Support with toilet training and continence
Overview
Continence is control over the bladder and bowel. Every child is different. They learn to walk and talk at different times, and they learn how to use the toilet at different times too.
Children are often ready to start toilet training between the ages of 2 and 3, with most children being toilet trained by the age of 4. However, there is a wide range in the age at which children become toilet trained.
This is a complex skill and can develop later in children with special educational needs and disabilities. Some children and young people will always need some support in this area due to their disabilities.
Most children develop day and night continence skills with support from parents and carers, and by establishing a routine for using the toilet. The rate at which they learn is influenced by their interest and motivation in being clean and dry. It can also be influenced by how much they want to copy what friends or adults are doing.
Helpful websites and resources
You can find out more about supporting toilet training by using the following resources:
- ERIC (Children’s Bowel and Bladder Charity)
- Occupational Therapy Support Hub: advice on toileting for parents and carers
- National Autistic Society: toileting support for autistic children
Cheyne support
- The Cheyne Clinical Psychology and Occupational Therapy team runs a group to support parents and carers of children aged 0 to 7 with common toileting issues. For further information, contact the Psychology Team at chelwest.ccds.psychology@nhs.net.
- Children aged 5 and over may be eligible for additional support, including consideration of free supplies of nappy or continence products. Parents and carers are advised to contact their child’s School Nursing Team to request an assessment. Contact details can be requested from your child’s school. If needed, you can also contact the Cheyne Specialist Nursing Team at chelwest.ccdscnsteam@nhs.net.