This book is essentially a collection of articles written across the decades. Most are early to mid-90s at the latest, and many of the programs discussed are no longer in place today. It is somewhat interesting from a historical/science perspective, but not very practical or helpful if you are reading it for insight/guidance on a loved one with DS living in 2010. Other than a few anecdotes and short stories from parents and individuals with DS, it largely reads like a series of excerpts from graduate students' thesis papers. Nine years of post secondary education, and I still had to skim to get myself through it.