even 400x more frequent than in the typical population and more specialized treatments for children with Down syndrome are needed based on their. potentially different anatomical structure and reactions to medications.

Up to 30% of newborns with Down syndrome present with Transient Myeloproliferative Disorder (TMD). Twenty percent of those 30% will go on to get diagnosed with leukemia. Counseling the parents during such a diagnosis is very important. The two leukemia’s children with Down syndrome are more susceptible to are Acute Megakaryoblastic Leukemia (AMKL), a rare form of myeloid leukemia (ages 1-5), and B-cell Acute Lymphoblastic Leukemia (ALL), a common childhood leukemia (primarily ages 5 to 20).


It’s estimated that up to 70% of people with Down syndrome have one or more autoimmune disorder. At birth, babies have a newborn state screen that includes measuring thyroid with a test called T4. If a newborn fails this test, they will then have a thyroid stimulating hormone (TSH) test.

Because of the prevalence of autoimmune disorders (e.g. abnormal thyroid, hypothyroidism, diabetes mellitus, alopecia areata) the AAP guidelines recommend TSH screenings at 6, 12, and 18 months. Then starting at the age of 2, testing every year unless there are symptoms of thyroid dysfunction, in which case an immediate test should be administered.

The AAP guidelines have many other important recommendations including testing or obstructive sleep apnea (OSA) at 4 years old (or earlier if there are symptom). Over 60% of children with Down syndrome test positive to OSA whereby they are not breathing during certain times while sleeping. Respiratory illnesses are the cause of 80% of admissions to the hospital for children with Down syndrome, so mitigating exposure and treating ailments quickly is paramount.

The AAP guidelines cover ophthalmology, autism, gastrointestinal issues, and many other important areas. It is exciting to know that the AAP is working on an updated version, that will no doubt provide clinicians and families even more ways in which to ensure the good health of children with Down syndrome.

“While there are challenges, the developments in recent years paint a hopeful picture of medical care for people with Down syndrome, allowing us to help children reach their potential and enjoy their life,” says Dr. Hickey.

As a membership benefit, Global Down Syndrome Foundation hosts a quarterly webinar series on medical and educational topics such as Down syndrome research, healthcare, advocacy, and more. See a recap of Dr. Hickey’s September 2019 webinar on Pediatric Medical Care here:

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What Parents Need to Know About IEPs

January 29th, 2020 by Global Down Syndrome Foundation

From Down Syndrome WorldTM 2019 Issue 3 of 4

Individualized education programs are detailed learning plans for students K-12 with intellectual and developmental disabilities enrolled in public school. The process of obtaining, developing, and implementing an IEP for your child can seem overwhelming. Knowing what to expect and planning can help streamline the process.

This article was published in the award-winning Down Syndrome World™ magazine. Become a member to read all the articles and get future issues delivered to your door!

UNDER THE INDIVIDUALS WITH DISABILITIES EDUCATION ACT (IDEA), students with intellectual and developmental disabilities (IDD) enrolled in public school may be eligible to receive free, customized learning plans for their education. Individualized education programs (IEPs) are legally binding plans developed by a team of parents/guardians, teachers, and any other stakeholders that set the course for students with special needs. To obtain an IEP, a child must be enrolled in public school, must be between 3 and 21 years old, have one of 13 intellectual or developmental disabilities, and take eligibility tests administered by the public-school system.


“An IEP outlines when and where a student will receive instruction, how the student is going to access the curriculum and what curriculum he or she will be accessing … what services will be provided, such as speech-language, occupational, or physical therapy, and who will be providing those services,” says Jennifer Harris, M.S.E., Education Specialist at the Anna and John J. Sie Center for Down Syndrome at Children’s Hospital Colorado, an affiliate of the Global Down Syndrome Foundation.

The Sie Center was the first to embed a full -time education specialist into a Down syndrome medical center in the United States. Harris joined the Sie Center in 2017 and works closely with patients, parents, and teachers to support the education of individuals with Down syndrome. She also works alongside Lina Patel, Ph.D., Director of Psychology at the Sie Center, to help patients navigate the barriers to their education by looking at their unique behavioral profile.

