Address details


Down Syndrome NSW
Level 6/410 Church St, North Parramatta
9am-5pm Monday - Thursday
T: 9841 444


Friday, 25 July 2008

Irish study of 25 years of cataract surgery in children with Down syndrome

The incidence of both congenital and acquired cataracts is somewhat higher in children with Down syndrome, than in typically developing children. An Irish study published online today examines 25 years of successfully treating cataracts in children with Down syndrome at The Children's University Hospital in Dublin. The report's conclusion reads:

As there is a higher rate of congenital and developmental cataract in Down syndrome when compared with the general population, management of visually significant cataract is of prime importance in this group.

Patients with Down syndrome are also considered ideally suited to IOL [intraocular lens] implantation because of difficulties with contact lenses or spectacle wear.

This study has shown that cataract extraction with or without IOL implantation is an effective and worthwhile procedure with a good visual outcome. The large myopic shift in this cohort of patients has previously been described and must be taken into account when planning surgery.

Reference:
Gardiner, C, Lanigan, B, O’Keefe, M, Postcataract surgery outcome in a series of infants and children with Down syndrome, British Journal of Ophthalmology 2008; 92:1112-1116

Click here to read the full text of the report, on the British Medical Journal group's website, or you can download a free .pdf copy.

Thursday, 24 July 2008

UK study on 20 yr trends in birth incidence of babies with Down syndrome

At a time when new, noninvasive prenatal tests are being trialled and prepared for commercial release in the UK and in North America, the European Journal of Human Genetics (advance online publication 2 July 2008) has published a UK study tracking the evolution of birth rate trends for babies with Down syndrome over 20 years (1985 - 2004).

The trend is complicated by the introduction of widespread pre-natal testing and increasing numbers of all babies born to women over 35 years of age.

The abstract concludes: Increasing maternal age and improved survival of children with Down syndrome have offset the effects of prenatal diagnosis followed by the termination of pregnancy and declining general birth rate.

Click here to read the abstract and Dr Len Leshin's comments on Down Syndrome: Health Issues.

Click here to purchase a copy of the full text of the paper from the publisher.

Wednesday, 23 July 2008

States agree to set national disability services standards

ABC News reported this evening:

The states and territories have agreed to set national standards and benchmarks for disability services at a meeting in Canberra today.

At the meeting, disability ministers also struck a deal to share information as part of a national child protection framework.

Parliamentary Secretary for Disabilities, Bill Shorten, says national reporting tools will be used to work out service benchmarks.

"What we've been able to do today is get some commitment on what is an acceptable standard of care," he said.


More new online DS Issues and Information modules released


Down Syndrome Education International is burning ahead with it open access project, releasing four more titles online today providing free access to these publications. Click here for the announcement and links.


Tuesday, 22 July 2008

Some of the challenges of prenatal diagnosis

A combination of events that will make non-invasive pre-natal testing much more widely available, and are likely to lead to a sharp drop in the numbers of births of babies with Down syndrome, is provoking thoughtful and strong opinions from many families and professionals.

The media focus shifts between the claims of 100% accuracy for a range of tests in clinical trials (which might well be correct), the impact on the share price of the companies that will market the tests commercially, and the wider ethical and cultural questions raised (some of which has been the subject of previous posts).

These three writers' recent publications come from first hand experience of living with a person with Down syndrome, and an examination of that experience that goes way beyond sentiment:

Amy Julia Becker, writing in the Philadelphia Enquirer, 20th July 2008:
Down Syndrome is a part of who my daughter is

Beverly Beckham, writing for the Boston Globe, 20th July 2008: Learning Love from Baby Grace

Fiona Place, in M/C Journal (a journal of media and culture), July 2008: Amniocentesis and Motherhood: How Prenatal Testing Shapes Our Cultural Understandings of Pregnancy and Disability. Fiona, who lives in Sydney, writes a column in our quarterly Newsletter, and maintains her own website: Down Syndrome: A Parent's Perspective

Some new and newly discovered websites - addressing difficult concerns

Stuart Mills, an Information Officer with the DSA UK alerted us to the first blog listed below, which led to a little surfing to investigate the other two sites. All are UK focussed, but with enough universally relevant material to be very useful in areas in where more information is much needed:

  • Supporting People with Learning Disabilities - blog
    Steve Hardy's blog aims to "keep those who support people with learning disabilities up to date with useful information and resources".

  • Clear Thoughts addresses the needs of people with learning disabilities (the UK term - we use "intellectual disability" in Australia) who have mental health concerns, and the people who care for them. While much of the information pertains only to services in the UK, there is also universally relevant information - and there is plenty of need for more information about the dual diagnosis of intellectual disability and mental health problems. The site has strong visual support built in, plain language sections, and easy-to-use navigation buttons to meet the needs of people with intellectual disability seeking information for themselves.
  • Challenging Behaviour Foundation - generally applicable material includes information sheets and newsletters, addressing needs that often go unmet.


Monday, 21 July 2008

Australia ratifies UN Disabilities Convention

Press release issued 18th July 2008, by

ATTORNEY-GENERAL, THE HON ROBERT McCLELLAND MP
MINISTER FOR FOREIGN AFFAIRS, THE HON STEPHEN SMITH MP
PARLIAMENTARY SECRETARY FOR DISABILITIES, THE HON BILL SHORTEN MP


Australia has today ratified the UN Convention on the Rights of Persons with Disabilities, making Australia one of the first Western countries to ratify the Convention.

Australia joins 29 other countries around the world in a move that aims to promote a global community in which all people with disability are equal and active citizens.

