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Toilet Training Success Academy — Online CEU Course | Helping Hands Therapy Services™

🎓 This CEU course is Part of the Level 1 RFTTP Certification — the only toilet training certification with AOTA CEUs and a nervous system framework built for licensed therapists.

See the Full Certification Program → Founding bundle closes June 8, 2026 — get both RFTTP + CTTS credentials for $547
✦ AOTA Approved CEU Course · Helping Hands Therapy Services™

Toilet Training
Success Academy
Online CEU Course

A comprehensive, evidence-based system for pediatric therapists who want to toilet train neurodivergent children and teens — with confidence, carryover, and results.

✓ 1.0 AOTA CEU · 10 Contact Hours
✓ Distance Learning — Independent
✓ Intermediate Educational Level
✓ 12-Month Access
Enroll Now — $547 →
AOTA Approved Provider #0000001046
1.0 CEU · 10 Contact Hours
Distance Learning — Independent
Intermediate Educational Level
Who Is This Course For?
This Distance Learning — Independent professional development activity is designed for licensed pediatric professionals
✓
Occupational TherapistsOTR/L, COTA/L — any setting: clinic, school, home health, telehealth
✓
Speech-Language PathologistsSLP, CCC-SLP, SLPA — especially AAC users and complex cases
✓
Physical TherapistsPT, DPT, PTA — pelvic floor, motor, and postural aspects of toileting
✓
ABA Therapists + BCBAsBCBAs, RBTs (under supervision) — adding a nervous system lens to behavioral approaches
✓
Working with complex diagnosesAutism, ADHD, Sensory Processing Disorder, Down Syndrome, Spina Bifida, ODD, and related diagnoses
⏱️
Dedicate just 1 hour per week — complete the entire course in 10 weeks

You start as soon as you enroll and have immediate 12-month access to the self-paced curriculum. Complete at your own pace. CEU certificate issued upon successful completion.

What's Included
A complete clinical system — not just information, but tools you can use immediately
✓
Regulation First Framework™ ModulesA clinical framework that includes polyvagal theory, interoception, and nervous system regulation applied to toilet training
✓
Full TTSA Clinical System7 evidence-based modules covering the complete toilet training system from readiness through independence
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Expert Guest Speaker InterviewsKelly Mahler (interoception), Kerri Hample (selective eating + toileting), Dr. Steve Hodges (pediatric urology)
✓
50+ Downloadable ResourcesAssessment tools, treatment planning frameworks, intervention strategies, caregiver handouts, and visual supports
✓
Evidence-Based Treatment PackagesStructured protocols for clinic, home health, school, and telehealth settings — including CPT codes and billing guidance
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TeleSCOPE Intervention BlueprintA structured coaching model for parent-directed implementation that dramatically improves carryover
✓
Nervous System Assessment ToolsToileting Nervous System State Chart, Decoder, Co-Regulation Planner, and MAIA Interoceptive Awareness Questionnaire
✓
1.0 AOTA CEU CertificateIssued upon successful completion of all modules, quizzes, case study, and post-course questionnaire
Course Modules
Part 1 — Regulation First Framework · Part 2 — TTSA Clinical System · Part 3 — Clinical Application
PART 1 — REGULATION FIRST FRAMEWORK · Kathleen Yopp, MOT, OTR/L
  • RF
    Introduction to the Regulation First Framework
    Why the nervous system comes first. The six-step clinical model. How regulation, interoception, and sensory safety drive toileting outcomes.
PART 2 — TTSA CEU COURSE · Arianna Medina, COTA/L
  • 1
    Mindset Transformation
    Breaking limiting beliefs. Why neurodivergent children can be trained. Building clinical confidence.
  • 2
    Meeting the Family Where They Are
    Readiness signs for child and family. Toilet training from a neuro-perspective. Family assessment and dynamics.
  • 3
    Preparing From the Inside Out
    Brain-gut connection. Selective eating and bowel/bladder health. Interoception basics. Meltdown management.
  • 4
    Working With Neurodivergent Behaviors
    Strengths-based approaches. Skilled teaching strategies for elimination. Complex behavioral profiles.
  • 5
    Addressing Underlying Skills Through Play
    Motor, sensory, pelvic floor, cognition, and executive function. Therapeutic play activities. Goal writing templates.
  • 6
    Toilet Training Blueprint Protocols
    3 evidence-based treatment packages across all settings. Encopresis, enuresis, regression. CPT codes and billing.
  • 7
    Coaching and Carryover — The Game
    Coaching caregivers, teachers, and support teams. At-home carryover strategies. Telehealth delivery.
  • 8
    Execution — Conclusion + Case Study
    Step-by-step action plan. Guided assessments and to-do lists. Case study application. Certification pathway.
PART 3 — CLINICAL APPLICATION · Kathleen Yopp, MOT, OTR/L
  • C1
    How the Nervous System Plays a Role in Emotional Regulation and Toileting
    The connection between nervous system state, emotional regulation, and toileting success.
  • C2
    Interoception
    What interoception is, why it matters for toileting, and how to assess and build it clinically.
  • C3
    Potty Training Through a Polyvagal Lens
    Polyvagal theory applied directly to toilet training. The three nervous system states and clinical implications.
  • C4
    Emotional Regulation — The Key to Success
    How emotional regulation drives or prevents toileting progress. Building regulatory capacity before skill performance.
  • C5
    Understanding Behaviors as Stress Responses
    Reframing resistance, refusal, and regression as nervous system communication.
  • C6
    Polyvagal Strategies to Improve Emotional Regulation Related to Toileting
    Specific polyvagal-informed strategies for before, during, and after bathroom trips.
  • C7
    Bringing It All Together — Practical Application
    Integration of all clinical modules. Case application and clinical decision-making.
  • C8
    Wrap Up + Conclusion
    Course conclusion. RFTTP credential pathway. What comes next as a Regulation First practitioner.
Expert Guest Speakers
Learn from the leading voices in interoception, nutrition, and pediatric urology
Kelly Mahler, OTD, OTR/L
Expert in Interoception
Winner of the 2020 AOTA Emerging and Innovative Practice Award. Kelly reveals the root cause of why some children don't recognize the need to toilet — and what we can do about it.
Kerri Hample, OTD, OTR/L
Expert in Selective Eating + Toileting
20+ years of experience with selective eaters and toileting problems. Kerri reveals the connection between food habits and toileting independence — and how to break the cycle.
Dr. Steve Hodges, MD
Pediatric Urologist
Specialist in enuresis, encopresis, and constipation. Dr. Hodges reveals how to resolve the most complex bowel and bladder issues in autism, ADHD, ODD, and SPD.
From Arianna Medina, COTA/L
The story behind the Toilet Training Success Academy