IDEA states that children who are differently-abled should receive a “free, appropriate, public education” in the “least restrictive environment” possible. Children who attend public schools, including charter schools, are eligible for IEPs, but private schools are not required to provide them.

Before a child reaches age 3, families may be eligible through Early Intervention, to receive an individual family service plan (IFSP). This document outlines services young children will receive to support their development prior to entering a public education system — either in pre-school or at home. The team that creates an IFSP includes parents/guardians, professionals such preschool teachers, therapists, any outside advocate or specialist requested by the family, and a service coordinator from the state to help determine needs and implement the plan. When children turn 3, they may transition to an IEP from their IFSP, however you do not need to have an IFSP to apply for an IEP.


To start the process of obtaining an IEP, parents/guardians can ask the school district to initiate the evaluation process. The district may also ask the parents for consent to initiate if they have concerns as well. This will begin the assessment process. These assessments involve various tests to determine the child’s specific needs and the most appropriate accommodations for their learning.

Qualification is also based, in part, on whether the condition affects a specific aspect of a child’s learning abilities, such as oral expression, comprehension, or reading, writing, or math skills. Through a variety of tests, they will measure a child’s health, vision, hearing, social and emotional development, motor skills, general intelligence, academic skills, and communication
ability. When the evaluation is finished, the statistical results are presented in a report to all parties involved.

“Results of some of these tests can, potentially, be jarring to parents. No parent wants to read or hear that his or her child scored in a low percentile or significantly below average in certain areas. It is important to understand that this is only a small, fraction of the process,” Harris says. “Testing is fundamental to the process in order to understand the need for services.”

“No one test can be used and no one person can identify a child as having a disability and needing special education, so a variety of assessment tools and strategies must be used to collect relevant functional, developmental, and academic information,” explains Melody Musgrove, Ed.D., Co-Director of the Graduate Center for Early Learning and Associate Professor of Special Education at the University of Mississippi.

There are cases where parents/guardians oppose an IQ test or some standardized testing they feel is not reflective of their child’s ability. While this can hold up the IEP process, it is within a parents’/guardians’ right to not agree with certain testing, and it’s within their right to reject in part or in full the IEP the school presents. There are cases where parents/guardians sue the school to get the services they need, but hopefully legal recourse can be avoided if the family, school, and teachers are all on the same page. There are several avenues that parents and school teams can take to help come to a collaborative middle ground. Many states offer IEP facilitators and options to obtain an educational advocate. These professionals are not attorneys, but they are trained in disability law and can provide an unbiased, fact-based opinion that keeps your child’s educational rights intact.

Although these tests are mandatory, sometimes the methods are flexible and can include verbal and nonverbal formats. Harris encourages families and school teams to look at a variety of cognitive tests to select the most appropriate assessments for the individual child, providing an adequate representation of that child’s skills, capabilities, and needs.

“Your child is still your amazing child, and assessments aren’t going to capture all of the things he or she can do or all the beautiful things that make your kid who he or she is,” she points out. “Look for relative strengths. For example, even if your child is scoring ‘extremely low’ in several categories but maybe just ‘low’ in another area, look at that as a relative strength. Figure out how to draw upon that to support your child’s learning.”

A multidisciplinary team (which simply means professionals from different disciplines, such as special education teachers, psychologists, regular education teachers, and speech language therapists, within the district as well as parents) will determine whether your child meets IDEA’s criteria for special education. If the team deems special education appropriate, your child will be reevaluated every three years.
Reevaluation can take place earlier, if a change in medical condition occurs, your child isn’t making progress in school, or the team suspects that your child no longer requires services.


The First Meeting

Within 30 days of determination of eligibility, the multidisciplinary team is required to develop the IEP in collaboration with the parents and to hold a meeting to review the document.