“Ratifying the Convention clearly demonstrates the Rudd Government’s international commitment to ensuring people with disability are treated equally and not as second-class citizens,” Attorney-General Robert McClelland said.

“This significant achievement is the result of substantial collaboration by Government and Non-Government stakeholders,” Mr McClelland said.

“I applaud the co-operation of these bodies who have successfully worked together to promote this historic international instrument,” Minister for Foreign Affairs Stephen Smith said.

“Australia has a long-standing commitment to upholding and safeguarding the rights of people with disability and ratifying the Convention sends this unequivocal message to the world,” Mr Shorten said.

The ratification, which took place overnight in New York, comes after the Rudd Government expedited its ratification processes and the Joint Standing Committee on Treaties supported taking binding treaty action last month.

It also means Australia can participate in the inaugural election of the Committee on the Rights of Persons with Disabilities. The Committee will oversee the implementation of the Convention.

A mum touching on the goddess of small things .....

On MotherJungle, Susan, the mother of a young child with Down syndrome, puts things in perspective (18th July 2008): It is all too easy to make our children “projects.” That bodes even stronger for special needs kids. There’s always a skill to develop: walking, eating, speaking, fine motor skills, gross motor skills, reading, writing, social cues, social graces, bowel control, bladder control, and as the kids grow, so too does the list.

Read the post and comments here.

While Early Childhood Intervention services are welcomed by and supportive for most families most of the time, ambivalence about the perceived demands of intervention (at least at times) is not uncommon. Consider discussing your views with your service providers, with other parents, and you are always welcome to call our Parent Support Team, on 02 9683 4333.

This Australian paper looks at the need to strike a balance between therapy and ordinary family life, and the business of daily family life considering everyone's needs: "Mixed Feelings" , by Lisa Bridle and Glenys Mann, 2000.
Click here for the DS NSW web page on Early Childhood Intervention for links to more resources and information.

Thursday, 17 July 2008

Art Exhibition, Tamworth NSW: celebrating 50 yrs of Challenge Disability Services

06 August- 02 September 2008
Ray Walsh House Foyer Gallery
437 Peel Street, Tamworth

Challenge Disability Services have been providing support services for people with disabilities since 1958. To celebrate their 50th year, Challenge Disability Services are holding an Art Exhibition with prizes for people with disabilities to participate in a community event and to celebrate their skills. Total prize money of $2,000 is on offer for selected art works. People with disabilities from the New England, North West, Dubbo and Hunter areas of NSW are encouraged to participate.

Entries Close 31 July 2008 and selected paintings will be exhibited 06 August – 02 September 2008. For entry forms or more information phone Graham Dooley at Challenge Disability Services on 02 6766 1288 or email to graham@challserv.org.au

Wednesday, 16 July 2008

Award for Roadmap to Holland


Jennifer Groneberg's much applauded book "Roadmap to Holland", released in April 2008 has won the National Down Syndrome Congress's 2008 National Media Award - Print, at it's annual convention in Boston. Read her brief blog entry here, written as she returned home from the three day event.

Down Syndrome NSW adds its congratulations - the book has been very popular in our library, as we anticipated, judging by the early positive response from our staff who lined up to read it.

DS NSW Patron condemns verbal abuse of people with disabilities

Craig Wing (NRL first grade player for South Sydney) is proud to be the Patron of Down Syndrome NSW. His interest in the organisation was sparked by his experience as the brother of a young woman with Down syndrome. An article in today's Fairfax press (including the Sydney Morning Herald) includes reference to his first-hand advocacy for Kirsty, and for others with disabilities:

Jacquelin Magnay reported on a Rugbly League Week survey of 100 NRL players, on a range of issues, under the headline Sister sledge not cool: Wing. This extract relates to Craig's experience of abuse from an opposing team's fan:

Most rugby league players say they have been abused by the public, including Souths star Craig Wing, who revealed he was sledged about his sister, Kirsty, who has Down syndrome.

..... Eighty per cent of the players said they had been abused, provoked or hassled by the member of the public.

..... Wing said he had been abused many times by football fans, but tried to ignore them. However, he revealed that when he was playing for the Roosters against the Bulldogs at the Sydney Football Stadium, a Bulldogs fan screamed, "F--- you Wing, your sister has Down syndrome."

Wing said he was so shocked that, initially, he could not absorb what had been said.

"It actually took a second for it to register, I was disgusted," Wing told RLW. "I saw the bloke - I couldn't remember him now. I just shook my head and said something to him. People have said all sorts of things to me, but that was the only one I've actually thought more than five seconds about."
Wing says he draws the line when the abuse is directed towards his sister, whom he protects fiercely. Wing organises several fund-raising functions for Down charities.

"The point I want to stress is that you can say anything to me, but saying stuff about my sister ... there are some areas you just don't go. Saying something about someone's disabled sibling, that's not cool."

You can read the full report here.


Sunday, 13 July 2008

These quilts have people skills .....

These two colourful patchwork quilts are the first of a set of four made for Down syndrome NSW, by Fairholme Quilters (Pennant Hills). They are floor quilts, to be used on our Baby Days, when we invite Mums of babies born over the previous few months to join us for lunch, and to meet the Parent Support Team, and of course, each other.

Some mothers feel quite ambivalent about such a meeting - wanting to come, but hesitating to meet a group of people with whom the only thing they have in common is that they have a baby with Down syndrome. And they hesitate to place their babies on a strange floor that people are walking all over ...... When we provide the quilts to lay on the floor, the babies are put down to play, and the next thing you know, the Mums are often down on the floor too. They might start by talking about the quilts, and pointing out the colours and prints to their babies - and before you know it, they are talking to each other with a greater ease than they could have imagined.

