Toilet Training on the Spectrum Presented by Kristyn Peterson.

Toilet Training on the SpectrumPresented by Kristyn Peterson

Is It Time?

Setup For Success

ABA Methods

Troubleshooting

Developmental Deficits

In Practice

Resources

Questions

Does my child feel uncomfortable when his/her diaper has been soiled?

Does my child try to find a private space to have a bowel movement?

Does my child generally have bowel movements in a familiar environment?

Does my child generally have bowel movements on a regular, predictable schedule?

Is It Time?

Setup For Success

ABA Methods

Troubleshooting


In Practice

Resources

Questions

Is It Time?

Is It Time?

Setup For Success

ABA Methods

Troubleshooting


In Practice

Resources

Questions

Setup for Success Expose your child to underwear before beginning the toilet training process.

Make the toilet a part of your routine

Take the novelty out of bathrooms

Saturate your environment with “potty” things

Get the materials you need

Is It Time?

Setup For Success

ABA Methods

Troubleshooting


In Practice

Resources

Questions

ABA Methods

Set a toileting schedule

Check pants (“Are your pants wet or dry?”)

Keep track of successes and accidents

Sit on the toilet for at least 2 minutes each time

Reinforcement! Reinforcement! Reinforcement!

Is It Time?

Setup For Success

ABA Methods

Troubleshooting


In Practice

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Questions

Pros and Cons of ABA MethodPros ConsVery structured for children

Time-intensive

Structured for parents so they know how to adapt program for their child

Requires a great deal of commitment

Individualized for each child

Requires a lot of preparation before the beginning of toilet training

Heavy emphasis on reinforcement

Is It Time?

Setup For Success

ABA Methods

Troubleshooting


In Practice

Resources

Questions

Troubleshooting:Accidents Accidents happen to all kids, not just kids with developmental delays.

Patience is key!

Accidents are a learning opportunity!

Is It Time?

Setup For Success

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Punishment for Accidents can lead to… Decrease in intrinsic motivation to use the toilet

“Holding it” for fear of being reprimanded or punished

Child may forcefully relieve themselves to exhibit power over the toilet training process

Is It Time?

Setup For Success

ABA Methods

Troubleshooting


In Practice

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Questions

Troubleshooting: Bowel Movement Will likely take longer than urination training

What can I do to help the process? Take your data! Figure out the root of the problem Use what your child is already doing as a spring board Relaxation techniques Remember to make it a positive experience!

Is It Time?

Setup For Success

ABA Methods

Troubleshooting


In Practice

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Questions

Troubleshooting: Flooding*Flooding should be used with

extreme caution, and only if a child has been unable to have a urination success in at least 2 weeks since the beginning of

potty training.*

Is It Time?

Setup For Success

ABA Methods

Troubleshooting


In Practice

Resources

Questions

Dealing with Developmental Deficits From Sensory Defensiveness to social skills, and everywhere in between

Is It Time?

Setup For Success

ABA Methods

Troubleshooting


In Practice

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Developmental Deficits: Sensory Sensory Issues that come with potty training may include:

Tactile Defensiveness Auditory Issues Olfactory Issues

What can I do to help the process? What is causing the sensory disturbance? Make a plan that targets it from multiple angles

Is It Time?

Setup For Success

ABA Methods

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Sensory Examples

Shawn is having a hard time potty training because the sound of flushing the toilet makes him upset. He anticipates this sound,which makes him not want to enter the bathroom at all.

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Is It Time?

Setup For Success

ABA Methods

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In Practice

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Developmental Deficits: Communication May not be able to tell you they need to go, have negative behaviors, etc.

What can I do to help the process? Visual supports Sign Language Augmentative communication so they can initiate Be aware of your child’s cues

Is It Time?

Setup For Success

ABA Methods

Troubleshooting


In Practice

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Developmental Deficits: Social Social skills deficits can impact toilet training

What can I do to help the process?

Teach in a way that they relate to Social Stories ®

Comic Strip Conversations ® PowerCards ®

Is It Time?

Setup For Success

ABA Methods

Troubleshooting


In Practice

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Questions

Developmental Deficits: Rigidity and Routine Dependence

For children who thrive on structure and routine, toilet training can serve as a major upheaval in their world.