During the meeting, you’ll review the IEP section by section, including your child’s present level of academic performance, goals for the academic year, how you’ll be informed of progress, special education services the school will provide, accommodations your child will receive, and how and to what degree your child will participate in general education activities.

The school district is responsible for scheduling the meeting, inviting the parents/guardians, and ensuring the proposed time is convenient for them. However, each state has its own timetable for providing notice of a meeting. Parents are not required to attend the meeting but must provide written permission for services to begin. IDEA specifies that your child’s IEP team must consist of a special education teacher, general education teacher, school district representative or administrator who is knowledgeable about general and special education, and an individual who can explain the results of the comprehensive evaluation, such as a school psychologist. Other professionals, such as a speech-language pathologist, may be present.

Be Prepared

At least one week before the meeting, Harris recommends parents request, in writing, a copy of the assessment, the evaluation report, and any other documentation the IEP team will discuss.

Make sure you have time to review the IEP document and write down any questions you have. Questions may include what a word or acronym means or why an accommodation that you believe is important is or isn’t listed. While you prepare, Dr. Musgrove recommends turning to your most valuable resource for information: your child. Ask for his or her thoughts about how things are going at school. Write down any questions you have and your vision for your child’s education. Gather supporting documents, such as medical notes or previous schoolwork that you wish to review with the team. Create a fillable sheet to write down agreed-upon goals and supportive services during the meeting. If you wish, invite a friend, family member, or another individual who knows y our child to attend for support.


Beware of jargon — if you don’t understand a term, ask the team to explain it in clear, concise language. Ensure the language in the IEP is unambiguous about the services to be provided, when they will begin and end, and your child’s goals.

“If parents don’t agree with the IEP, they need to say, ‘I no longer want this meeting to continue, I need to contact an educational advocate,’ and obtain an educational advocate to walk through next steps,” Harris advises.

Once parents and the school district agree to the IEP and services begin, communication is crucial. If you notice your child struggling in a certain area, notify his or her teacher right away instead of waiting until the next annual IEP review meeting.

IDEA requires an IEP review meeting at least once a year, but parents can request one at any time.

“Parents may find it helpful to have an IEP review meeting at the beginning and end of each academic year, as well as a midyear meeting to get a sense of their child’ s progress,” says Julie
Youssef, D.O., M.P.H., Developmental-Behavioral Pediatrician and Clinical Assistant Professor of Developmental and Behavioral Pediatrics at Stanford University School of Medicine.

“Starting at age 16, the child must be invited,” Dr. Musgrove says.
“I encourage parents to have their children attend IEP meetings much earlier — not necessarily the entire meeting — so they can learn to self-advocate.”

Most importantly, whether you’re new to the IEP process or have experience with it, trust your knowledge and judgment as a parent.

“A lot of parents may feel like they’re ill prepared [to navigate the IEP process], but they’re actually more prepared in ways that they may not immediately recognize,” Harris says. “No one knows their child better than parents … so they need to understand they’re pivotal players and hold information no one else will have. That’s the biggest mistake that parents make — not believing in themselves.”

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Finding Her Voice

January 24th, 2020 by Global Down Syndrome Foundation

From Down Syndrome WorldTM 2019 Issue 4 of 4

Multi-Talented Performer Meg Ohsada Has Learned That, When It Comes To Communication, Words Aren’t Always Necessary.

This article was published in the award-winning Down Syndrome World™ magazine. Become a member to read all the articles and get future issues delivered to your door!

MEG OHSADA, a Canada native who happens to have Down syndrome, has become an international superstar known for her competitive figure skating and dancing with four Special Olympic medals and counting. She is also known for her extraordinary, widely-collected artwork. At just 25-years-old, Meg also has her artwork displayed and purchased at prestigious galleries around the world. And believe it or not, that’s not all she does! She recently took up rhythmic gymnastics and modeling, too.

Born to Japanese parents who immigrated to Canada, Meg is one of three girls. Although Meg is nonverbal, she communicates her powerful and inspirational messages through her passion for sports, fashion, advocacy, and art.

