today we had a meeting. They came to MY house! it was an AVT and an IPAVT and a Health Nurse. I'm not so good with the abbreviations that everyone seems to talk in. However, the AVT is an Assessment Visiting teaching and the IP is Intellectual Impairment ...?? Teacher. The Nurse was well versed on incontinence aids that are available to us, and how to get them for free (good!) including toilet paper, creams, pads etc. The other teachers are well versed on how to go about making toileting programs work, especially in the case of impairments. So, they asked what we do at home, and what I would like to see happen at school. We talked for nearly two hours and they started writing down ideas for a printed program for the wall at school/home. Rewards, aids... Minute by minute, it was incredible what all the brainstorming achieved. For example, sometimes sitting ont he toilet for the 4 minutes is a chore for cherub, and blowing on the hand etc. (tantrums ++++) so, one idea is, how about taking the emphasis off the timer - give her some bubbles to blow, or a play windmill,or even a whistle (maybe not!) Rewards - only for getting the poo in the toilet - like some fun time to do a jigsaw, or similar activity. Making cherub own the problem herself. They suggested a vibrating alarm watch. That means she doesn't have to be directed by me or the teacher - it's a discreet thing. (does anyone know where i can get one cheaply? the ones I have looked at via internet are $30 or more (USD). I'm not to verbally direct her, but provide her with all she needs to complete this herself; and there is going to be a chart with all the steps detailed on it. If she's had an accident, again, no verbal directions, but a specific sign that she needs to leave and go to teh bathroom. It was a very positive meeting. We also have the extra aide hours for the school to help her, as well as the special incontinence aide who is already giving cherub 3 hours a week. We just need the 'danger money' allowance for the aides as they are threatening to strike or leave without it. Interesting extra idea. cherub goes to bathroom at school on her own, then checks if she needs help to clean up.If she does, then she presses an alarm that goes to the aide who then can come and offer assistance. Taht way, the aide isn't taken out of classroom time unnecessarily. Suggestion was also made that if one aide comes to her assistance and feels she needs assistance of another aide, she can call for it in the same way. Her in OZ, they feel the aides need to work in pairs in case of allegations of XXXYYZZ, and one of the complaints from teh school is that two teachers are being tied up for one child.