"Bella is a 5-year-old girl with autism who attends a reverse inclusive preschool class. She primarily uses gestures and a communication binder to communicate with others. In addition, she is not toilet trained even though her teachers and her parents have tried numerous attempts over a 3-year period to train her. Bella also has gastrointestinal…

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)