Her accomplishments serve as an inspiration to the Down syndrome community and she recently began modeling to continue her advocacy work for people who are differently-abled.

“Meg is the family’s backbone,” says her mother, Noriko Ohsada. “Her gentle presence has given us love, strength, inspiration, and hope for the future.


Noriko, who immigrated to Toronto, Canada, from Japan with her husband, Kaoru Ohsada, did not know what Down syndrome was until Meg was born in 1993. In fact, Noriko recalls, she had to learn the word “chromosome” in English when a doctor told her that additional testing was necessary.

Noriko remembers being very scared when she researched the condition. She read that Meg would not live long and would need to be institutionalized. Thankfully, the medically inaccurate information did not deter her and Kaoru’s belief in Meg’s abilities.

From the time Meg was born, her parents noticed she was a happy baby and an energetic, passionate child. Shortly after Meg was born, Noriko and Kaoru had two more daughters: Sari, now 23, and Juli, now 22.

Meg always had difficulties with verbal communication and continued to struggle to talk after undergoing speech therapy.

In 1997, searching for a fresh start and better access to medical care, the family moved from Toronto to Canmore, a small town in Alberta, Canada at the edge of the Canadian Rockies. That’s where Meg’s remarkable artistic abilities began to take shape.

“As my children are close in their age, I always introduced the same activities to all of them,” Noriko says. “Figure skating was the perfect activity for the girls to be athletic and beautiful at the same time. I truly enjoyed watching them.”

“We noticed Meg could remember movements with music very quickly,” Noriko says. “That’s when we realized that performing arts was a way of self-expression.”


Meg took to figure skating like a natural, impressing her family and her instructors by skating through intricate choreography, remembering every step. At age 8, she joined a local figure skating club and eventually began attending a weekly Special Olympics figure skating program in Calgary, about an hour from Canmore. Meg gets on the ice four to six days a week, for an hour or so a day. Plus, she does yoga, gymnastics, and other physical activities to stay in shape.

She has excelled as a figure skating competitor, earning two gold medals at the 2019 Special Olympics Alberta Winter Games and two silver medals at the 2013 Special Olympics World Games in Pyeongchang, South Korea. In 2015, she competed in the Canada Games, which features athletes of all abilities. She continues to inspire other skaters with and without Down syndrome at her home rink in Canmore.

Meg began her dance career at age 14 and attends four dance classes per week. She is also a rhythmic gymnast, a sport she took up at age 18.

She competed in dance in both the 2015 and 2017 Special Olympics World Games, placing fourth at the 2017 Winter Games in Austria. In 2017, she also performed a ballet solo with Ignite Dance at Banff Centre in Banff, Canada, near her hometown of Canmore.


Movement isn’t Meg’s only form of expression. At age 21, Meg began a career as an artist, taking classes at the Indefinite Arts Centre in Calgary.

Her artwork has appeared in galleries in Hong Kong, Seoul, and South Korea, and she was the featured artist at a local gallery, artsPlace, in Canmore.

Meg’s favorite piece is an abstract self-portrait of herself dancing.

“She expresses herself through art, and she loves public exhibition opportunities where she can get that recognition from other people,” Noriko says.

Last year, Meg took up modeling as a way to showcase the beauty and talent of people who are differently-abled. “I believe Sari and Juli learned many wonderful lessons from Meg, including her enthusiasm, optimism, and compassion toward others,” Noriko states.

Meg encourages everyone to work hard and find their own voice. Through her multi-faceted art forms, she shares an important message: “Do what you love, and great things can happen.”

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Changing the World One Stage at a Time

January 24th, 2020 by Global Down Syndrome Foundation

From Down Syndrome WorldTM 2019 Issue 4 of 4

When 16-Year-Old Courtney Gaines Has Her Eyes on the Prize, There’s No Stopping Her. Her Latest Endeavor? Rocking the Runway at Global’s Fashion Show with Model & Actress Mikaela Hoover

This article was published in the award-winning Down Syndrome World™ magazine. Become a member to read all the articles and get future issues delivered to your door!

