Potty and Toilet Training Plan for Children

 

AruRA PAEDIATRIC THERAPY SERVICES

Potty and Toilet Training Plan for Children                                                                                 Child Name: _________________________ Date: __________ Age: _____                             1. Assessment Checklist

Skill/Behavior

How to Assess

Response Observed

Comments

Awareness of Urge to Go

Observe if the child shows signs of needing to use the toilet

Communication

Note if the child can indicate the need to use the toilet

Sitting on the Toilet

Time how long the child can sit on the toilet without support or complaint

Posture

Observe the child's posture while sitting on the toilet

Following Directions

See if the child can follow simple directions related to toilet use

Wiping Skills

Observe if the child can wipe properly after using the toilet

Hand Washing

Note if the child can wash hands properly after using the toilet

Accidents

Record the frequency and context of any accidents

Behavioral Responses

Document any behavioral responses to toilet training (e.g., resistance, fear)

2. Strategies to Initiate Potty Training

Time

Activity

Description

Morning

Introduce Potty Routine

Show the child the potty, explain its use, and establish a routine (e.g., after waking up, after meals)

Throughout the Day

Scheduled Toilet Time

Take the child to the toilet at regular intervals (e.g., every 2 hours)

Before Bed

Encouragement and Praise

Encourage the child to use the potty before bed and praise any successful attempts

3. Home Program for Parents

Time

Activity

Description

Morning

Morning Routine

Encourage the child to use the toilet first thing in the morning

Throughout the Day

Regular Toilet Breaks

Take the child to the toilet every 2 hours and after meals

Evening

Pre-Bedtime Routine

Encourage the child to use the toilet before bed

Anytime

Positive Reinforcement

Praise the child for successful attempts and use a reward chart if helpful

4. Skill Assessment and Problem Identification

Skill/Behavior

Common Problems

Strategies to Address

Awareness of Urge

Child does not recognize the urge to go

Use a timer to remind regular bathroom breaks

Communication

Child does not indicate the need to use the toilet

Teach simple signals or words for the child to use

Sitting on the Toilet

Child refuses to sit or sits for too short a time

Use a timer, provide books or toys to encourage longer sitting

Posture

Child has poor posture on the toilet

Use a footstool for support and proper toilet seat

Following Directions

Child struggles to follow steps involved in toilet use

Break down steps into simple, clear instructions

Wiping Skills

Child has difficulty wiping properly

Demonstrate wiping technique, use flushable wipes initially

Hand Washing

Child does not wash hands properly after using the toilet

Create a visual handwashing chart, use a song or timer

Accidents

Frequent accidents

Keep a log to identify patterns, ensure regular toilet breaks

Behavioral Responses

Child shows fear or resistance to using the toilet

Make the bathroom environment comfortable and non-threatening, use positive reinforcement

5. Grading and Improvement

Grade

Description

Next Steps

Grade A (Excellent)

Child independently uses the toilet, communicates needs, and follows hygiene routines

Maintain current routine, occasional reminders

Grade B (Good)

Child uses the toilet with minimal assistance, occasional reminders needed

Continue positive reinforcement, gradually reduce assistance

Grade C (Needs Improvement)

Child requires frequent prompts and assistance, occasional accidents

Increase toilet breaks, use a reward system, continue consistent routine

Grade D (Struggling)

Child shows significant resistance or has frequent accidents

Consult with a specialist, review and adjust strategies, provide additional support

Sample 3-Hour Session for Toilet Training

Time

Activity

Description

9:00 - 9:10 AM

Welcome and Introduction

Greet the child, explain the day's activities, establish rapport

9:10 - 9:30 AM

Sensory Play and Warm-Up

Use sensory activities to relax and engage the child

9:30 - 10:00 AM

Potty Time and Routine Practice

Take the child to the toilet, practice sitting, and reinforce routine

10:00 - 10:30 AM

Engaging Activities

Provide toys or books while on the toilet to encourage sitting longer

10:30 - 10:45 AM

Snack Break and Hand Washing

Offer a snack, practice hand washing after eating

10:45 - 11:15 AM

ADL Skill Training

Focus on dressing and undressing skills related to toilet use

11:15 - 11:45 AM

Pre-Skill Training and Games

Cognitive games that incorporate following directions and communication skills

11:45 - 12:00 PM

Toilet Time and Routine Practice

Another session to practice toilet use, reinforcing positive behavior

12:00 - 12:15 PM

Social Interaction and Play

Encourage social interaction and play to develop social skills

12:15 - 12:30 PM

Wrap-Up and Feedback

Review the session, provide feedback to parents, and plan for next steps

 

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