Toilet training children with autism spectrum disorder and other developmental disabilities often requires careful planning, ongoing analysis of data, and systematic application of the training plan. However, in some cases, success is not realized, and caregivers, and the professionals supporting them, are at a loss for what to do next. In this workshop, we will focus on troubleshooting especially difficult clinical cases, with an eye toward (a) systematic analysis and identification of the problem; (b) careful consideration of supports and strategies to overcome these problems; and (c) identification and mitigation of barriers to progress. This workshop will be organized around a series of clinical vignettes representing common challenges to training success, including aversions to the bathroom setting, especially slow progress, “holding” urine when on the toilet, dependency upon the presence of the diaper for elimination, and regression of toilet use after a period of continence.
1. Participants will describe a systematic troubleshooting paradigm to be used when toilet training programs fail to progress.
2. Participants will identify specific strategies to use when the client demonstrates aversion to the bathroom setting.
3. Participants will demonstrate knowledge of systematic strategies to transfer from diaper to toilet, even for learners who demonstrate a strong preference or dependency upon the presence of the diaper for elimination.
4. Participants will identify strategies for supporting parents and other caregivers, especially for children who demonstrate a history of resistance or slow progress.