An actress, singer, dancer, and model, 16-year-old Courtney Gaines is no stranger to the spotlight. She is an active member of her community, an Ambassador for a women’s non-profit, and most recently, an entrepreneur. She is determined to show the world that she can do whatever she sets her mind to. What better next stop than to model at the largest fundraiser for Down syndrome in the world?

“The more people see her, the more people love her,” says Courtney’s mother, DeAnna Gaines. Courtney is engaged with many local groups Oklahoma including the Greater Love Missionary Baptist Church, Shining Starz Special Needs Cheer Squad, Down Syndrome Association of Central Oklahoma, and the Air Force JROTC. “Seeing how Courtney’s energy radiates onto everyone around her, we looked for other opportunities for her to shine.”

When DeAnna and Courtney found the Global Down Syndrome Foundation (Global) online they were impressed by the organization’s government work and intrigued by Global’s fashion show. Courtney’s passion for performance and advocacy for inclusion seemed to make her the perfect fit.

“I love to help others and listen to them,” Courtney says. “I want to do good things for others in everything I do.” She is an Ambassador for GirlTrek, the largest national public health non-profit supporting African-American women and girls in the U.S., with a special strategy to connect with women with special needs. Truly a jack of all trades, Courtney also recently started plans for her own business, an online clothing store called CloZet 21c which would raise funds for non-profits.

Courtney’s vibrant personality, loving nature, and happy smile were evident in her audition and she became the first person in Oklahoma to be selected to model in Global’s marquee annual fundraiser, the Be Beautiful Be Yourself Fashion Show. Courtney rocked the runway with Mikaela Hoover, a model, actress, and Instagram influencer who is beautiful inside and out.

Mikaela learned about Global when working on a film in Colombia with her colleague, John C. McGinley, who is a Global board member and international spokesperson. Growing up, Mikaela was very close with her cousin Bobby, who had Down syndrome, and was eager to get more involved in philanthropic work. McGinley told her about Global’s work and Mikaela reached out right away to get involved.


Courtney was thrilled to work with a fellow model and actress. “It was so much fun modeling with her! We took selfies and photos backstage too,” Courtney recalls. “She is a great model, she’s so pretty, cool, and very nice.”

As natural performers, Mikaela and Courtney have a lot in common. Mikaela began dancing at the age of 2, and by the time she started school, she was starring in her school’s plays. Mikaela started her acting career in 2006 and is best known for her roles in superhero films including the 2014 box office hit Guardians of the Galaxy and the 2010 superhero dark comedy Super starring Rainn Wilson, Ellen Page, Liv Tyler, Kevin Bacon, and Nathan Fillion. Courtney loves to bring her talents of singing, dancing, and acting to the stage. She was recently in the stage production of Mary Poppins Jr. with Kaleidoscope.

“Courtney was so excited to be on that runway. She knew exactly what she wanted to do and the poses she wanted to strike, and no one was going to stop her,” says Mikaela, who was Courtney’s celebrity escort. “Courtney has so much ambition and carries herself with such grace and independence.”

Both first-timers at Global’s Be Beautiful Be Yourself Fashion Show, Courtney and Mikaela were soaking in every moment. “All of the models had such beautiful energy around them, each one was beaming and shining so bright. It was such an honor to be back there with them,” Mikaela says.

Courtney’s favorite part of the night was blowing her mom a kiss when she was at the top of the stage. “Nothing beats seeing my Courtney up there on stage, dressed to the nines, in the company of Mikaela
and of course our heroes like Jamie Foxx and Quincy Jones,” says DeAnna.

Global’s Be Beautiful Be Yourself Fashion Show raises critical awareness and funds for Down syndrome. This year’s event raised an incredible $2.5 million for Down syndrome research and medical care.

