Establishing a Positive Establishing a Positive Bathroom RoutineBathroom Routine

or…The “Poop” on Toiletingor…The “Poop” on Toileting

Kerry AndlerKerry AndlerSharon BargerSharon Barger

Jene WilsonJene WilsonCCBMR/DDCCBMR/DD

ObjectivesObjectives

Participants will understand the importance Participants will understand the importance of taking data prior to toilet teachingof taking data prior to toilet teaching

Participants will understand the difference Participants will understand the difference between toilet trained and toilet conditionedbetween toilet trained and toilet conditioned

Participants will identify the steps to toilet Participants will identify the steps to toilet teaching successteaching success

Participants will be aware of common Participants will be aware of common toileting teaching challengestoileting teaching challenges

Why bother??Why bother??Let’s Let’s flush outflush out the reasons… the reasons…

TimeTime

MoneyMoney

Impact on studentImpact on student

Impact on familyImpact on family

Trained or Conditioned?Trained or Conditioned?

Toilet Toilet trainedtrained is when is when the the CHILDCHILD……

takes themselves to takes themselves to the bathroomthe bathroom

uses the toiletuses the toilet cleans upcleans up

Toilet Toilet conditionedconditioned is is when the when the ADULTADULT……

takes the child to the takes the child to the bathroombathroom

waits while they use waits while they use the toiletthe toilet

cleans them upcleans them up

What to do…before teachingWhat to do…before teaching

May have readiness May have readiness skills…but maybe not!skills…but maybe not!

Signs of readiness: Signs of readiness: communication, being communication, being uncomfortable, wetting uncomfortable, wetting on regular schedule, on regular schedule, responding to rewardsresponding to rewards

……before teachingbefore teaching

Decide to be Decide to be consistentconsistent!!

Buy lots of Buy lots of underwear!underwear!

Find Find your child’syour child’s rewardsrewards

……before teachingbefore teaching

What would they do What would they do ANYTHING for?ANYTHING for?

• M&Ms, Cheerios, cookie, chips, M&Ms, Cheerios, cookie, chips, raisins, popraisins, pop

• Balloon, bubblesBalloon, bubbles• Hugs & kissesHugs & kisses• ClappingClapping• Song & dance!Song & dance!

……before teachingbefore teaching

Get the EQUIPMENTGet the EQUIPMENT

• TimerTimer• RewardsRewards• Toys/Books/MusicToys/Books/Music• ScheduleSchedule• Transition object or pictureTransition object or picture• Underwear & clothesUnderwear & clothes• Comfortable seating, stoolComfortable seating, stool

……before teachingbefore teaching

Set the MOODSet the MOOD

• LightingLighting• SmellsSmells• ClutterClutter• Relaxed atmosphereRelaxed atmosphere

……before teachingbefore teaching

0

1

2

3

4

5

6

Breakfast Dinner

WetBMDry

Figure out when they Figure out when they are most likely to goare most likely to go

How often do they go?How often do they go?

Where are they most Where are they most likely to go?likely to go?

Challenges and StrategiesChallenges and Strategies

CommunicationCommunication

GeneralizationGeneralization

SensorySensory

SocialSocial

Challenges and StrategiesChallenges and Strategies

EncopresisEncopresis

BMs in the ToiletBMs in the Toilet

SmearingSmearing

HidingHiding

Challenges and Strategies…Challenges and Strategies…

ConstipationConstipation

Adult ResponseAdult Response

FlushingFlushing

FirstFirst ThenThen

Questions?Questions?

Thank you!Thank you!