There are instructions for dozens of easy home and school-based activities, which help children gradually overcome delays and learn the fine motor skills mentioned above. The author suggests ways for parents to incorporate these exercises into as many day-to-day activities as possible, recognizing how impractical it is to constantly be in "therapy" mode with a child. New material includes a chapter on problems with sensory processing for those who are over- or under-responsive to touch, or have unexpected reactions to sound, pain, or other sensations. Being aware of these sensitivities can open pathways to better behavior and responsiveness to therapy. Also new is information about a critical developmental step--determining when a child is ready for preprinting activities. These and many other additions make this the most up-to-date, comprehensive resource on fine motor development for children with Down syndrome.