“…In general, studies indicate that young children with Down syndrome have comparatively small peer social networks as well as less well developed linkages with peers across settings, exhibit a general absence of reciprocal friendships, and report high levels of loneliness (Byrne, Cunningham, & Sloper, 1988; Carr, 1995; Freeman & Kasari, 2002; Guralnick, 2002; Guralnick, Connor, & Johnson, 2009; Howell, Hauser-Cram, & Kersh, 2007; Sloper, Turner, Knussen, & Cunningham, 1990). …”