The quilters generously responded to a request from one of our staff who is a member of the group, by donating fabric, making and donating blocks, by putting the quilts together and donating their time and expertise to quilt them sturdily enough to withstand the rigours of use by our beautiful babies, and the subsequent washing!

Thank you Fairholme - the babies, their Mums and our staff are very grateful for this practical and insightful gift.

Saturday, 12 July 2008

Some weekend reading from other blogs .....

I wish I had a camera .....
Chris is a US mother of three children, one of whom has Down syndrome. Her blog entry at Mothering by the Seat of My Pants for Thursday 10th July paints a nice picture of how family life can be challenged and given new perspectives by an event like the the birth of a child with Down syndrome.

Read it here - and take a look at the photo on the right of Tulips and Italian Bread - Holland and Italy United. Looks Good to Me! You probably know what she means ....


A Little More: To ask or not to ask ....
Jennifer Groneberg's contribution to Parent Dish for 10th July considers the question beloved of children in public places:

"Whats' wrong with him?" ...... I lift my finger to my mouth in the universal sign for "shhhh." All 3 of my children look at me, confused. They don't understand why I don't want to talk about it - we usually talk about everything, a running dialog on the state of the day ....

Her reasoning and conclusions are here.


Journey .... We make the journey. Then the journey makes us.
Dave Hingsburger has a wealth of stories, many of them about people with Down syndrome and their families. There's a short but good one amongst the three he tells in this entry (from 7th July) on Chewing the Fat. There's always something to think about, often something to laugh about - that's why so many of us read Dave's blog so regularly.

Friday, 11 July 2008

New UK research into informed choice in prenatal testing

Current antenatal screening arrangements do not always give parents the time or information they need to make decisions about their unborn babies, according to new research.

The study, which has been published today (10th July 2008) by Dr Heather Skirton, Deputy Head (for Research) of the School of Nursing and Community Studies, at the University of Plymouth, and Dr Owen Barr, Head of the School of Nursing, at the University of Ulster, raises a number of concerns about the way that antenatal screening is carried out ......


......Researchers gathered views from 135 prospective parents and 100 health professionals, mainly midwives, across the UK to find out what sort of information was given out at antenatal screenings and to find out how they felt the process could be improved. Their findings included:

  • Parents felt that they did not have enough time to consider their decisions and that sometimes screening was not discussed until the second trimester. Many midwives said that they did not have enough time to spend on the issue of screening.
  • Parents and midwives both felt that too much information was given about birth and postnatal care at early appointments at the expense of information about screening.
    Concerns were raised about how parents who have difficulty reading or those with English as a second language access printed information.
  • Pregnant women and their partners felt that a decision about screening should be made by both parents but most midwives said that they only involved the father ‘if they happened to be present’.
  • Concerns were expressed about the way that having a child with Down syndrome is presented as a wholly negative experience.
Click here to read the full text of the press release and to download a copy of the full text of the research report

Families in the Bathurst/Orange region – research opportunity at CSU

Research at Charles Sturt University (CSU) will explore the everyday experience of primary school-aged siblings of children with additional needs, particularly at school. Ms Jacqui Barr, a primary school teacher and PhD student in CSU’s School of Teacher Education aims to give an authentic account of these children’s experiences.

She seeking families and children in the Bathurst area who have children in Year 3 or above at primary school and are the sibling of a child with additional needs. The study will involve interviewing the sibling, as well as other significant people in their lives, such as parents, the brother or sister with additional needs, and their teacher. Each participant will be interviewed once, with interviews taking between 15 minutes and 1 hour. The results of the study will be used to inform educators about the significant experiences of siblings of children with additional needs.


Click here to download an information package about the research project

Contact Jacqui Barr on (02) 6332 9107 or email jbarr@csu.edu.au for more information.

Tuesday, 8 July 2008

Down Syndrome Online Updates

We have subscribed to email updates from DownsEd International, to keep with their expanding online library - a fantastic resource, and freely available. Here is an extract from today's email (other news was about events in the US):

Down Syndrome Online has been updated to simplify navigation and to introduce a cleaner layout. We have also introduced a new search system - powered by Google - across our web sites, making it easier and quicker to locate information.

This update also paves the way for the release of new online editions of the
Down Syndrome Issues and Information education series and adult series of books over the coming weeks.

Features
Speech and language book online
Speech, language and communication for individuals with Down syndrome - An overview, by Sue Buckley, is now available in full online. This book examines what is understood about speech and language development for young people with Down syndrome and the principles of effective intervention and teaching support.

This is one of many books in the Down Syndrome Issues and Information Education Series. Further online editions will be available over the coming weeks.

Keep in Touch
As well as this occasional email news, we have launched improved news feeds. You can find the feeds and subscription options for email news at the DownsEd In Touch web site. Please provide your comments and feedback via the news feeds or join our email discussion groups.


