Re: MARY! EMAIL POTTY PROTOCOL

[Guest guest]

Hi ,

I'm also requesting a copy of it. My son is toilet trained, will not initate but

it never hurts to have more info.

Thanks,

Irma,15,Ds/ASD

icanfield@...

[Guest guest]

In a message dated 2/5/2004 6:19:24 PM Eastern Standard Time,

shapirov@... writes:

Please send the potty protocol (shapirov@...)!

will be 7 in April - he has the procedure down, but absolutely,

positively, will not do his business on the potty. I don't know how to

catch him

in a teachable moment on this.

Ginny, here is a bit done by Kent Moreno who used to be on the DS listserv.

This bit is posted on Dr. Len Leshin's web site. Hope this helps.

Donna

<< Toilet Training Made Semi-Easy

by Kent Moreno

Copyright 1996 by Kent Moreno, All rights reserved

(Note: Kent Moreno is a Behavior Analyst and father of a child with Down

syndrome. He is employed by the West Virginia Austism Training Center at

Marshall

University as an education specialist. He can be reached at

knm@....)

The process of teaching a child to use the toilet can be a frustrating one.

This is especially true if the child has a developmental disability. The

protocol listed below has been used successfully, with individuals with

developmental disabilities of all ages.

In addition to the protocol listed below, It can be helpful if a child is

able to observe others using the toilet. This may be something which a family is

not comfortable with or is not appropriate in certain settings. That's fine.

A major factor in the success of this program is based on the development of

an effective toileting schedule. To determine the right schedule for the

child, data needs to be taken for at least 2-3 days on how often the child goes

to

the bathroom. To do this, dry pants checks should be done every 20 - 30 min

(20 minutes is preferable). If your lucky, you can find diapers which have a

strip which changes color when the child voids otherwise, it will be necessary

to

feel for moisture. Take special care to write down the times of the day that

the child defecates as most people defecate at approximately the same time

each day. This procedure is called baseline data. Once 2-3 days of data has been

gathered, it will be necessary figure out approximately how often the child

goes to the bathroom. To do this, divide the number of waking minutes by the

number of times the child went to the bathroom.

The toileting schedule can now be set up. As a rule of thumb, the child

should be taken to the bathroom, twice as often as the child's average for

urinating and defecating. So, for example, if the child goes to the bathroom an

average of once an hour, the child would be taken to the bathroom every 1/2

hour.

When setting up the toileting schedule, keep in mind the times of the day that

the child is most likely to defecate and try to have the toileting schedule

occur close to these times.

Prior to taking the child to the bathroom, give the child a cue that it is

time to go to the bathroom. I recommend helping the child to make the sign for

toilet until they can make it independently. Using the sign for toilet will not

stop those children who are verbal from saying " toilet " and will give the

child a way of communicating when they have to go to the bathroom once they have

mastered the toileting procedure thus making a toileting schedule unnecessary.

It is important that the bathroom be a very fun place. Reserve a couple of

the child's favorite toys or books which they can only have access to while they

are seated on the toilet. Also, music can be very helpful. Mozart and

Rockabilly seem to work well.

When having the child sit on the toilet, don't force it. The experience needs

to be a positive one. If the child doesn't want to sit on the toilet, leave

the bathroom and try again at the next scheduled time. Also, don't have the

child sit on the toilet for more than 5-7 minutes. If the child is going to void

in the toilet, they will usually do it within that time frame. If the child

voids in the toilet, make a big deal out of it, praise the child verbally and

tactilely (hugs, pats on the back...) and give them access to a small very

preferred edible reinforcer (not always necessary). While it will be important

to

reduce the use of the edible reinforcers as quickly as possible but, in the

early stages of acquiring toileting skills, it will be more important to make

voiding in the toilet an extremely momentous and positive experience for the

child.

One modification which can be made to the protocol which many times will

increase the child's rate of success at voiding in the toilet is to give them

something to drink 15-20 min prior to the scheduled toileting time.

[Guest guest]

Donna,

Do they use this protocol with Maddie at school? Do you use it at home?

They put Seth on the toilet every 2 hours at school, but haven't done any data

on when he goes, how often nor give him a drink 20 minutes before they put him

on the toilet. We are just getting him used to the routine and his reinforcer

is he gets to *wash* his hands in the sink.....LOL play in the water. LOL

I may try this with Seth over the summer, when he's here 24/7. I can't

imagine school would take him to the bathroom every 20-30 minutes. Heck, that'd

leave no time for anything else!

