Karen Mueller-Harder has been teaching sign language to children with developmental delays and other communication challenges for the past 15 years. She had a good friend in childhood who had Down syndrome, and didn’t have access to strategies for effective communication, as was common in the ’70s. Karen was involved with the Deaf community while growing up, and later trained to be an ASL interpreter at Northeastern University. After working in a Deaf elementary school program, she was the first instructor in a fledgling program in Vermont working with hearing children with developmental and speech delays. Over the years, she has seen the use of sign-supported speech be life-changing for these children, particularly for those with Down syndrome, and has tried to share information about this under-utilized communication approach with families and professionals in the field.