Monday, 7 July 2008

League Zone: Inaugural Charity Golf Day

In Partnership with Down Syndrome NSW, League Zone Sporting Merchandise & Memorabilia will be holding its Inaugural Charity Golf Day

Monday 11 August 2008
Camden Valley Golf Resort
810 Catherine Field Road, Catherine Field

Registration from 7.30 am
Start of Play 8.30 am (Shot Gun Start)

$125 per individual
or
$650 for sponsoship of a hole including a team of 4 players

Package includes: 8 holes of golf; Golf Cart, Hot Breakfast, Full Buffet Lunch, Drinks on Course, Celebrity Guests, Memorabilia Auction, Raffles, Prizes allocated to players in regards to their finishing position, Nearest to the Pins, Longest Drives etc, Novelty Holes with Port and Champagne, and Business Card Draw for Lucky Door Prize

To Register, please contact

League Zone
T: 02 9822 4453
F: 02 9822 4385
E:
leaguezone@yahoo.com.au
RSVP CUT OFF Friday 1 August 08

Thursday, 3 July 2008

2008 Biennale of Sydney Celebrates Access

Lord Mayor’s Community Access Day
Saturday 23 August 2008, 10am – 4:30pm


The 2008 Biennale of Sydney, Australia’s leading festival of contemporary art, opens up the world of art for people with disabilities. With over 180 of the world’s most exciting artists on show, the Biennale of Sydney will illustrate sound of a video installation to the Deaf, offer visual interpretation of a painting through signing to the Blind, and provide physical access into exhibitions, as part of their program. Under the theme Revolutions – Forms That Turn, the exhibition explores the urge to rebel - AND this is where they lead the way in festival access.

On Saturday 23rd August (from 10:00am – 4:30pm) the Biennale of Sydney, long-term partner of Accessible Arts, the NSW peak arts & disability peak organisation, will present the Lord Mayor’s Community Access Day. This daylong event, to be launched by Sydney’s Lord Mayor Clover Moore, will unlock the exhibition’s key themes and artworks for people with disabilities and their carers. It will offer evocative audio descriptions and guided tours accompanied by Auslan interpreters.


The FREE tours are designed to make art accessible to all by including tactile experiences, and easy to understand descriptions for people with intellectual disabilities at each of the venues. Free wheelchair friendly transport between venues will also be available on the day.

Sancha Donald, CEO Accessible Arts said,
“The Biennale of Sydney continues to encourage and support access for people with disabilities and those who are limited to experience the arts in other capacities. By providing accessible tours and transport to the most cutting-edge contemporary art from around the world, the Biennale is setting a strong moral example for a sustainable future of the arts.”

She also added,
“It has never been more competitive to attract audiences to arts events and the Biennale has demonstrated leadership in encompassing artistic excellence and enhancing access to the 1 in 5 members of the Australian community who have a disability. I congratulate them and look forward to celebrating the Lord Mayor’s Community Access Day.”

These programs will be presented in the three principal venues – Pier 2/3, Hickson Rd, Walsh Bay; Museum of Contemporary Art, West Circular Quay; and The Art Gallery of New South Wales, The Domain. The FREE accessible bus will be circulating between Circular Quay, the Museum of Contemporary Art, Art Gallery of NSW and Pier2/3 throughout the day enabling patrons to attend tours at all three venues.

A specific tour for people with intellectual disabilities has been scheduled during the day.

Click these links further details in .pdf files - the complete press release from Accessible Arts and Accessibility Information for all venues.

Accessible Arts website: www.aarts.net.au Click here for the news page about this event.

Tuesday, 1 July 2008

New product from Hands Can Talk

Hands Can Talk and Prompt Education have joined resources. A new series of publications combine signing graphics / description of sign, a colour picture and title.

This range of books comes in full colour, **laminated for longevity, rounded corners for safety and is a useful, fun learning tool for all children,especially those with additional needs.

** Limited edition laminated. Further editions in 250gsm board, plastic cover.

SPECIAL OFFER JULY only: Buy 6 get seventh one for free

Click here for an order form and to see all of the titles in the range.

Hands Can Talk has kindly donated a full set to the DS NSW library - email on library@dsansw.org.au to arrange a loan, or for further information about the content.

A further tribute to Harriet McBryde Johnson

Harriet Johnson's life really mattered to many, many people. Tributes continue to be published in both mainstream and disability media. The title of this one is very apt: Remembering Harriet McBryde Johnson—A Woman With All The Spine And Muscle Anyone Could Hope For, by Joyce Bender, published by The Cutting Edge, yesterday (30th June, 2008).

Monday, 30 June 2008

World Youth Day - information for people with disabilities

Peak body National Disability Services has published an information sheet about provisions for people with disabilities wishing to attend World Youth Day Events in Sydney in July.

Click here for the information sheet, which includes links to other services and supports that people with disabilities might require to attend events.

To keep up-to-date with changes for the World Youth Day 2008 events and to download Disability Information Fact Sheets go to: www.wydca.nsw.gov.au/whats-new

For all disability information enquiries leading up to and during World Youth Day 2008 please contact:

IDEAS Disability Info Line
Freecall: 1800 029 904
Email: ideasmetro@ideas.org.au
Fax: 02 9657 1793
TTY: 02 6947 3377

Sunday, 29 June 2008

Online magazines - a wealth of reading freely available

Down Syndrome NSW quarterly Newsletter and monthly Update are both made available online as well as in print. Many other Newsletter likely to be of interest to those caring for a person with Down syndrome are now available online. Here are a few of our local and international favourites:

Accessible Arts Newsletter for July is available to read here. It includes news about events and programs across NSW, including July and August dates for regional visits.

Early Links publishes information about research and practice in early childhood intervention of interest to professionals and to families. It is published online twice a year, by the Macquarie University Special Education Centre. The current issue is available here.

Carers NSW e-Bulletin is published online monthly, with new of interest to anyone in a caring role, including parents and other family carers of people of all ages with disabilities, and to young carers. Click here for the Carers NSW website and find the "e-bulletin" link under the "Information and Resources" menu.

