I have a niece who is six, and might be a budding difficult child. I've been out of touch with her mother (my sister) for about three years (long story-my sister has BiPolar (BP) and decided for a while that her family was the enemy), but we've recently reconnected. My niece has had a problem with encopresis since my sister started potty training her around the age of three, and apparently things haven't gotten any better. She was put in kindergarten last year, but according to my sister, there were problems with my niece's behavior. My sister hasn't said exactly what my niece was doing, but she said the school recommended having my niece evaluated for special education (yes, I did tell her she was lucky the school was actually encouraging this, but she wouldn't allow it to proceed because she thought they were saying her daughter was mentally slow). Fast forward to now. They have moved into a new school district, but my sister has been reluctant to put my niece in school because of the encopresis. Right now she's being home schooled. My niece says she wants to go to school, but my sister is afraid the other kids will make fun of her because of the encopresis. From what my sister has said, she did have the problem last year, but only went to school a half day, so it was easier to cope with. I think she needs to be in school, because she seems to be a pretty bright kid and would get more exposure to a broader range of subjects than I think she'll get in a home school setting, and because I think she needs to be around other kids (for the past three years she hasn't been around many other kids at all, except for the year she was in kindergarten). I know my niece should be evaluated, but they are on Social Security (my brother in law passed away when my niece was three), and have no health insurance. Their doctor has tried to find any programs they might qualify for, but so far no luck. So no way could they afford an evaluation at this point in time. Does anyone have any ideas/suggestions for dealing with encopresis in a school setting? My sister thinks she should keep home schooling until the problem is solved, but from what I've heard and read, that could be a very long time. Right now the doctor is working on helping them "cure" the encopresis, but I'm not sure my sister is following through on what she's been told she needs to do (because she doesn't understand how any of it would help-working on that, too). Any help would be appreciated. I just went back and re-read my post, and I should add that my sister does want my input, help, and advice. She's asked if I want to home school my niece, but I work full time, so that wouldn't work out. But I'm not butting in here, although my post might have sounded like it.