I really struggled when I started as a pediatric COTA/L. I had a 4-year-old non-speaking client who had a major meltdown in the clinic's bathroom — directly in front of the waiting room — while I was trying to help him become independent in toileting.

I was struggling with knowing how to go about addressing toileting goals. There were not many resources available. I was feeling more and more incompetent, lost, and overwhelmed, with over 70% of my caseload over the age of 3 still in soiled pull-ups.

Then I discovered this evidence-based toilet training system. Everything changed. I learned how to address underlying skills, measure progress, improve carryover, and bill for toileting goals. I was able to toilet train even the most challenging cases — including an autistic 13-year-old nonspeaking teen with a history of potty training fails.

If you implement each step in this course, you'll know exactly how to approach different behaviors, address underlying skills, solidify carryover, and get your clients independent in toileting.

Arianna Medina, COTA/L
Speaker and Author, Toilet Training Success Academy
What Therapists Are Saying

The Toilet Training Success Academy has been an invaluable resource in expanding my expertise as a therapist while helping me feel confident in providing families with solutions that actually work.

Faith C., OTR/L
Outpatient Pediatric Clinic

The course includes evidence on protocols that work and that are individualized. The details and helpful checklists make you the expert on how to choose the right protocol.

Ann T., OTR/L
Pediatric Practice

I love how in-depth the course went into evidence-based toilet training methods in different settings. Exploring the underlying reasons for various challenges was extremely helpful.

Stephanie C., OTR/L
School-Based OT
IAOTH Accredited Training Provider
AOTA Compliance Information
All required disclosures for AOTA Approved Provider #0000001046
Course Details

AOTA Approved Provider #0000001046

AOTA Approved Provider
  • Provider: Helping Hands Therapy Services, PLLC · AOTA Approved Provider #0000001046 · Course Approval ID #7621
  • Contact Hours: 1.0 CEUs · Intermediate · OT Service Delivery and Foundational Knowledge
  • Delivery Format: Distance Learning — Independent
  • Educational Level: Intermediate
  • Completion Window: 12 months from enrollment date
  • Target Audience: Occupational Therapists, COTAs, Speech-Language Pathologists, Physical Therapists
Completion Requirements
  • Complete all modules to 100%
  • Pass all module quizzes (multiple attempts allowed)
  • Submit case study application worksheet
  • Complete required post-course satisfaction questionnaire

Presenter Disclosure — Arianna Medina, COTA/L (TTSA Modules):
Financial: Arianna Medina received a one-time honorarium for presenting this course and is an affiliate.
Non-financial: Arianna Medina has no relevant non-financial relationships to disclose.

Presenter Disclosure — Kathleen Yopp, MOT, OTR/L (Regulation First Modules):
Financial: Kathleen Yopp is the owner of Helping Hands Therapy Services™ and receives financial benefit from course enrollment.
Non-financial: Kathleen Yopp has no relevant non-financial relationships to disclose.

Content Disclosure: This learning event does not focus exclusively on any specific product or service.

Enroll in the TTSA CEU Course

Start immediately. Self-paced. 12-month access. 1.0 AOTA CEU upon completion. Includes all Regulation First™ modules and 50+ clinical downloads.

$547
1.0 AOTA CEU · 10 Contact Hours · Lifetime content access
Enroll Now →

🎓 Want to Turn This Into a Full Certification?

This CEU course is Part 2 of the Level 1 RFTTP Certification. During our founding period, you can get both the RFTTP and CTTS credentials — plus all Level 2 specialist modules — for the same $547 price.

Level 1 alone: $547  ·  Founding Bundle (Level 1+2): also $547 — Level 2 is FREE during founding period
See the Full Certification Program →

Founding price closes June 8, 2026 · After that the bundle is $797

Helping Hands Therapy Services™ · Kathleen Yopp, MOT, OTR/L · AOTA Approved Provider #0000001046
Arianna Medina, COTA/L · helpinghandstherapyresources.com