ABSTRACT

Faecal and urinary incontinence are relatively common conditions in typically developing children referred to general practitioners, clinical psychologists and psychiatrists (Procter and Loader, 2003) with referral rates of up to 10 percent of caseloads (Buchanan, 1992). Just as the attainment of bowel and bladder control is important for such children, it is equally important for children with intellectual disability if not more so considering the frequent barriers they experience with respect to inclusion. The purpose of this chapter is to provide the practitioner with sufficient information regarding the origin and maintenance of toileting problems and identify the factors that need to be taken into consideration during the course of an assessment. Descriptions and evaluations of the main interventions are also presented along with practical considerations surrounding treatment implementation.