Disability Solutions is and enduring favourite - more than six years of very good reading is indexed here.

Down Syndrome Education International now publishes most of its very high quality periodicals online.

All are freely available - a public library in your computer.

Down Syndrome NSW Annual General Meeting 2008

will be held at

2.30 pm on Saturday 30 August 2008
The Ambassador Room, Burwood RSL Club

96 Shaftesbury Road, Burwood


At the meeting the Annual Financial Statements will be presented and elections willbe held for membership of the Management Committee.

Light refreshments will be provided.

Click here to download a Nomination Form for membership of the Committee, or phone the DS NSW office (02 9683 1900) to request a Nomination Form to be mailed to you.

The Closing Date for nominations is 1 August 2008

There is no charge but booking is required for catering:
You can register online
here, or phone 02 9683 1900, email executiveofficer@dsansw.org.au


Saturday, 28 June 2008

A little more - from Jennifer Graf Groneberg

Jennifer Graf Groneberg (author of Roadmap to Holland) has written another insightful post for Parent Dish, that you can read here. She describes an early morning scene in her home, nothing much out of the ordinary, but it leads to more significant observations about how her perspective has changed since the birth of her twins, Avery and Bennett. Avery has Down syndrome.

I've been Avery's mama for 5 years already, and it's not just Holland I see. These days, I'm more likely to notice the man walking with the limp; or the young woman with rigidity in her muscles; or the child overwhelmed by sounds. The causes for such things, or the names for them, are not important to me - what I see is the man, the woman, the child. I see what's different, but I also see what we share.

Jennifer's own blog Pinwheels is linked from our Blogroll (right column on this page). Her book Roadmap to Holland is available for DS NSW members to borrow from our library.

A tribute to Harriet McBryde Johnson

Many tributes have written to Harriet McBryde Johnson, a prominent US lawyer and disability rights activist who died earlier in June. She was well known for taking on philosopher Peter Singer over his views about killing babies with disabilities, and other very up-front opinions. Yesterday's Wall Street Journal published Christine Rosen's reflections on Johnson's activism, and her stance on disability as part of the human condition, under the title A LIfe Worth Living. She draws on the ongoing debate about prenatal testing for Down syndrome to illustrate how Harriet Johnson challenged strongly held views about the rights of people with disabilities to even be alive.

Harriet Johnson's response to Peter Singer's views are encapsulating in her well-known New York Times article, Unspeakable Conversations (16/3/2003), which Rosen describes as "Thankfully free of the ponderous cant that infects so much of bioethics...."

Both articles are well worth reading and re-reading.

Monday, 16 June 2008

New research on the brain in Down syndrome + autism

This news report was published in Ability Magazine, Vol 2008 April/May (the Sandra Lee Issue). The reference to the research paper is given below.

Correlations of Autistic Behaviors Shown in Children with Down Syndrome In a continuation of his research looking at children with a co-diagnosis of both autism spectrum disorder (ASD) and other well-known genetic disorders, Dr. Walter E. Kaufmann and colleagues recently published a study that examined the difference in brain structure between children with either Down syndrome alone and children with both Down syndrome and ASD. Dr. Kaufmann and his research team at the Center for Genetic Disorders of Cognition and Behavior (GCB Center) at the Kennedy Krieger Institute believe this will provide more clues to the cause of autism, and lead to better diagnosis and care of children with both Down syndrome and ASD.

The study, which appears in the online journal NeuroReport, used anatomic MRIs to compare the brain scans of children with Down syndrome to children with both Down syndrome and autism, as well as a control group of typically developing children. The study found that the brains of children with a co-diagnosis had significantly more white matter in the brainstem and cerebellum when compared to children with Down syndrome alone. The data also showed that children with both disorders exhibited an accelerated brain growth between the ages of two and five years-old. The volume of white matter in the children with a co-diagnosis tended to decrease slightly with age, but the volumes of white matter remained relatively constant in the group with Down syndrome alone.

The study supports the theory that the underlying cause of autism lies in the cerebellum, particularly the enlargement of the cerebellum due to increased white matter. The findings also suggest that the underlying mechanisms of ASD in Down syndrome may be shared, at least in part, with those in autism alone.

The early pattern of accelerated brain growth in childhood with Down syndrome and a co-diagnosis of ASD resembles the pattern of head and brain growth typically observed in children with autism alone and differs from children with Down syndrome alone. These differences make it important for researchers conducting brain imaging studies on Down syndrome to carefully evaluate the presence of ASD, as autism in Down syndrome may often go undiagnosed.

Perhaps most importantly, the increased white matter in individuals with Down syndrome and a co-diagnosis of autism represents a distinguishing feature that is associated with abnormal behaviors which are typically seen in children with either disorder, namely repetitive motor movements known as stereotypies.

Further research on autism in Down syndrome as well as autism in other conditions may help clarify the causes and functional consequences of autism in the general population.
http://abilitymagazine.com/news_Autistic_Down.html
accessed 14/06/2008

Reference:
Carter, John, George T. Capone, and Walter E. Kaufmann, Neuroanatomic correlates of autism and stereotypy in children with Down syndrome, Clinical Neuroscience and Neuropathology, Vol 19 No 6 16 April 2008, pp 653 - 656

Click here to read the abstract of the research report, and to purchase a full text copy.

