Helping individuals and their families learn the skills to toilet independently

A majority of parents of children with autism or other related disabilities report toileting concerns and difficulty with toilet training

Teaching toileting skills to your child can be one of the most frustrating experiences for parents of children with Autism Spectrum Disorders (ASD). A child’s inability to use the bathroom can lead to: limited community engagement, extensive support to manage themselves, poor opportunities for functional independence, and more.

CCSN’s treatment model focuses on skill acquisition that allows for individuals to experience ongoing success and move toward independent functioning. Although toileting challenges are complex, they are treatable with intensive, evidence-based therapeutic supports.

Baseline Data Collection

  • Family must collect data on the following toileting events for several days:
    • Accidents
    • Prompted elimination in the toilet
    • Independent elimination in the toilet
  • Data collection includes information on:
    • Frequency
    • Time of day
    • Who was present
    • Where did the void occur?
    • A-B-C information

Toileting Clinic Treatment Process - Phase 1 Habit Training

Individuals undergo two stages: Habit Training and Initiation Training. The process is as follows:


  • Gather information on the current concerns.
  • Have the family identify the people who will help administer this protocol.

Information gathering on preferred items

  • What are the child’s most preferred rewards?
  • What are the child’s most preferred beverages?
  • What are the child’s moderately preferred items, activities, etc.?

Toilet Clinic Treatment Process - Phase 2


  • Get the child on a schedule that is manageable for the family
  • Teach the parent to implement each part of the toileting protocol

Schedule of events for the intensive day

  • Family arrives
  • Conduct MSWO preference assessment of identified items
  • Change child into underwear
  • Begin offering beverages – offer every 5 minutes
  • Begin sit schedule

Practice – Post-Intensive Toilet Training Day

Family will continue to partner with CCSN clinician until child is able to use the toilet independently

  • Send the family home on the schedule you ended on during the intensive day (usually 5 minutes on, 60 minutes off)
  • NO MORE DIAPERS - exceptions are made for the ride home and overnight
  • Remain in contact by phone with the family for the next three days
    • Call mid-day for schedule changes (Days 2 and 3)
    • Call at the end of the day for schedule change (Day 4)
    • Call every 2-3 days after that
    • Family continues to collect data and submit to CCSN on a regular basis

Applied Behavior Analysis Clinic

This methodology aims to positively impact the student’s social, functional, and adaptive skills through best industry practices

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Group Clinic

We develop conversational, cooperation, and conflict resolution skills to help students succeed in their social environment

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Occupational Therapy Treatment

CCSN rehabilitates individuals with various disabilities, helping them achieve independence and satisfaction in their day-to-day lives

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Individual and Family Therapy

CCSN provides numerous outpatient services to support patients with autism or neurodevelopmental disorders

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