Down syndrome (DS) is a complex condition associated with multiple medical, developmental, and behavioral concerns. A prospective, longitudinal clinical database was integrated into a specialty Down Syndrome Program, with the goals of better understanding the incidence, course, and impact of co-occurring medical, neurodevelopmental, and mental…

Program quality is an important topic for improving out-of-school time youth development programs. High levels of program quality may contribute to enhanced positive youth development outcomes. This paper explores aspects of program quality in the California 4-H Youth Development Program and its relationship to positive youth development outcomes.…