Using the toilet is not just one skill. It is a set of complex skills tied to sensations in the body, that need to take place in an environment that can be...scary. This can be difficult for many children to learn, especially if they have had a negative experience in the washroom or on the toilet (e.g., slipping off the seat, startled by unexpected noises) or they have experienced pain or discomfort due to constipation or medical procedures. If a child has experienced one or more of these situations they may present with skill deficits in:
Eliminating in the toilet (both urine and bowel movements)
Only using the toilet in specific locations (e.g., home)
Informing an adult when they have to use the toilet
Frequent trips to the toilet due to not emptying the bladder or bowels (i.e., not wanting to sit long enough to complete the task)
Uncooperative during toileting routines (e.g., crying, running away from caregivers, refusal to cooperate etc.)
These issues can increase stress levels for caregivers and have significant impacts on the overall health and well-being of the child.
How Our Service Works
We will connect with you within 48 hours to book a FREE discovery call. The discovery call will take between 30 minutes - 1 hour. We will gather information regarding your needs and make a recommendation for duration of service & cost.
Following our discovery call we will send you a quote for the services we are recommending. We ask that you confirm your interest in receiving our services within 7 calendar days of receiving the quote.
During the intake meeting we will review the details of the service, complete all the necessary paperwork, book an assessment time and determine a schedule for when we will get started.
Assessments will be completed in-person and/or virtually. Assessments will look different for each service provided and for each caregiver & child.
The first week of services we will provide a high level of support. Typically, we recommend 3-4 consecutive sessions of in-person support, followed by ongoing virtual support and a systematic plan for transitioning to the caregiver independently implementing the strategies.
How a Board Certified Behaviour Analyst Can Help
A Board Certified Behaviour Analyst (BCBA) is a graduate level professional that utilizes evidence-based strategies based in behaviour analysis to teach individuals new skills that will improve the quality of their life. All services provided are individualized and goals are established using a collaborative approach between caregiver, child and BCBA. Once an “end” goal has been agreed to (e.g., poops in the toilet at home or in public) the BCBA will create an individualized plan that takes into consideration the caregiver and child's values, culture and any other personal preferences identified to the BCBA. Within this plan the BCBA will outline how everyone will work together, and systematically move closer and closer to achieving the “end” goal.
When working with a BCBA the goal is always to teach strategies that will help individuals achieve personal goals. That being said, the first step is ALWAYS ensuring that the barriers that are being encountered are behavioural and not medical. To ensure the goals that are being set are achievable and safe, BCBAs may require medical clearance prior to implementing strategies to teach toileting skills. This is especially important for children who experience frequent constipation or have been treated for encopresis.
If you would like to read more about what a BCBA is, what they do and what to expect when working together please click here.