“Global is changing that the narrative surrounding Down syndrome through advocacy and education,” says Mikaela. “Their beauty simply shines from within, and that is definitely something that we need to see more of, not just in the media, but in our world today.”

“All of the models had such beautiful energy around them,” said Mikaela Hoover. “That is definitely something we need to see more of.”

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Born This Way

December 5th, 2019 by Global Down Syndrome Foundation

From Down Syndrome WorldTM 2019 Issue 3 of 4

She Stars in a Three-Time Emmy Award-Winning TV Show and Has Two Businesses- and One Big Message for Everyone.

This article was published in the award-winning Down Syndrome World™ magazine. Become a member to read all the articles and get future issues delivered to your door!

“DON’T LIMIT ME!” was a battle cry speech that Megan Bomgaars crafted back in 2013 as a high school student in Colorado Springs, Colorado. Fully included herself and part of her state champion cheerleading team, Bomgaars wrote the speech for a school project on inclusive learning. When the video of that speech hit YouTube, Bomgaars suddenly became a viral sensation, which helped catapult her career in television as a key cast member of the three-time Emmy Award-winning TV show, “Born This Way.”

Her perfectly crafted words truly convey Bomgaars’ life philosophy: All people, with or without Down syndrome, can achieve their dreams if they are not limited and have equal opportunity to succeed.

Before her big television break, Bomgaars was invited to numerous speaking engagements and able to spr ead her message of inclusion to audiences all over the world— something she continues to this day. She has presented to nonprofits and corporations in 34 of the 50 states and around the world in countries including Trinidad, Tobago, Spain, Canada, and Mexico. In 2015, Bomgaars represented the Global Down Syndrome Foundation at the White House to attend then-First Lady Michelle Obama’s “Beating the Odds Summit” focused on students attending post-secondary school against the odds. She and Devon Adelman were the first and only students with Down syndrome to attend.


In 2015, Bomgaars was at the National Down Syndrome Congress (NDSC) Annual Convention promoting medical care and research for Global. Producers from A&E were at the convention scouting talent for a reality show idea that would star people with Down syndrome. They attended the workshop at which Bomgaars spoke and recognized her from her “Don’t Limit Me” YouTube video. She pretty much landed the role on the spot.

Much like Bomgaars’ YouTube video, A&E’s “Born This Way” was an unexpected success, not only weathering ratings and five seasons but garnering 16 Emmy nominations, three Emmy Awards, and two Critics’ Choice Awards. The reality series features seven adults with Down syndrome who pursue their passions and lifelong dreams, explore friendships and romantic relationships, and overcome obstacles, while providing a window into the lives of people with the condition.

A special holiday finale episode will air on A&E in December 2019. A digital web series, which will pick up where the fourth season left off, is also in the works.

On the show’s website, Bomgaars is described as a “woman on a mission” who has the “self-imposed mandate to save lives.” When asked about her future after the hit show, she is very clear: “I am an ambitious person, and I have a lot more I want to accomplish for myself and for other people. I’m going to do it all.”


Bomgaars’ television career allowed her a platform to turn her interests and hobbies into profitable businesses. She began pitching her clothing brand, “Megalogy,” which started as a fun tie-dye project for her friends and family, to retailers around the world. Her persistence and hard work resulted in a partnership with Sanrio’s “Hello Kitty” brand! Bomgaars sells her clothes online at

Following her success in the clothing industry, Bomgaars teamed up with ArtPop Cosmetics to develop cosmetics. She hand-selected colors and products for a collection of lipsticks, which she named “Don’t Limit Me.” Moreover, she modeled the makeup in a stylized photoshoot organized by ArtPop Cosmetics to market the brand.

Bomgaars has moved back to Colorado and reconnected with Global. She spoke at Global’s World Down Syndrome Day celebration at the state capitol and at the Grand Opening Ceremony of Global’s new headquarters.

