Kate is the youngest of four children, and has lived all her life in a small country town with her parents and older brothers and sister. Now twenty, Kate was diagnosed at birth with Down syndrome. The town where she lived had no special school and no early intervention programme, and when Kate was four it seemed to her parents the natural thing to do to enrol her in the pre-school centre that her brothers and sister had attended. The pre-school had a warm and welcoming climate. Kate was an easygoing child, and although her speech and motor skills were delayed, she enjoyed being with the other children at the centre. At the end of the year, when the other children would be moving on to school, the pre-school director suggested to Kate’s parents that she too should be enrolled in the local primary school that the rest of the family had attended.