Click here for a previous post an information about Down syndrome+ autism for parents and professionals

Sunday, 15 June 2008

Diana and Kathy - more powerful advocates

This new documentary looks interesting - two feisty women who have learned to speak up for themselves, and work as a formidable team:

Diana Braun and Kathleen Conour approached Alice Elliott at the 2001 National Arc Convention, and asked her to make a documentary about them. ...... The result is Body & Soul: Diana & Kathy.

Diana and Kathy are friends and advocates, who continue to explore innovative solutions for people with disabilities. From their experience living outside of institutions for 35 years, they became advocates for choices in housing for people with disabilities.


Read reviews, more about Diana and Kathy, and more about the production here.

The film is currently on the film festival circuit in the US. We're intrigued, and will get a copy into our library as soon as the full package of DVD with extras and study guides is available.

Saturday, 14 June 2008

SMH feature on Carer-Advocate, Sue Pieters-Hawk

Australians are very familiar with the story of Hazel Hawke, the former wife of an ex-Prime Minister. Her daughter , Sue now has a national role as a carer advocate, as well as being her mother's primary carer. Bridget Delaney profiles Sue Pieters-Hawke in today's Sydney Morning Herald, and focuses on how she keeps herself fit for caring. This extract is the the introductory paragraphs:

..... Sue Pieters-Hawke is a carer's advocate, recently appointed chairwoman of the National Advisory Committee on Dementia for the Minister for Ageing, and is primary carer to her mother Hazel, who has Alzheimer's disease. Pieters-Hawke wrote of the illness, diagnosed in 2001, and her mother's life in the best-selling book Hazel's Journey.

She believes carers benefit from "a sense of humour [which] nearly always helps. It's black humour, self-deprecatory, sense of humour being able to vent. It lifts endorphins and reduces stress."

There was a recent Australian study conducted that showed "carers as a cohort have the lowest well-being and are at high risk of disease and depression". To combat this "people who are carers need things that stand outside it; faith, their own identity and activities. You can, for example, lose yourself in young motherhood but hopefully there's the compensatory joy of a baby but if you have been caring for someone in decline then it's very natural and easy to be disheartened by that."

So what can carers do to develop separate interests? "Time out, time out, time out … is really important. Take it physically, and generate it mentally and emotionally. Friends, interests and faith are important." Pieters-Hawke's interests include cooking, listening to music and gardening ("watching things grow and die and flower. I stand at the window and stare at it and enjoy it") but faith "of one kind or another" has been a constant in her life.

It has given her meaning and sustenance and "the capacity to live well with uncertainty," she says, before quoting Helen Keller. "'Human beings seek safety and certainty, and there is no such thing.' People try and get it by placing values on material goods and hedonism. It doesn't just fall out of the sky." Instead Buddhism has helped her navigate through much of life's uncertainty......

Sydney Morning Herald, 14th June 2008

Read the full text of the Herald article here.

Minister for Ageing's Press Release announcing her Advisroy Board on Dementia, co-chaired by Sue Pieters-Hawke and Sall-Anne Atkinson.

Click here to read Ashley Hall's report (ABC News) of his interview with Sue Pieters-Hawke on her appointment to the Minister's Advisory Group.

Friday, 13 June 2008

New from Scope Victoria

Scope Victoria provides disability services throughout Victoria to thousands of children and adults with physical and multiple disabilities. Scope is committed to overcoming the personal, structural and attitudinal barriers that prevent those with disability from participating in community life and works to make our community more inclusive, more accessible and more welcoming.

As part of that commitment, Scope produces a range of resources useful to people with all kinds of disabilities - here are two new publications, both freely available, that will be useful for people with Down syndrome:

Nursery Rhymes to Sing See and Sign are FREE downloadable, web-based communication resources for ALL young children. It includes resources for 14 favourite Nursery Rhymes. It has a particular focus on communication strategies known to help communication and language development in children with communication difficulties. Difficulties may include delayed speech, speech that is hard to understand, problems with comprehension and difficulties with concentration and engagement. Being unable to communicate and participate impacts on a child’s overall development, well being and quality of life. For more information, and to download Nursery Rhymes, click here.

Supporting People With Disabilities Coping With Grief And Loss: An Easy-To-Read Booklet The aim of this booklet is: To provide people with disabilities and their support people with an overview and an understanding of the grief process To highlight the range of needs of people with disabilities who may be grievingTo provide effective strategies for supporting people with disabilities in dealing with grief and lossThis booklet is organised in two sections. The first section has been developed for people with disabilities themselves, written in easy English and using pictures. This section provides information about grief and loss, and strategies for dealing with grief, in an easy-to-read format. The second section has been developed for people who support people with disabilities to deal with grief and loss. They are written as guidelines that may be helpful to families and service providers who wish to actively assist the grieving person with disability.
Supporting People With Disabilities Coping With Grief And Loss, PDF Format (40 pages,1079 KB)

Wednesday, 11 June 2008

Children with Down Syndrome sleep poorly and have more fragmented sleep

American Academy of Sleep Medicine, Public release date: 10-Jun-2008
Contact: Kathleen
McCann kmccann@aasmnet.org

Note: this study is not about obstructive sleep apnoea, which is very common in children with Down syndrome, but the quality of sleep compared with other children when sleep disordered breathing has been accounted for.

Children with Down Syndrome sleep poorly, with more fragmented sleep and frequent awakenings compared to typically developing children, according to a research abstract that will be presented on Tuesday at SLEEP 2008, the 22nd Annual Meeting of the Associated Professional Sleep Societies (APSS).

The study, authored by Nicole N. Phillips, MD, of the University of Michigan, focused on 38 children with Down Syndrome, whose sleep study results were identified and matched to those of 38 typically developing children presenting to the Sleep Disorders Center. Children were matched for severity of underlying sleep disordered breathing. The average age of all the children was seven years.