What can I do to help the process?

Picture schedule or checklist Time chart Use a timer

Is It Time?

Setup For Success

ABA Methods

Troubleshooting


In Practice

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Questions

Developmental Deficits: Undesirable BehaviorToilet Training can spur a lot of undesirable behaviors, like:

Aggressions, tantrums, screaming, self-injurious behavior

What can I do to help the process? Try to always stay positive or neutral, not negative Be calm, patient, and sympathetic Help child realize that having these behaviors doesn’t get them out of the task

Is It Time?

Setup For Success

ABA Methods

Troubleshooting


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Developmental Deficits: Self-Help SkillsMany children on the spectrum have self-help skills deficits.

What can I do to help this process? Practice these skills not just during potty time Teach them by themselves Make it fun and motivating Remember the overall goal!

Is It Time?

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Developmental Deficits: Low MotivationLow motivation to toilet train can be difficult to overcome

Intrinsic v. Extrinsic

What can I do to help this process? Change up your reinforcement Use what already motivates them Use other reinforcement techniques Give reinforcement IN the bathroom

Is It Time?

Setup For Success

ABA Methods

Troubleshooting


In Practice

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Questions

Toilet Training In Practice: Public Places

Toilet training while you’re at a family or friend’s house or out running errands can be frustrating and stressful.

What can I do to help this process? Bring smaller versions of any cues you use at

home Take your child to the bathroom first thing Practice makes perfect!

Is It Time?

Setup For Success

ABA Methods

Troubleshooting


In Practice

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Questions

Toilet Training In Practice: Overnight

Look at times your child goes, and take note if they wake up with a consistently-wet diaper

What can I do to help this process? Invest in a plastic mattress cover (you’ll be glad

you did) Refrain from liquids an hour before bed Always try to use the toilet right before bed and

right after wake up Only do as much as you need to

Is It Time?

Setup For Success

ABA Methods

Troubleshooting


In Practice

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Toilet Training In Practice: Pull-Ups

Pros ConsDecreases amount of clean-up after accidents

May make it harder for the eventual transition to underwear

Pull-ups are readily available

May provide unclear expectations

Might be a more comfortable transition from diapers

May become dependent on pull-ups, causing the need for a “second potty training”

Throw away, rather than washing

Social stigma may occur for older children

Potty training can be done anywhere

Is It Time?

Setup For Success

ABA Methods

Troubleshooting


In Practice

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Questions

Resources: Websites

1. ARASAAC.org~Symbols to use for schedules, potty cues, etc.

2. Healthychildren.org~Run through the American Academy of Pediatric. ~Info on toilet training.

3. TheGrayCenter.org/socialstories~Information on Carol Gray’s research based Social Stories and Comic Strip Conversations

Is It Time?

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Resources: Useful Products

1. Huggies Cold Alert Pants—various pkg sizes~Gives a cold sensation when the diaper is soiled

2. “Potty Time” video from Signing Time - $22 (on Amazon)~Comes with DVD and CD with all of the songs from show

3. Potty Training Doll – around $25 (Amazon, Walmart)~Comes with it’s own potty, feed it water, and it can model urinating for the child

4. Tinkle Targets – $9.95 Set of 30 (leapsandbounds.com)~Fun shapes (rocket ships, etc.) for boys to use to aim for standing up

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Resources: Useful Products

5. Color-Change Tablets – Vary in price (on Amazon)

~Some change color when the come in contact with urine, others dissolve immediately in water.

6. PowerCards book - $16 (Amazon) ~Instructional book on how to make PowerCards. By

Elisa Gagnon author and primary researcher.

7. Potty Training Printables – Free from Toastwithcheese.com~ Potty training schedules, checklists, and other visual supports

Is It Time?

Setup For Success

ABA Methods

Troubleshooting


In Practice

Resources

Questions

Comments or Questions?Email: [email protected]

[email protected]

Web: kotm.orgtoastwithcheese.com

Phone: (801) 221-9930 ext. 219

Thank you!

Toilet Training on the Spectrum Presented by Kristyn Peterson.

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Transcript of Toilet Training on the Spectrum Presented by Kristyn Peterson.