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Toilet Training Tips for your
Child with Special Needs
When do I start training?
 Average age = 18-24 months
 Key signals:
 The child is aware that his/her diaper is soiled and may
request to be changed
 The child shows an interest in using the toilet
 The child’s bladder muscles are developed enough to
hold urine (remain dry for at least 1 ½ to 2 hours)
 The child can communicate his/her needs (verbally or
nonverbally)
 The child can follow simple instructions and assist in
dressing
 The parent/caregiver has time to devote to training
Preparation
 Use the bathroom for all toileting activities
 Watch videos and read books about toilet training
 Allow the child to watch parents/siblings using the
toilet
 Use a doll to model the toileting process
 Use words that the child understands
 Practice sitting on the toilet; provide praise
Beginning Training
 This is a learning experience that requires
practice and may take time
 Consistency is important!
 Dress the child in loose clothes; have the child
pull up/down pants
 Goodbye diapers!
 Select rewards for the child (may need to be
more than praise)
Materials Needed for Training
 Potty seat that fits over toilet
 Foot stool
 Timer
 Data on urination (taken week before)
 Multiple pairs of underwear
 Favorite drinks and snacks
 Rewards, Rewards, Rewards!
Rewards – why do we use them?
 Increase the likelihood that the behavior will occur
again
 Rewards are fun!
 Child should be rewarded for all appropriate toileting
behavior
 Pulling up/down pants
 Walking to toilet independently
 Recognizing the need to use the toilet
 Remaining dry in between sittings
How to select rewards
 Observe your child during free time
 Limit access to preferred foods/toys to increase
motivation
 Start with powerful rewards – not just stickers!
 What is motivating one minute, may not be the
next
 When starting training rewards will be delivered
frequently
 Rewards are faded as the child is successful
Intensive Toilet Training
Toilet Learning Center (TLC)
 Increase fluids
 Scheduled sits:
 Example: child sits on the toilet for 10 minutes
then given a 5 minute break for the first hour (or
until urination)
 Child is prompted to do all steps; increase
independence
 When the child urinates in the toilet s/he is
rewarded with access to toys and highly
preferred food items; takes a break from sitting
Intensive Toilet Training
Toilet Learning Clinic (TLC)
 Time spent on the toilet is decreased until the
child urinates quickly after sitting
 Break time is increased
 Child wears pants alarm, goes off as soon as
child urinates in pants
 Consistent Procedure for accidents
Accidents – Uh Oh!
 Remain calm & neutral! Do not punish the child!
 Try to get the child to the toilet to finish
 Tell the child “Uh-oh! Wet pants. You go on the
potty.” (Use words he/she understands)
 Practice going to the toilet, pulling down pants, and
sitting (“This is where you go potty”)
 Include child in clean up and have him/her change
into clean pants
 Have a schedule (after meals, before school) so that
the child learns to use the toilet frequently, may also
consider using pants alarm
How do I train my child to use the
toilet? (Less intensive approach)
 Take data to ensure that your child is ready to
begin training
 Put your child on the toilet at times when he/she
typically urinates
 Have the child do the steps on his/her own
 In the beginning stages, the child may need to sit
for up to 5 minutes; provide praise for sitting on
the toilet, use timer if necessary
 Sittings should take place every 30 minutes to
increase success
How do I train my child to use the
toilet? (Less intensive training)
 As training progresses, sittings should be
spaced further apart
 Take data on each sitting so you know when
the next one takes place (increase amount of
time if child urinates in toilet)
 Reward the child when he/she urinates in
toilet!!
Bowel Movements
 Determine times when the child is most likely to have
a bowel movement (look at data)
 Watch for signals
 Put the child on the toilet as soon as you detect these
signals
 Provide a reward for eliminating on the toilet
 Scheduled sits for a longer amount of time
 Larger rewards
 Positive practice for accidents
 Social stories/de-sensitization
Initiation Training
 An important part of toilet training at all times
 Child should be prompted to request to use the toilet
before being taken to the toilet
 ASL, PECS, vocal, typing
 Requesting to use the toilet is often not motivating for
children; may need additional rewards
 Some children continue to require prompts to request
and it may take awhile for the child to initiate
 Some children may be trained on a schedule
Rewarding Dry Pants
 Once the child has learned to urinate in the toilet and
is doing so on a fairly regular basis, the training is not
over!