As a whole, children with Down Syndrome spent more time awake after sleep onset and had more fragmented sleep compared to typically developing children. Children with Down Syndrome in the five-to-nine-year year age group exhibited lower sleep efficiency, less total sleep time, spent more time awake after sleep onset, spent more time in a lighter sleep stage (stage 1 sleep), and had less REM sleep compared to typically developing children. Also noted was a trend characterized by less REM sleep and more slow wave sleep with age.

According to Dr. Phillips, the findings of this study suggest that children with Down Syndrome sleep poorly and have more fragmented sleep compared to typically developing children, which may be independent of underlying sleep disordered breathing. Children with Down Syndrome may also have an altered sleep architecture characterized by less total sleep time, more stage 1 sleep, and less REM sleep, said Dr. Phillips, adding that this sleep pattern may emerge during childhood and may reflect a developmental phenotype in this pediatric population. Poor sleep quality and decreased amounts of REM sleep may further impair cognitive, behavioral, and physical growth, noted Dr. Phillips.

“A better understanding and enhanced awareness of the sleep characteristics and sleep architecture of children with Down Syndrome will allow earlier detection of impaired sleep and implementation of treatment strategies,” said Dr. Phillips. “Improving overall sleep quality will be a key ingredient for optimization of physical and cognitive functioning in this pediatric population.”

It is recommended that school-aged children get between 10-11 hours of nightly sleep.

The American Academy of Sleep Medicine (AASM) offers some tips to help your child sleep better:

Follow a consistent bedtime routine. Set aside 10 to 30 minutes to get your child ready to go to sleep each night.

Establish a relaxing setting at bedtime.

Interact with your child at bedtime. Don’t let the TV, computer or video games take your place.

Keep your children from TV programs, movies, and video games that are not right for their age.

Do not let your child fall asleep while being held, rocked, fed a bottle, or while nursing.

At bedtime, do not allow your child to have foods or drinks that contain caffeine. This includes chocolate and sodas. Try not to give him or her any medicine that has a stimulant at bedtime. This includes cough medicines and decongestants.

It is important to make sure that your child gets enough sleep and sleeps well. The value of sleep can be measured by your child’s smiling face, happy nature and natural energy. A tired child may have development or behavior problems. A child’s sleep problems can also cause unnecessary stress for you and the other members of your family.

Parents who suspect that their child might be suffering from a sleep disorder are encouraged to consult with their child’s pediatrician or a sleep specialist.

More information about “children and sleep” is available from the AASM

SleepEducation.com, a patient education Web site created by the AASM, provides information about various sleep disorders, the forms of treatment available, recent news on the topic of sleep, sleep studies that have been conducted and a listing of sleep facilities.

Click here for information from the Australasian Sleep Association.

Tuesday, 10 June 2008

Commonwealth Government announces Disability Investment GroupThe

Australian Government has established a Disability Investment Group to explore innovative funding ideas from the private sector that will help people with disability and their families' access greater support and plan for the future.

Parliamentary Secretary for Disabilities and Children's Services, Bill Shorten, today said the group would encourage the private sector to play a greater role in the disability sector.

"The Disability Investment Group will look closely at identifying and developing options for private investment in housing, education, employment, equipment and other support for people with disability," Mr Shorten said.

"There is a real role the private sector can play here, and it is the Disability Investment Group's job to find out what barriers are stopping private investment, and what can be done to remove them."

  • For the full text of the initial Press Release from Parliamentary Secretary for Disabilities and Children's Services, Bill Shorten, click here.
  • Click here for the Terms of Reference of the Disability Investment Group and for a list of the members.

Monday, 9 June 2008

Down Syndrome and Autism Information Center - new web resources

The DSAIC now has a "Valuable Articles" section available. This section has copies of articles we have permission to share, or links to articles. All have been reviewed for usefulness for families of people who have Down syndrome and and ASD or another diagnosis.


The DSAIC website is part of Joan Medlen's Creating Solutions group, that also publishes the free 0n-line magazine, Disability Solutions, one of our most-used resources over many years. Well worth checking out.


Kellie's Book - the Art of the Impossible

"Hi. My name is Kellie. This is my life story. I wrote this book and made all of the drawings."
So begins a very special book, "Kellie’s Book — The Art of the Impossible," by Kellie Greenwald (a 30 yr old woman who has Down syndrome). Naples Daily News, Florida, Sunday 8th June 2008

You can read more about Kellie and see sample pages from her book, by clicking here. Click the "enlarge photos" button for a better view of the slide show.

Saturday, 7 June 2008

Strong women, powerful advocates - where would we be without them?

The long lives of two mothers, both mothers of daughters with Down syndrome born in the 1940s and 1950s, were celebrated in press reports this week of their deaths at 95 and 87 respectively. The tributes highlight their powerful advocacy, not just for their own daughters, but for all people with disabilities, They would probably never have met, but they had much in common. Their stories are well worth the telling.

What would our family lives be like today without their groundbreaking leadership, and others like them, who changed our world, one family at a time? Their legacy is our children's inheritance.

Life enriched by care

Sydney Morning Herald, Saturday 7th June 2008

Her daughter's disability has helped the Liberal senator Sue Boyce become a better mother, she tells Tim Dick.

To get to her literacy course Joanna Boyce needed to take the ferry. Her mother, Sue Boyce, showed her how to use it on her way to work. She showed her the next day, too, and the next, and every morning for the next week or so.


