Challenges and joys
by David Crary, The Associated Press, Monday, September
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A few weeks after her second daughter was born, Carole
Ehlinger received a card from longtime friends. The gist of
the message: "You're so lucky."
Struggling to absorb the fact that her newborn had Down
syndrome, Ehlinger found the card perplexing - though not for
"I didn't understand right away, but that message has really
rung true," Ehlinger said. "Catherine has brought out the best
in all of us."
Catherine is 23 now, a high school graduate with a boyfriend,
working three afternoons a week bagging groceries at a
supermarket. Adult and independent in many ways, trustingly
childlike in others, she has - like other young people with
mental disabilities - provided her parents with a distinctive
set of challenges and joys.
"I remember coming home from the hospital, and looking at the
comics in the paper and thinking, 'I'll never be able to laugh
again,'" Ehlinger recalled. "If only I'd known how wonderful
it was going to be."
In the span of one generation, the dynamics of families like
the Ehlingers have been transformed as the life expectancy of
people with Down syndrome - the most common form of mental
retardation - increased from 25 years to more than 50.
Parents no longer assume they will outlive their child, and
the option of mental institutions has fallen from favor.
Parents and child often spend many more years together than in
the past, and parents face difficult decisions about
encouraging self-reliance and ensuring a grown child's
well-being after their death.
For Carole Ehlinger and her husband, Jim, an executive with
AT&T Corp., concerns about the future are eased somewhat by
their expectation that Catherine's siblings - Christine and
James - could keep an eye on her.
The future has more question marks for others.
Maureen Maimone's 17-year-old son, J.C., also has Down
syndrome, but he is an only child, and Maimone worries about
what might happen if she dies before he does.
"I have such a profound fear about when I'm not here anymore,"
she said. "Who's going to think about where he'll go for
Thanksgiving? Who's going to know he's afraid of
Divorced when J.C. was 5, Maimone has been her son's constant
companion since his birth. She wants to encourage his sense of
self-sufficiency, but knows not to push too fast.
"He's extremely friendly, he talks to strangers," she said at
their home in Ocean. "I try to teach him to be cautious, but
not make him fearful."
J.C. attends regular classes at the local high school and also
takes special math and reading courses.
"J.C. is very popular in school," his mother said.
"Unfortunately, it doesn't carry over to the weekends. His
schoolmates aren't going to call."
The result is that Maimone, 46, and her longtime partner,
59-year-old lawyer Andy Kimmel, are J.C.'s weekend playmates -
a role they find rejuvenating. They go to concerts, play
mini-golf, and travel - railroad museums are among J.C.'s
"The challenge is getting our energy level up," Maimone said.
"We're usually on the go all weekend."
Maimone recalled being stunned, after J.C.'s birth, at
learning he had Down syndrome. "There was no history of it our
families," she said. "We thought, 'He's not ours. It's a
mistake.' It was the initial shock, and then 'Let's roll up
our sleeves and learn about it.'"
She read advice books, contacted experts, founded a support
group. Her life has been demanding but rewarding.
"I have those moments where I see that it's different here,
that most parents don't have to do all this," she said. "But I
truly think that's a small price to pay for what I've gotten
back from him. If there's any kind of plus-minus scale, it's
1,000 times on the plus side."
On most Saturdays, J.C. gets a visit from his biological
father, who takes him to drum lessons. The role of day-to-day
father is embraced by Kimmel, who like Maimone is divorced. He
says his relationship with J.C. is more intense than with his
two grown children.
"I love them dearly, but it's not the same thing," Kimmel
said. "J.C. is an extraordinary person."
With Kimmel's help, Maimone is now looking ahead, talking
about vocational training and future living arrangements for
J.C., and also about estate planning.
She envisions her son getting a job after high school, and
moving eventually into an assisted-living facility.
"I'd love to have him live with me forever - but I'd like him
settled somewhere before anything happens to me," Maimone
J.C. - a strong swimmer, self-taught harmonica player, and fan
of Jackie Chan - has his own ideas about the future. "I'm
going to get married," he said. "I'm going to drive a black VW
But if those are typical sentiments of a 17-year-old boy, his
affection for his best friend is not. "You're the best mom
ever," he told Maimone, through a hug, as she picked him up at
day camp. "You're my pumpkin."
The Maimones and Ehlingers live about 12 miles apart. Both
have become active in programs for young people with
When Catherine was 2, Carole Ehlinger founded a dance group
for her and other children with disabilities. The group has
prospered ever since, with help from the entire Ehlinger
family. Catherine has taught some of the youngest dancers;
siblings Christine and James were volunteer teachers, and Jim
has videotaped some performances.
James, 19, has been a devoted brother to Catherine. They
helped each other learn to read when she was 6 and he was 2.
More recently, he and some friends coached Catherine's Special
Olympics basketball team.
With James entering the University of Notre Dame this fall and
Christine, 25, living an hour's drive away, Carole and Jim
Ehlinger are in no hurry for Catherine to leave home - she
"We've chosen to take things as they come," Ehlinger said.
"For all your children, your goal is for them to go off and
have wonderful, independent lives. For Catherine it's a little
tricky. She needs someone to oversee her."
Catherine's life has been full of milestones, including
graduation from high school two years ago and serving as her
sister's maid of honor last October. The Ehlingers proudly
showed the videotape of Catherine's speech at the wedding
"I love you guys," Catherine told the newlyweds, her voice
full of emotion. "I want you guys to stay together forever."
When Catherine was born, her mother recalled, a well-meaning
doctor tried to caution the parents that her horizons were
limited - that at 16 she'd perhaps be preoccupied with
"That was the mindset at the time - don't have high
expectations," Ehlinger said.
Instead, Catherine has been a pivotal part of a loving,
on-the-go family - the one most attuned to others' ups and
downs, the one most certain to remember an anniversary or
"She's been such a positive element in our lives," her mother
said. "I think every family should have a child with Down
About Down syndrome
Down syndrome, a chromosomal abnormality, is the most common
cause of mental retardation.
One in 800 to 1,000 people are born with the condition.
Children with Down syndrome run a higher risk of heart
defects, visual or hearing impairment, and other health
The average age at which people with Down syndrome died rose
from 25 in 1983 to 49 in 1997, according to the U.S. Centers
for Disease Control and Prevention.
Most individuals with Down syndrome have IQs in the mild to
moderate range of mental retardation.
Women age 35 and older have an increased risk of having a
child with Down syndrome. A 35-year-old woman has a one in 400
chance of conceiving a child with Down syndrome; the odds
increase to one in 110 by age 40.