Teaching toilet training skills to children with autism spectrum disorder (ASD) can be challenging. Many techniques use Azrin and Foxx's Rapid Toilet Training method (RTT). However, some children with ASD find the first RTT step of entering the bathroom or restroom to be challenging due to the relatively loud sound of the toilet flushing. Although…

Studies dealing with toilet training of severely/profoundly retarded persons are reviewed since the systematic operant approach of N. Azrin and R. Foxx in 1971. Replications are said to be few in number and equivocal in results, although modifications with retarded and nonretarded populations have produced informative and innovative approaches.…

This study evaluated the effectiveness of a reinforcement-based toilet training intervention with three children with autism. Procedures included positive reinforcement, graduated guidance, scheduled practice trials, and forward prompting. All three children reduced urination accidents to zero and learned to request bathroom use spontaneously…

Reports a successful method of teaching toileting procedures to a young elementary student. Implications discussed for school psychologists were: (1) handling intervention through a consultation model; (2) using the simplest approach before attempting more powerful procedures; and (3) attempting treatment despite previously unsuccessful…

Describes assessment and successful treatment of a preadolescent with erratic toileting behavior and related social skills difficulties. Treatment included monitoring of bowel movements, using a star chart, and applying rewards as positive reinforcement of acceptable behavior. (HTH)

The use of systems analysis may help child developmental specialists improve the success rates of toilet training programs with developmentally disabled children. Such a systems analysis includes the sociocultural, family, and/or individual ecosystems of the individual. Two detailed case studies of mentally retarded elementary school age children…