The training wheels stayed on not because Joanna needed them but because her mother enjoyed the morning ride, and when the Liberal senator for Queensland is back from Canberra - and Joanna is not doing the shredding in the Opposition whip's office - they still ride the Brisbane CityCat.


Joanna, 24, is the youngest of the three Boyce children and the only one still at home. She has Down syndrome.


Read the full text of Tim Dick's article here.


Publication of experiences such as Senator Boyce's are a nice counterpoint to articles earlier this week in the US financial press highlighting the 22% rise is Sequenom shares that followed the release of early results of a clinical trial for the company's non-invasive diagnostic prenatal test for Down syndrome.

Sequenom plans to begin commercial release of the test in 2009. Given the very high rates of termination (80 - 90%) reported when a definitive prenatal diagnosis is available, it would be expected that the live birth incidence of babies with Down syndrome is likely to fall markedly once such tests are offered to all pregnant women.

Since many parents report receiving little or no balanced information about raising a child with Down syndrome along with a prenatal diagnosis, organisations worldwide such as Down Syndrome NSW are making it a renewed priority to help fill that gap, believing that parents need more information to make informed decisions.

Patricia Bauer has included press reports about the Sequenom trial and results in her listings for 4th and 5th June.

Friday, 6 June 2008

People with disabilities, carers and the NSW Budget 2008-2009

Most of what is in the 2008-2009 NSW Budget that impacts directly on people with disabilities and their carers was known before the Budget's release, but it did include a 6.9% increase in funding.

Analyses of the Budget's provision for people with disabilities and their carers is available from:

NCOSS 's analysis of the Department of Ageing, Disability and Home Care section of the NSW Budget:

· Budgeted allocation to DADHC of $2billion in 2008-09, a 6.9% increase or $130million more than last year. Over $1.2billion of this will be provided to NGOs in grants and subsidies.

· Home & Community Care (HACC): growth funding to the NSW HACC Program will be around 7.2% or $37.2million in 2008-09. This allocation appears to match the Commonwealth growth allocation announced in the Federal Budget. 2008-09 is the first year of the HACC Triennial Plan, now awaiting Commonwealth approval. The priorities for this Plan are people with dementia, people who are financially disadvantaged, people who are socially excluded or locationally disadvantaged, people from culturally and linguistically diverse communities, Aboriginal and Torres Strait Islander people, people in remote and isolated areas. There are 7 strategic directions for this Triennial Plan: simplifying access strategies,-using the Hunter Demonstration Project; better outcomes for clients and value for money; streamlined risk based strategies for performance quality assurance; building an evidence base for HACC; innovative approaches to service delivery; improvements to the Minimum Data Set; equitable allocations across NSW. Due to the weight of escalating demand, NCOSS proposed an increase by NSW to HACC of 20% in 2008-09 which has not been met.

· The Home Care Service of NSW will receive $207million in 2008-09, an increase of 2.5% or $5m. This will provide 4 million hours to 42,000 people per month. There will be an independent review of the Referral and Assessment Centre (RAC) and implemented improvements as well as another Customer Satisfaction Survey in 2009. The Home Care Service receives 32% of the HACC budget in NSW.

· Disability Services: The third year of the Stronger Together Disability Plan has been fully funded at $89.3 million in 2008-09. Increases this year include $4.6million for therapy services, $9.1million for post school programs for 1000 new school leavers, $2million for 400 Intensive Support Packages for young people and families, $1.5m for intensive assistance with challenging behaviours to 410 children and families $7.5m for 100 new Attendant Care places, $5.1m for an extra 340 day program places, $7.6m for younger people in nursing homes, $38.7m for an additional 280 supported accommodation places for adults with disability. NCOSS believes that all new supported accommodation places must be delivered in accordance with the NSW Disability Services Act and not through the re-development of disability institutions or large residential centres. There are still 2400 people with disability in institutions in NSW. NCOSS welcomes the continued implementation under the Stronger Together Plan, but proposed a raft of spending measures totalling over $62.5m in 2008-09 so that NSW can move away from crisis service provision to people with disability.

· Ageing Program: Funding to the Ageing Program has been maintained at $5.8m in this budget. There have been no increases to this program, despite the rapid ageing of the population, in several years. The NSW Government’s commitment to older people is fully described in the NSW Towards 2030 Plan, which sets out action priorities to prepare for the challenge of population ageing. In its Pre-Budget Submission, NCOSS proposed an allocation of $4m to support positive ageing in NSW.

· Capital Expenditure: In 2008-09 DADHC will spend $115.2million in capital expenditure in both HACC and Disability services programs. This includes $35 million for new accommodation facilities under Stronger Together, $25.8m for the redevelopment of large residential centres at Grosvenor, Lachlan and Peat Island, $35m for improvements and replacements of accommodation for people with disability.

· Commonwealth State Territory Disability Agreement: While an interim arrangements were agreed at the Disability Ministers’ meeting of May 30, the current CSTDA has been extended to end 2008 pending negotiations. The previously announced Disability Assistance Package will now be allocated under the new CSTDA and a National Disability Strategy is under development. In the meantime, NSW will receive 33.7% of the Commonwealth’s new $100m capital allocation for supported accommodation for 309 people with disability. Details have not yet been finalised about how this funding will be delivered.

· Workforce Strategy: NDS NSW has been allocated $3.3million to develop a workforce strategy to deal with workforce recruitment, qualifications and shortages. This will cover both non-government and government workforces and will include the disability and HACC sectors. Contracts for this work are currently being finalised so more information will be available shortly.