During the summer, Bomgaars was the opening keynote speaker for Global’s “Advocacy Workshop for Families, Science & Society” at the Trisomy 21 Research Society biennial conference in Barcelona, Spain, and the keynote at Global’s Research and Medical Care Roundtable at the NDSC Annual Convention in Pittsburgh, Pennsylvania.

“At Global, we stress the importance of highlighting our self-advocates at every event,” says Michelle Sie Whitten, Global President and CEO. “How can we have conversations about the future of people with Down syndrome if they’re not in the room, contributing to the conversation?”

“Barcelona was really my first event all about science. To be honest, I was nervous and excited,” says Bomgaars.

“We were in a new country with world-renowned scientists and doctors from all over the world, many of whom spoke different languages, and Megan just knocked it out of the park,” says Kris Bomgaars, Megan Bomgaars’ mom.

To top it all off, Bomgaars has started college at the University of Colorado at Colorado Springs to study communications and business.

“Megan is a leader and role model,” says Whitten. “She has incredible poise, timing, and intelligence. She also works very hard to be successful. That is why were are so proud to present her with our 2019 Quincy Jones Exceptional Advocacy Award at Global’s Be Beautiful Be Yourself Fashion Show.”

Clearly, this 26-year old powerhouse is going to do it all.

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Global Honors Supermodel Amanda Booth with Quincy Jones Exceptional Advocacy Award

November 15th, 2019 by Global Down Syndrome Foundation

From Down Syndrome WorldTM 2019 Issue 3 of 4

What happens when a supermodel has a baby with Down Syndrome? Well, she gets him a modeling contract too (obviously)!.

This article was published in the award-winning Down Syndrome World™ magazine. Become a member to read all the articles and get future issues delivered to your door!

AMANDA BOOTH TRAVELS the world for her career, modeling in fashion editorials and advertising campaigns for companies and publications such as Italian Vogue, Lancôme, Elle, Target, and more. She also has appeared in network television shows such as “Community,” “Hot in Cleveland,” and “Maron.” Yet, Amanda credits her greatest journey to one that takes place right in her own home: parenting her son, Micah, who happens to have Down syndrome. In 2014, Amanda and her husband, Mike, became first-time parents, with all the same questions and fears new parents typically have, plus one that took them by surprise: What is Down syndrome?

The couple embraced Micah from the beginning, and by the time he was 2 years old, his mom had already secured him a modeling contract as well — an act of a mother ’s love but also an act of advocacy for people with Down syndrome in the modeling industry. “We wanted to show the world how beautiful Down syndrome is,” says Amanda.

“We wanted to show the world how beautiful Down syndr ome is,” says Amanda.

Amanda started to share her inspiring journey of motherhood on her social media accounts @lifewithmicah and @amanda_booth. Micah’s story then spread to magazines and online publications, ranging from feature stories and interviews with journalists to guest blogs and articles written by Amanda herself. The mother and son pair have been featured in Harper’s Bazaar US and Australia, Glamour Magazine UK, Mother’s Magazine, Down Syndrome World, The Mighty, and more. Most recently, in September, they were on the cover of Vogue Living Netherlands, making Micah the first person with Down syndrome to be featured on a Vogue magazine cover.

Amanda has used her modeling for fashion retailer Anthropologie to promote Global as well. As the face of the mega brand’s Mother’s Day campaign, Amanda helped raise thousands of dollars for Global’s research and medical care. This year, Amanda will be awarded Global’s prestigious Quincy Jones Exceptional Advocacy Award at the Be Beautiful Be Yourself Fashion Show, the largest fundraiser for Down syndrome in the world.


Amanda and Mike did not learn that Micah had Down syndrome until he was 4 months old.

“I had never met someone with Down syndr ome before. We had a lot of fears, questions, and concerns about what that meant.”

About three years later, Micah received the dual diagnosis of Down syndrome and autism. “Because we got to know Micah as Micah first, his official diagnosis didn’t feel heavy. Ultimately, it was just words on a piece of paper. He was still our funny, lively boy who we love and care for.”

