1. Establishing a Positive Bathroom Routine or…The “Poop” on Toileting Kerry Andler Sharon Barger Jene Wilson CCBMR/DD

2. Objectives  Participants will understand the importance of taking data prior to toilet teaching  Participants will understand the difference between toilet trained and toilet conditioned  Participants will identify the steps to toilet teaching success  Participants will be aware of common toileting teaching challenges

3. Why bother?? Let’s flush out the reasons…  Time  Money  Impact on student  Impact on family

4. Trained or Conditioned?  Toilet trained is when the CHILD… takes themselves to the bathroom takes themselves to the bathroom uses the toilet uses the toilet cleans up cleans up  Toilet conditioned is when the ADULT… takes the child to the bathroom takes the child to the bathroom waits while they use the toilet waits while they use the toilet cleans them up cleans them up

5. What to do…before teaching  May have readiness skills…but maybe not!  Signs of readiness: communication, being uncomfortable, wetting on regular schedule, responding to rewards

6. …before teaching  Decide to be consistent!  Buy lots of underwear!  Find your child’s rewards

7. …before teaching  What would they do ANYTHING for? M&Ms, Cheerios, cookie, chips, raisins, popM&Ms, Cheerios, cookie, chips, raisins, pop Balloon, bubblesBalloon, bubbles Hugs & kissesHugs & kisses ClappingClapping Song & dance!Song & dance!

8. …before teaching  Get 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

9. …before teaching  Set the MOOD LightingLighting SmellsSmells ClutterClutter Relaxed atmosphereRelaxed atmosphere

10. …before teaching  Figure out when they are most likely to go  How often do they go?  Where are they most likely to go?

11. Challenges and Strategies  Communication  Generalization  Sensory  Social

12. Challenges and Strategies  Encopresis  BMs in the Toilet  Smearing  Hiding

13. Challenges and Strategies…  Constipation  Adult Response  Flushing

14. FirstThen

15. Questions?

16. Thank you!