2
From Personal Crisis to Clinical Breakthrough
The story behind the Regulation First™ framework
✦ Regulation First™ Certification · Helping Hands Therapy Services™
Become a Certified
Toilet Training Specialist
The only toilet training certification built on nervous system regulation, polyvagal theory, and the Regulation First™ framework — with AOTA-approved CEUs and internationally recognized credentials for licensed therapists.
✓ AOTA Approved CEU Provider #0000001046 · ✓ IAOTH Internationally Accredited · ✓ Regulation First™ Methodology
3Certification Levels
1.0AOTA CEUs Included
20+Clinical Downloads
$547Founding Bundle
Kathleen Yopp, MOT, OTR/L
Arianna Medina, COTA/L
Helping Hands Therapy Services™
★
Why This Certification Is Different
Every other toilet training certification teaches you how to start a consulting business. This one is built for licensed therapists.
A Different Approach: The Regulation First™ Method
Potty training is not just a developmental milestone. It is a complex process that requires nervous system regulation, body awareness (interoception), sensory safety, and motor coordination.
Most traditional approaches start with behavior. But behavior is not the root cause. It is the output of what is happening in the body.
This certification teaches a step-by-step clinical model: Regulation → Interoception → Sensory → Motor → Routine → Independence
An important distinction:
Routines, schedules, and behavioral strategies are valuable tools — and they are part of this certification. But they are not the starting point. When used before the nervous system is regulated, these strategies often fail — not because they are wrong, but because the body is not yet ready to learn from them.
The body cannot learn when it does not feel safe. Regulation comes first. Once the nervous system is ready, routines and schedules become powerful tools that actually work.
The Traditional Behavioral Approach
→
Reward charts + schedules first — before the nervous system is ready
→
Resistance is treated as defiance — not as a nervous system signal
→
Behavior is the focus — the root cause is missed
→
Progress stalls — because the body was never prepared
These strategies have value — but only after the foundation is in place.
The Regulation First™ approach starts here
✓
Regulate the nervous system first — create safety before asking for skill
✓
Resistance is information — read it, don't fight it
✓
Then introduce routines + schedules — now the body is ready to learn from them
✓
Progress becomes consistent — because the foundation is solid
Routines and schedules work beautifully — when the nervous system is ready for them.
You cannot teach toileting to a nervous system that does not feel safe.
When the body is ready — when the nervous system is regulated, when interoception is working, when the sensory environment feels safe — toilet training stops being a battle and starts being a natural progression.
Understand the Root Cause
✔Identify the true barriers to toileting success
✔Understand behavior through a nervous system lens
✔Recognize signs of dysregulation
✔Assess readiness beyond age and compliance
Build Foundational Skills
✔Improve interoception and body awareness
✔Address sensory sensitivities in the bathroom
✔Support motor skills needed for toileting
✔Prepare the body and nervous system for success
Implement With Confidence
✔Create individualized, effective treatment plans
✔Support parents and improve carryover
✔Address complex and resistant cases
✔Guide children toward lasting independence
1
Sound Familiar?
If you work with children who struggle with toileting, you have probably experienced at least one of these
You've tried everything — and nothing sticks
Reward charts, timers, schedules, behavioral protocols. You've implemented all of it. The child is still refusing, regressing, or shutting down. You know something deeper is going on.
You can see it's a nervous system issue — but you don't have a framework
You understand polyvagal theory. You've taken the courses. But when you're in the room with a dysregulated child and a frustrated family, you need a clear clinical roadmap — not just concepts.
You want a certification that actually covers your hardest cases
Most toilet training certifications are behavioral checklists. They don't address the complex presentations you see every day — neurodivergence, sensory and motor challenges, stool holding and constipation, trauma, family dynamics. You need a certification that goes as deep as your caseload does.
ASD · ADHD
Sensory Challenges
Motor Challenges
Stool Holding · Constipation
Interoception
Trauma-Informed
Communication Delays
Family Dynamics
The Regulation First™ approach changes everything.
