Toileting skills are a milestone typically achieved by the age of four. For many caregivers, particularly those who have children diagnosed with autism spectrum disorder or other developmental disabilities, teaching toileting is a challenge resulting in delayed implementation. Delaying toileting increases the risk of challenges to acquiring this…

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…

The purpose of this article is to provide early childhood teachers with an approach to classroom-based toilet training for urination when less intensive toilet training methods are unsuccessful. The focus of this article is on urination, but improvements in on-toilet urination may be correlated with an increase in on-toilet defecation (Perez et…

Telehealth is rapidly expanding; however, few studies have investigated hybrid models that include synchronous and asynchronous components. While research recognizes the importance of tailoring interventions to meet individual child needs, we have yet to understand how to tailor interventions to parent characteristics. This study examined how…

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.…

The purpose of this study was to investigate the effects of an intensive toilet training program on continence and self-initiation for elementary children with autism spectrum disorder (ASD). Researchers used a non-concurrent multiple baseline design (Watson and Workman in J Behav Ther Exp Psychiatry 12:257-259, 1981,…

The current study describes the use of a procedure called the "potty party", an all-day toilet training method using basic learning principles of "errorless" discrimination with 3 children with incontinence diagnosed with autism. At the start of treatment days, each participant was greeted and prompted to request the bathroom.…

Approximately 50 years of research on rapid toilet training (RTT) first used by Azrin and Foxx (1971) indicates RTT is effective for teaching individuals with intellectual and developmental disabilities (IDD) independent toileting routines. Professionals focused on toilet training may be familiar with RTT procedures but be less informed about the…

This study's purpose was to elucidate the experiences of educators raising and responding to child-related concerns within Early Childhood Education and Care settings. Parent satisfaction with interactions, educators' ratings of how well interactions went, and educator confidence related to raising or responding to concerns, were examined.…

Undertaking infant-toddler practicum during initial teacher education is critical to ensuring preservice teachers (PSTs) are well prepared for their future role as early childhood teachers. PSTs, however, can face challenges in infant-toddler practicum given the demands of this unique teaching and learning context. A knowledgeable, experienced…

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).…

We describe a decision protocol for choosing among potentially efficacious toilet training interventions and tested its effects with 3 preschool participants with disabilities. We utilized a decision protocol (Keohane and Greer 2005) to determine whether to initially implement interval or rapid training interventions as well as to determine…

This paper interrogates how school toilets and 'school readiness' are used to assess children against developmental milestones. Such developmental norms both inform school toilet design and practice, and perpetuate normative discourses of childhood as middle-class, white, 'able', heteronormative, cissexist and inferior to adulthood. Critical…

Being able to independently and correctly complete a toileting routine is an important developmental milestone for all children, but for children with Autism Spectrum Disorder (ASD), it may be an extremely difficult skill to acquire (Keen et al., 2007). The focus of this review was to examine the effectiveness of the current research on three…

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…