Toilet Training Children With Autism - University Of Louisville

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Toilet Training Children with Autism.Kimberly Howard M. Ed.

Kentucky Autism Training CenterLearning Objectives:1. Participants will leave with an understanding of strategies onhow to toilet train a child with autism.2. Participants will leave with an understanding of where to getstarted toilet training their child/student.3. Participants will leave with some resource to help them getstarted toilet training their child/student.

Kentucky Autism Training CenterIs My Child ready for Toilet Training?Does my child stay dry at night or during naps?Is my child aware when they need to go to thebathroom?Is my child aware when they have used the diaper?

Kentucky Autism Training CenterGetting started! Child Must Have a Way to Communicate Need to Potty! Must Address Sensory Issues! Must look at Motor Planning! Must Address Routines! Take Data on When & How Often Child Use Bathroom!

Kentucky Autism Training CenterReinforcement is a Must Start out with Powerful rewards At first give a reward every time & then gradually reducerewards Keep rewards close

Kentucky Autism Training CenterLaying a Groundwork for Success!! Use Bathroom for all Toileting Activities If Appropriate Allow child to see Others Using theBathroom or Use Doll to Model Watch Videos and Read Books about Toileting

Kentucky Autism Training CenterMethods ofToilet Training

Kentucky Autism Training CenterIntensive Toilet Training Give child lots of fluids Schedule times to site on Toilet Child is prompted to do all steps When successful reward, reward, reward!!!

Kentucky Autism Training CenterIntensive Toilet Training Cont.How to schedule Toileting Place child on toilet upon waking for 3-5 minutes (maketoilet time fun by watching video, playing puzzle or otherdesired activity that can only be accessed on toilet. If child does not void then place back on toilet every 10minutes until success Keep chart of when child voids

Kentucky Autism Training CenterIntensive Toilet Training Cont. If child is staying dry gradually increase time betweenbeing placed on toilet by minutes If child has accident decrease time

Kentucky Autism Training CenterHabit Training

Kentucky Autism Training CenterHabit TrainingCan be considered for:- Those who don’t show awarenessof toileting- Older

Kentucky Autism Training CenterHabit Training First you must keep a record of when child voids Next set up a routine based on this schedule going to thebathroom 5 to 15 minutes before child voids normally Bathroom breaks are on a set schedule Once in bathroom child sits on toilet for 5 minutes

Kentucky Autism Training CenterTrouble Shooting

Kentucky Autism Training CenterBowel Movements Keep track of when bowel movements happen and signs that childneeds to defecate Help child sit & relax Provide larger reward for success

Kentucky Autism Training CenterChild Will Not Sit Down Make sure feet are supported Use a potty seat over commode or use a potty chair Pair the toilet with high value reinforcers Make sure they know how long they will sit

Kentucky Autism Training CenterFlushing Afraid of flushing––––Flush once the child is away from ToiletGive Advanced warning of flushingAllow child to have control of flushingIf an automatic flushing toilet place note card over to keep fromflushing repeatedly

Kentucky Autism Training CenterFlushing To much flushing:– Provide structure so child knows when to flush– If possible hide/block access to toilet handle– Give child something else to utistic-child.32/

Kentucky Autism Training CenterPlaying in Water Provide Toy with Water Feature to play with on toilet Use a padded lap desk Provide water play at other appropriate times

Kentucky Autism Training CenterSmearing Look at the ABC’s of behavior Rule out medical issues such as: rectal prolapse,hemorrhoids, Encopresis, or Pica Stay calm do not overreact Clean up child and area with as little attention possible Try to restrict child hands in pants

Kentucky Autism Training CenterSmearing Read social stories about using the bathroomappropriately Provide a ton of positive praise and reinforcement whenusing bathroom appropriately Provide child with playdough, mud, finger paint,

Kentucky Autism Training CenterUsing an Unfamiliar Bathroom

Kentucky Autism Training Center Make sure communication for bathroom travels with you Began routine of using bathroom at home right beforeleaving Bring familiar items with you such as a similar hand towelor same type of soap used at home Bring visual supports with you

Kentucky Autism Training CenterToilet Trained only at 1 Location Make sure you are sharing information! Examine the environments to see what is different? Share materials such as visual supports, communicationcards, social stories!

Kentucky Autism Training CenterNight Time Have a bedtime routine that includes going to thebathroom Stop liquids 2 hours before bedtime

Kentucky Autism Training CenterResources

Kentucky Autism Training Center

Kentucky Autism Training CenterResources: ining cards-forpotty-training/ usan-boswell-and-debbie-gray

Kentucky Autism Training CenterResources: -NarrativeHow-to-use-the-Urinal-349500 https://www.pinterest.com/pin/77968637277240234/ oilet training caregiver manual.pdf

Kentucky Autism Training CenterResources: s/91toilet-training.html ing.html

Kentucky Autism Training CenterQuestions?kimberly.howard@kedc.org

how to toilet train a child with autism. 2. Participants will leave with an understanding of where to get started toilet training their child/student. 3. Participants will leave with some resource to help them get started toilet training their child/student.

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