Extended diaper wearing may limit access to inclusive opportunities including general education settings, summer camps, community-based programming, and job opportunities. Toilet training may be delayed due to more pressing concerns, such as challenging behavior. Individualized education plans should include toilet training children with…

Urine-detecting alarms are prevalent in toilet training intervention research and clinical practice for individuals with intellectual and developmental disabilities, but the effects of urine alarms remain unclear. Urine alarms may function as punishing or reinforcing contingencies, or may merely alert trainers to accidents and improve treatment…

Over 50 years of research suggests that toilet training based on behavioral principles is effective for most individuals with intellectual and developmental disabilities (IDD). However, many adults with IDD are never effectively toilet trained. Lack of independent toileting is associated with detrimental physical, mental, and social experiences.…