The current study evaluated a toilet-training treatment package described by Greer et al. (2016) with children diagnosed with autism spectrum disorder (ASD). Most of the current research on toilet-training interventions for children with ASD are replications and modifications of Azrin and Foxx (1971) or (more recently) LeBlanc et al. (2005).…

Children with autism spectrum disorder (ASD) are often delayed in achieving bowel continence, resulting in negative outcomes. In this pilot trial, 20 children with ASD and encopresis were randomly assigned to multidisciplinary intervention for encopresis (MIE; n = 10) or a waitlist control group (n = 10). The MIE group was treated for constipation…

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…

LeBlanc, Crossett, Bennett, Detweiler, and Carr (2005) described an outpatient model for conducting intensive toilet training with young children with autism using a modified Azrin and Foxx, protocol. In this article, we summarize the use of the protocol in an outpatient setting and the outcomes achieved with a large sample of children with autism…

Far less is known about the effects of functional communication-based toileting interventions for students with developmental disabilities in a school setting. Furthermore, the currently available toileting interventions for students with disabilities include some undesirable procedures such as the use of punishment, unnatural clinic/university…

"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…

Compared the effectiveness of live versus videotape delivery of a behavioral treatment package for enuresis. Outcome was superior for the live delivery. Pretreatment measures of family and child psychosocial adjustment failed to predict treatment response. Film delivery resulted in higher confidence in children of their parents, but lower…

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…

Parents of preschoolers have no time for trial and error; the they are too busy with day-to-day survival. Practical survival tips for parents of preschoolers are interspersed with humorous anecdotes in this book, organized according to a typical day in the lives of preschool children. Tips are organized according to three interaction levels: (1)…

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…