To read on National Down Syndrome Society (NDSS) website:
Toilet Training Children with Down Syndrome
Step 1: Determining A Child’s Readiness
Many parents are eager to start a toilet training program for their children. However, some parents may be ready to start before their children are ready. Starting before a child displays the necessary readiness signs will most likely increase the amount of time it takes for the child to learn this skill as well as decrease the amount of success the child experiences. Starting too early can also lead to other problems, such as an increase in undesirable behaviors related to toilet training and high frustration levels in the parent. To ease the toilet training process and ensure that it is a positive experience for everyone involved, it is recommended that parents assess their child’s toilet readiness skills. Important signals of readiness are as follows:
- Age – The child has reached an appropriate age. It is recommended to wait until after the second birthday to begin considering toilet training. For children with Down syndrome, it has been found beneficial to wait until after the third birthday to begin the process. While age is an important component of readiness, parents should consider other factors as well when considering toilet training.
- Bladder Control – The child completely empties his or her bladder when voiding and remains dry for at least one and one half hours during the day.
Step 2: Determining Your Readiness
Before starting a toilet training program, parents need to be ready to dedicate time and effort to implement an effective program. If their child displays the necessary readiness signs but their own schedules do not allow them the amount of time needed to take their child to the bathroom on a consistent schedule every day, they may want to consider waiting to start until their schedules allow time.
Below is a form to help parents assess their child’s bladder control, ability to demonstrate a need to go, and voiding pattern. (…)