toilet training

[Guest guest]

was eight when potty trained, just seemed to happen with lots of

work. He is now 15. He was always small and very sick for the most

part. He is doing lots better physically, but I think it took a long

time due to his size.

[Guest guest]

This was not my luck with my son and you name it, we tried everything

from butt naked, having all male role models, taking my son to the restroom

every 30 minutes to 1 hour. Having many help in this department.

Even so call autism specialist at an older age once dx'd.

Thanks to Temple Grandin and at the age of 13 y/o is when finally my son

understood the concept of wet and dry. It was when learning about

sensory integration dysfunction.

Once all medical issues were addressed then could pursue with whatever training

needed which did require consistency indeed.

Over to the links file are some wonderful information in regards to toilet

training with individuals as severe with autism with the breakdown skills, using

visuals pics, actual visual of the feces like when poop in the tub, having some

plastic gloves, removing the poop and have child see the poop goes in the

toilet, pee goes in toilet,etc.

This is the ABA approach & sensory integration intervention which helped my son.

To being ready to then proceed with the steps where tossing out all

diapers/pull-ups using hospital mats or shower curtains, having rewards that

will work to make it a happy moment and not traumatic as mixing around the

demands.

Our kiddos are pretty smart alright just finding their groove which was in my

son's case at an older age.

In other words once that Joint Attention is taught then child is ready to learn.

Techniques

Following are the seven effective teaching procedures used:

Pairing: Pair yourself and the working environment with child’s reinforcers.

Create a “bettering†of conditions instead of a “worsening†of

conditions when you say “come here†or “sit downâ€. Never use “okay,

now you can go play as the reinforcer. It will keep the value of escape and

working to “get away†high. Your child should come to you or your therapist

not run away.

Errorless teaching: Use prompts before they make an error as much as possible.

Remember that we want the child to push the lever of responding not the lever of

escape or self-stim. You will not hear “noâ€, “not that one†or other

words that harbor feelings of failure and offer no reinforcement to your child.

Variable ratio: Always use a variable ratio when working intensively. The child

should never know when the reinforcer is coming. Remember that intermittent

reinforcement creates strong behavior. You want your child’s behavior of

responding to our demands to be very strong.

Mix and vary instructional demands: When teaching never present the same demand

over and over again (mass trial). Demands will be mixed from all skill areas.

These can be motor imitation, receptive id, receptive commands, labels, echoics,

receptive by feature, function and class and intraverbals (fill-ins).

Intersperse Easy and Hard Demands: In the beginning, we will use the ratio of

20% hard and 80% easy when presenting demands at the table. Remember we are

making the table a positive place to be as well as the natural environment.

Short inter-trial interval (fast paced instruction): We want the child’s

latency response to be short. If he/she does not answer we will use whatever

prompt level is necessary to get the response and then immediately fade the

prompt. Remember we want your child to respond quickly as if he were in the

natural environment. Not many people, be it teachers or friends will wait 5-10

seconds for a response.

1.

Most-to-least Prompts: Instead of using least to most prompts, which may

allow for more mistakes, use a time delay prompt and fade procedure. This is

also less frustrating to the child because they don’t have to guess the answer

and get it wrong before you give them a prompt.

Irma,20,DS/ASD

[Guest guest]

Great book for teaching how to use base line charting and (IMHO) the best

for teaching toilet training - whether it be time training for you or actual

skill training to the child.

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> > IF we are doing books on skill training, let us not forget STEPS to

> > INDEPENDENCE by BAker, et al. Available thru AMAZON>

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> What, I forgot to include this book? I have this in my collection as well,

> will be glad to lend it too.

>

> I was actually on the Amazon site ordering AGAIN - King Kong Vs

> Godzilla/King Kong Escapes. Still fascinated with Gorillas and gotta have

> the classic Godzilla movies.

>

> Irma,20,DS/ASD

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Sara -To Life!