 Check for dry pants in between toileting times (about
6-7 per day)
 Reward the child for remaining dry – let the child
know why it’s important to stay dry
Rewards
 In the beginning of training, rewards should be
frequent and strong enough to maintain the behavior –
this will speed up the training
 As the child is using the toilet regularly, rewards for
going on the potty should be faded and the child
should be rewarded for remaining dry
 A daily chart may be used to track progress; child can
work towards bigger reward
Nighttime Training
 This may happen at the same time if the child is
already remaining dry at night
 Cut liquids by 6:00 pm (or 2 hours before bed)
 Have a bed time routine that includes going potty
 As soon as the child wakes up, have him/her use the
toilet
 Reward dry nights
This isn’t working!
 My child does not want to use the potty
 Is she/he ready?
 Are you ready to work on training? Can you be
consistent?
 First step is to practice sitting on the potty (don’t
require urination); reward all potty related
activities
 Gradually work up to training
 Are rewards strong enough? Are you delivering
them frequently?
This isn’t working!
 My child has too many accidents
 Are you putting him/her on the potty at the right
times?
 Take data on sittings and if he/she urinated;
helps you start the sitting at the correct time
 Put the child on the potty frequently (every 15
minutes) until he/she urinates
 Is your child in diapers?
 Are you checking for dry pants and rewarding?
 Are rewards strong enough?
Bed-wetting
 Common during training time
 Some causes
 The bladder is not developed enough to hold urine
 The child is not able to awake in response to a full
bladder
 Could be due to stress or changes in life (especially if
the child used to remain dry)
 Could be due to a medical problem or side effect of
medications
Bed-wetting
 Cut fluids at night
 Have the child use the toilet before bed
 Consider waking the child to have him/her use the
toilet (1 - 2 hours after going to sleep)
 Use an alarm to condition the response of awakening
to a full bladder
 Alarm senses wetness and goes off to alert the child
to awake and use the bathroom
 Overcorrection procedure
 Rewards when the child wakes up dry
Summary
 Toilet training is not easy
 It takes time, effort, consistency, and most of
all…patience!
 Do not be afraid to get help
 Remember that it is a learning process; it doesn’t just
happen
 Parents need to make sure that they are prepared to
begin training
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Potty Training Boys made Easy - How to Potty train a Boy fast

  • 1. Toilet Training Tips for your Child with Special Needs
  • 2. When do I start training?  Average age = 18-24 months  Key signals:  The child is aware that his/her diaper is soiled and may request to be changed  The child shows an interest in using the toilet  The child’s bladder muscles are developed enough to hold urine (remain dry for at least 1 ½ to 2 hours)  The child can communicate his/her needs (verbally or nonverbally)  The child can follow simple instructions and assist in dressing  The parent/caregiver has time to devote to training
  • 3. Preparation  Use the bathroom for all toileting activities  Watch videos and read books about toilet training  Allow the child to watch parents/siblings using the toilet  Use a doll to model the toileting process  Use words that the child understands  Practice sitting on the toilet; provide praise
  • 4. Beginning Training  This is a learning experience that requires practice and may take time  Consistency is important!  Dress the child in loose clothes; have the child pull up/down pants  Goodbye diapers!  Select rewards for the child (may need to be more than praise)
  • 5. Materials Needed for Training  Potty seat that fits over toilet  Foot stool  Timer  Data on urination (taken week before)  Multiple pairs of underwear  Favorite drinks and snacks  Rewards, Rewards, Rewards!
