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Potty Training. Kristy Kuehn Heather Wilson. Why Toilet Train?. Family Community School/Social Relationships. Health Related Concerns. GI Track Diet. Linking Home and School. Parent commitment-what has been attempted, data collecting
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Potty Training • Kristy Kuehn • Heather Wilson
Why Toilet Train? • Family • Community • School/Social Relationships
Health Related Concerns • GI Track • Diet
Linking Home and School • Parent commitment-what has been attempted, data collecting • Consistent practices-family beliefs and approaches • Early pattern detection-dry overnight, at least 2 hours
Am I Ready To Use The Potty? • Age-mental and chronological (after 4 a priority) • Show interest • Physically able to sit • Remain dry for 2 hours/overnight*still attempt after 4 years old
Present Level Data Collection • Charting pattern of elimination at home and school for 2 weeks • Interpret data to detect patterns • Making data a reality-creating a schedule • Communicating patterns to parents
Setting up the bathroom Free of distraction Foot stool Books Picture schedule Timer Potty seat Reward Dressing Elastic band pants Diapers vs. underwear w/ rubber pants Rubber band for shirt (Frequently feeling wet/soiled clothing against the skin for lengthy periods of time will desensitize the person to the discomfort of that sensation) Time For The Toilet
Reward System • Why reward-increased chances of success, fun • How to reward- strict & structured • What- individual and powerful • When-immediately • *if then reward poster individualized*
Facts To Know Before You Sit • No reward for sitting-only reward for elimination • Always finish routine • Follow original schedule for 1 week before changing • Most common reason for failure-is failure to develop a schedule and stick to it • Common and consistent language
Here I Come Potty! • Initiate w/ visual cue card “potty time” • Guide through routine with visual schedule • Sit for 3 minutes-unless elimination occurs • Books can be used while sitting • Complete entire routine w/out reward if elimination doesn’t occur • Record on elimination record • Repeat at next scheduled time • Midpoint check-optional reward if dry
Common Obstacles • Resistance of the bathroom • Resistance of the toilet • Afraid of flushing • Overly interested in flushing • Bad aim • Resistance to being wiped • Playing in the toilet • Playing with toilet paper • Negative reaction to taking away the diaper • Accidents
You Asked? • Pairing the bathroom with positive experience • Practice sitting with clothes on, use potty seat on the floor (separate chair), provide stabilizing device • Only flush when elimination occurs • Introduce flushing when child not near the toilet • Give visual/verbal warning for flushing • Physically cover handle to remove from their sight • Indicate on visual schedule when & how many times to flush; add visual cue to handle • Use target in water/food coloring-personal discretion • Use baby wipes, clothes or practice with doll • Give water toy as distraction from playing with water or lap-desk • Remove toilet paper if big problem, roll out ahead of time, green/red tape start and stop on wall for pulling toilet paper • Placing diaper over underpants…gradually cutting away portions, pre-teaching and rewarding wearing underwear • Be calm-firmly say “Pants wet Yucky” followed by toileting routine
Building Independence • Personal pocket pictures • Gradually remove rewards • Fade physical presence • Social story
I have to go in THERE… • Continue with visuals! • 1. Slow introduction-visit w/out any interactions; repeat 3 times • 2. Try one interaction- hand washing, flushing, paper towels • 3. Complete entire routine • 4. You DID it!!!!!
Night Time Nastiness • Begin ONLY after daytime is successful • Stop fluids 3 hours before bedtime • MUST have consistent nighttime routine (ex: bath, pj’s, toilet) • Immediately complete bathroom routine upon awakening • If necessary, pattern wet/soil during the night in order to wake the child for bathroom
References • Books: • Exkorn, Karen Siff. (2005). The Autism Sourcebook. New York, NY.: HarperCollins. • Tilton, Adelle Jameson. (2004). The Everything Parent’s Guide to Children with Autism. Avon, Mass.:Adams Media. • Wheeler, M. (1998). Toilet Training for Individuals with Autism and Related Disorders. Arlington, Tx.: Future Horizons. • Websites: • Applying structured teaching principles to toilet training. Retrieved November 1st, 2007 from Teacch Autism Program. http://www.teacch.com/toilet.html • Autism and Toilet Training. Retrieved November 1st, 2007 from Behavior Advisor. http://www.behavioradvisor.com/Autism&Toileting.html • Toilet Training. Retrieved November 2nd, 2007 from The Autism Home Page. http://groups.msn.com/TheAutismHomePage/toilettraining.msnw • Other: • Coucouvanis, Judith. (2006). Toilet Training the Child with Special Needs (Conference).