Gail :-)

<< Toilet Training Made Semi-Easy

by Kent Moreno

Copyright 1996 by Kent Moreno, All rights reserved

(Note: Kent Moreno is a Behavior Analyst and father of a child with Down

syndrome. He is employed by the West Virginia Austism Training Center at

Marshall

University as an education specialist. He can be reached at

knm@....)

The process of teaching a child to use the toilet can be a frustrating one.

This is especially true if the child has a developmental disability. The

protocol listed below has been used successfully, with individuals with

developmental disabilities of all ages.

In addition to the protocol listed below, It can be helpful if a child is

able to observe others using the toilet. This may be something which a family

is

not comfortable with or is not appropriate in certain settings. That's fine.

A major factor in the success of this program is based on the development of

an effective toileting schedule. To determine the right schedule for the

child, data needs to be taken for at least 2-3 days on how often the child

goes to

the bathroom. To do this, dry pants checks should be done every 20 - 30 min

(20 minutes is preferable). If your lucky, you can find diapers which have a

strip which changes color when the child voids otherwise, it will be

necessary to

feel for moisture. Take special care to write down the times of the day that

the child defecates as most people defecate at approximately the same time

each day. This procedure is called baseline data. Once 2-3 days of data has

been

gathered, it will be necessary figure out approximately how often the child

goes to the bathroom. To do this, divide the number of waking minutes by the

number of times the child went to the bathroom.

The toileting schedule can now be set up. As a rule of thumb, the child

should be taken to the bathroom, twice as often as the child's average for

urinating and defecating. So, for example, if the child goes to the bathroom

an

average of once an hour, the child would be taken to the bathroom every 1/2

hour.

When setting up the toileting schedule, keep in mind the times of the day

that

the child is most likely to defecate and try to have the toileting schedule

occur close to these times.

Prior to taking the child to the bathroom, give the child a cue that it is

time to go to the bathroom. I recommend helping the child to make the sign

for

toilet until they can make it independently. Using the sign for toilet will

not

stop those children who are verbal from saying " toilet " and will give the

child a way of communicating when they have to go to the bathroom once they

have

mastered the toileting procedure thus making a toileting schedule unnecessary.

It is important that the bathroom be a very fun place. Reserve a couple of

the child's favorite toys or books which they can only have access to while

they

are seated on the toilet. Also, music can be very helpful. Mozart and

Rockabilly seem to work well.

When having the child sit on the toilet, don't force it. The experience needs

to be a positive one. If the child doesn't want to sit on the toilet, leave

the bathroom and try again at the next scheduled time. Also, don't have the

child sit on the toilet for more than 5-7 minutes. If the child is going to

void

in the toilet, they will usually do it within that time frame. If the child

voids in the toilet, make a big deal out of it, praise the child verbally and

tactilely (hugs, pats on the back...) and give them access to a small very

preferred edible reinforcer (not always necessary). While it will be

important to

reduce the use of the edible reinforcers as quickly as possible but, in the

early stages of acquiring toileting skills, it will be more important to make

voiding in the toilet an extremely momentous and positive experience for the

child.

One modification which can be made to the protocol which many times will

increase the child's rate of success at voiding in the toilet is to give them

something to drink 15-20 min prior to the scheduled toileting time.

[Guest guest]

In a message dated 2/6/2004 12:42:05 PM Eastern Standard Time,

smilinggail@... writes:

Do they use this protocol with Maddie at school? Do you use it at home?

They put Seth on the toilet every 2 hours at school, but haven't done any

data

on when he goes, how often nor give him a drink 20 minutes before they put

him

on the toilet. We are just getting him used to the routine and his

reinforcer

is he gets to *wash* his hands in the sink.....LOL play in the water. LOL

I may try this with Seth over the summer, when he's here 24/7. I can't

imagine school would take him to the bathroom every 20-30 minutes. Heck,

that'd

leave no time for anything else!

Gail, they tried keeping a chart of her bm's, but even in that department,

Maddie is unique...there's no rhyme or reason to when she goes. They

probably take her every two hours too, after she eats and always if she goes in

there

by herself (like Seth, she likes to play in the water) I know that some of

the behaviorists at the school do high intense potty training, but it has to

be in the IEP. I don't put too much emphasis on it because any time we do

anything high intense with maddie, it backfires. Besides, I don't think *I*

myself would like sitting on a toilet for hours and hours.

Donna