  • 6. Rewards – why do we use them?  Increase the likelihood that the behavior will occur again  Rewards are fun!  Child should be rewarded for all appropriate toileting behavior  Pulling up/down pants  Walking to toilet independently  Recognizing the need to use the toilet  Remaining dry in between sittings
  • 7. How to select rewards  Observe your child during free time  Limit access to preferred foods/toys to increase motivation  Start with powerful rewards – not just stickers!  What is motivating one minute, may not be the next  When starting training rewards will be delivered frequently  Rewards are faded as the child is successful
  • 8. Intensive Toilet Training Toilet Learning Center (TLC)  Increase fluids  Scheduled sits:  Example: child sits on the toilet for 10 minutes then given a 5 minute break for the first hour (or until urination)  Child is prompted to do all steps; increase independence  When the child urinates in the toilet s/he is rewarded with access to toys and highly preferred food items; takes a break from sitting
  • 9. Intensive Toilet Training Toilet Learning Clinic (TLC)  Time spent on the toilet is decreased until the child urinates quickly after sitting  Break time is increased  Child wears pants alarm, goes off as soon as child urinates in pants  Consistent Procedure for accidents
  • 10. Accidents – Uh Oh!  Remain calm & neutral! Do not punish the child!  Try to get the child to the toilet to finish  Tell the child “Uh-oh! Wet pants. You go on the potty.” (Use words he/she understands)  Practice going to the toilet, pulling down pants, and sitting (“This is where you go potty”)  Include child in clean up and have him/her change into clean pants  Have a schedule (after meals, before school) so that the child learns to use the toilet frequently, may also consider using pants alarm
  • 11. How do I train my child to use the toilet? (Less intensive approach)  Take data to ensure that your child is ready to begin training  Put your child on the toilet at times when he/she typically urinates  Have the child do the steps on his/her own  In the beginning stages, the child may need to sit for up to 5 minutes; provide praise for sitting on the toilet, use timer if necessary  Sittings should take place every 30 minutes to increase success
  • 12. How do I train my child to use the toilet? (Less intensive training)  As training progresses, sittings should be spaced further apart  Take data on each sitting so you know when the next one takes place (increase amount of time if child urinates in toilet)  Reward the child when he/she urinates in toilet!!
  • 13. Bowel Movements  Determine times when the child is most likely to have a bowel movement (look at data)  Watch for signals  Put the child on the toilet as soon as you detect these signals  Provide a reward for eliminating on the toilet  Scheduled sits for a longer amount of time  Larger rewards  Positive practice for accidents  Social stories/de-sensitization
  • 14. Initiation Training  An important part of toilet training at all times  Child should be prompted to request to use the toilet before being taken to the toilet  ASL, PECS, vocal, typing  Requesting to use the toilet is often not motivating for children; may need additional rewards  Some children continue to require prompts to request and it may take awhile for the child to initiate  Some children may be trained on a schedule
  • 15. Rewarding Dry Pants  Once the child has learned to urinate in the toilet and is doing so on a fairly regular basis, the training is not over!  Check for dry pants in between toileting times (about 6-7 per day)  Reward the child for remaining dry – let the child know why it’s important to stay dry
  • 16. Rewards  In the beginning of training, rewards should be frequent and strong enough to maintain the behavior – this will speed up the training  As the child is using the toilet regularly, rewards for going on the potty should be faded and the child should be rewarded for remaining dry  A daily chart may be used to track progress; child can work towards bigger reward
  • 17. Nighttime Training  This may happen at the same time if the child is already remaining dry at night  Cut liquids by 6:00 pm (or 2 hours before bed)  Have a bed time routine that includes going potty  As soon as the child wakes up, have him/her use the toilet  Reward dry nights
  • 18. This isn’t working!  My child does not want to use the potty  Is she/he ready?  Are you ready to work on training? Can you be consistent?  First step is to practice sitting on the potty (don’t require urination); reward all potty related activities  Gradually work up to training  Are rewards strong enough? Are you delivering them frequently?
  • 19. This isn’t working!  My child has too many accidents  Are you putting him/her on the potty at the right times?  Take data on sittings and if he/she urinated; helps you start the sitting at the correct time  Put the child on the potty frequently (every 15 minutes) until he/she urinates  Is your child in diapers?  Are you checking for dry pants and rewarding?  Are rewards strong enough?
  • 20. Bed-wetting  Common during training time  Some causes  The bladder is not developed enough to hold urine  The child is not able to awake in response to a full bladder  Could be due to stress or changes in life (especially if the child used to remain dry)  Could be due to a medical problem or side effect of medications
  • 21. Bed-wetting  Cut fluids at night  Have the child use the toilet before bed  Consider waking the child to have him/her use the toilet (1 - 2 hours after going to sleep)  Use an alarm to condition the response of awakening to a full bladder  Alarm senses wetness and goes off to alert the child to awake and use the bathroom  Overcorrection procedure  Rewards when the child wakes up dry
  • 22. Summary  Toilet training is not easy  It takes time, effort, consistency, and most of all…patience!  Do not be afraid to get help  Remember that it is a learning process; it doesn’t just happen  Parents need to make sure that they are prepared to begin training
  • 23. >>>CLICK HERE TO DOWNLOAD THE COMPLETE VIDEO GUIDE<<<