Mike, who is extremely supportive of Amanda’s advocacy, agrees.”

“We believe that Micah will ha ve a wonderful, full life. But we do need to make sure he has access to ex cellent health care.”

Micah was born with hypothyroidism and a very weak immune system. As a result, his interactions with the outside world were limited, and his growth and development were stunted.

“It wasn’t until Micah’s pediatrician looked beyond the fact that it was typical for kids with Down syndrome to have a weak immune
system and instead addressed Micah’s health in a more adequate way that he started to get better,” Amanda remembers.

After receiving the correct diagnosis and taking proper medications, Micah’s health was thriving.

“It’s not enough to accept that certain things happen as a part of a condition like Down syndrome. The key to our children’s future is understanding why and how we can help them receive excellent medical care.”

Amanda says their advocacy work happened very organically.

“We already had been given this large platform through my career and social media,” says Amanda, whose Instagram accounts have more than 150,000 followers combined. “When we learned that Micah would have Down syndrome, it felt like our purpose to share our journey with the world.”

She and Mike started receiving letters from families asking questions and thanking them.

“It wasn’t until then that we started to realize how much we were actually helping families,” Amanda says. “We remember what it felt like getting the diagnosis, so we shared it all, the beautiful moments and the struggles.”

As Micah’s face became more well known in the social media and Down syndrome communities, organizations and publications began reaching out to feature their family. Amanda started writing for and being featured in parent magazines. So while working hard to be good a mother and a successful model and actress, Amanda took on another big job as an activist.


“Global really opened our eyes to the disparity in research funding for Down syndrome from our National Institutes of Health,” Amanda explains.

When Micah was still a baby, Amanda and Global’s President and CEO connected by phone and talked for over an hour, bonding immediately over their children. Later that year, Amanda, Mike, and Micah attended Global’s annual Be Beautiful Be Yourself Fashion Show, which Amanda defines as a transformational moment in their journey.

“Micah had just turned 1, and it was still a very scary time for us,” Amanda remembers. “But when we walked into the fashion show, we were surrounded by thousands of people with Down syndrome and their families who were so happy. And we met incredible leaders truly making a difference in our community.”

That year, 1,400 attendees, including Hollywood celebrities such as Hillar y Swank, Queen Latifah, John C. McGinley, and more, came to Denver for the event, raising $2 million. To date, the event has raised over $18 million for Down syndrome.

“For the first time as parents, instead of feeling scared for Micah’s future, Mike and I felt excited and hopeful.”

She realized they could help families on a larger scale, by advocating for research and medical care with Global.

The family now attends the event every year, and Amanda has been a powerful spokesperson for Global, including partnering for multiple years with retailers and influencers for Global’s Mother’s Day campaign. In 2018, Amanda was the face of Global’s Mother’s Day campaign with Anthropologie, and in 2019, she rallied the support of her tribe of mommy bloggers to help Global create a special video to pay tribute to the holiday.

In addition to supporting Global’s work, Amanda has been heavily involved with other nonprofits, such as Ruby’s Rainbow and Changing the Face of Beauty.


“I’m just a mom who loves my son and wants the best life for him,” Amanda states. “I want other people to see my son the way I see him. Every person deserves to feel like they belong.”

Amanda will receive Global’s prestigious Quincy Jones Exceptional Advocacy Award along with co-awardee Megan Bomgaars at the 2019 fashion show in November. After learning of Megan’s accomplishments as an entrepreneur, TV star, and public speaker and seeing her high-fashion makeup line photos, Amanda is very excited to meet Megan and talk about their shared mission of inclusion and equality.

“I want to thank the parents before us who fought hard for our kids. People with Down syndrome are slowly being accepted into society, able to attend public school, have careers, and get married. I want to thank Global for ensuring our federal government prioritizes Down syndrome research funding to improve health outcomes,” Amanda says. “But the best way to thank them is not by saying ‘thank you’ — it’s by supporting their truly transformative, effective advocacy work.”

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