Scaffolded evidence-based speech therapy strategies for children and teens with Down syndrome focusing on building communication skills to promote independence and preparation for life after high school. Strategies include using visual aids, repetitive practice, articulation and voice techniques, social communication, and self-advocacy. As students approach adulthood, therapy shifts to workplace communication and independent living skills, ensuring they are ready for post-high school success. The goal is lifelong independence and social relationships through strategies supporting clear speech.