Toileting Management Procedure with Functional Assessment Based on Intensive Home-Delivery Support : Case Study of a Boy with Pervasive Developmental Disorder

Abstract

The present study evaluated a toileting management procedure with the purpose of establishing in-toilet urinating by a 3 yr old boy with pervasive developmental disorder. The procedure was based on a functional assessment, and was taught through intensive home-delivery support. After a functional assessment of the child's pre-support behavior, a support plan was developed, and informed consent was obtained from his parents. Then, procedures based on the support plan were implemented by staff and the parents. Over the management-support phase (12 days), the interval between toileting trials was gradually extended on a regular schedule from 20 to 50 min. Then, over the management-maintenance phase (1 mo), the mean interval between toileting trials was extended to 140 min on an irregular schedule, and self-initiated toileting was observed. The post-support satisfaction score by the parents was very high. The results are discussed in terms of developing methods to transmit the support procedure more effectively to family members through home delivery support. (PsycINFO Database Record (c) 2016 APA, all rights reserved) (Source: journal abstract)