When you stop trying to train behavior and start addressing the nervous system underneath it — resistance becomes information, regression becomes communication, and families finally see progress. This certification gives you the complete clinical framework, the assessment tools, the session-by-session roadmap, and the credential to practice with confidence.
My name is Kathleen Yopp. I'm a pediatric occupational therapist with over 28 years of experience — and I want to tell you something I don't share lightly.
My daughter was potty trained at two years old. And then she became severely constipated and started stool holding. What followed was three of the hardest years of my life — as a mother and as a therapist.
She was terrified. I could see it clearly. But I didn't know how to help her feel safe again. I was told to use behavioral approaches. Reward charts. Routines. Consistency. And everything in me knew — this is not a behavior problem. This is fear.
"I didn't know how to teach her body that it wasn't going to hurt anymore."We began using calming strategies. We worked through her fear slowly. We helped her body feel safe again. Little by little, things shifted. And eventually — she was able to use the bathroom again.
That experience changed how I practice forever.
It wasn't a reward chart that helped her. It wasn't a schedule or a timer. It was safety. It was her nervous system finally being able to relax enough to let her body do what it was designed to do.
After that, I began seeing the same pattern in most of the complex toileting cases that came through my door. The resistance wasn't behavioral. The regression wasn't deliberate. The fear wasn't something to push through. It was the nervous system protecting itself.
And when she finally understood that the bathroom didn't have to be something to fear — when her body felt safe enough to stop protecting itself — the constant cycle of gains and regression gave way to real, lasting progress. Not because we pushed harder. Because we stopped pushing and started listening.
What we discovered was that the polyvagal and trauma-informed, nervous system-based approaches we had been using in therapy sessions for years — the same strategies that help children regulate so they can grow and thrive — could be applied to toilet training too. That became the foundation of this certification. Not a new theory invented from scratch. A proven clinical framework we had already been using with children who struggle with emotional regulation — now applied directly to toileting. Because when we tried it, it worked.
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The Regulation First™ Framework
A four-phase clinical model built on polyvagal theory, the Interoception Success Framework™, and nervous system regulation
Phase 1
Regulate
Nervous system safety first
→
Phase 2
Recognize
Interoception · Sensory · Motor · Behavior
→
Phase 3
Respond
Individualized clinical plan
→
Phase 4
Generalize
Independence across environments
Why This Is Different From Every Other Toilet Training Certification
Most programs skip straight to routines and strategies. The Regulation First™ framework starts with Phase 1 — because a child cannot learn a new skill in a dysregulated nervous system state. Safety and regulation must come first. Then we Recognize the root cause — the sensory, interoceptive, motor, and behavioral barriers specific to that child. Then we Respond with an individualized clinical plan. Then we Generalize across environments toward true independence. This is the clinical sequence that produces results when everything else has failed.
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Choose Your Certification Level
Three clear pathways — each building on the last
Founding Bundle closes June 8, 2026 — Level 2 is FREE during founding period
Level 1 alone is $547. The Level 1+2 founding bundle is also $547 — meaning you get the CTTS specialist certification, all Level 2 modules, and the second credential at no additional cost. After June 8, 2026 the bundle increases to $797. This offer will not repeat.
Already purchased the $497 CEU course?
Your investment counts toward the certification. Upgrade to the full RFTTP + CTTS bundle for just $50 more — because $497 + $50 = $547, the exact founding bundle price. This upgrade offer closes June 8, 2026.
Level 1 · Foundation
Regulation First
Toilet Training Practitioner
Toilet Training Practitioner
RFTTP
$547
Or get both credentials for the same price — see bundle →
✦ 1.0 AOTA CEU · 10 Contact Hours
What's Included
- ✓Regulation First Framework™ — Kathleen Yopp, MOT, OTR/L
- ✓Full TTSA CEU Course — Arianna Medina, COTA/L
- ✓Expert guest speakers — Kelly Mahler, Dr. Steve Hodges + more
- ✓All module quizzes + assessments (multiple attempts)
- ✓Toileting Nervous System State Chart + Decoder
- ✓Co-Regulation Planner
- ✓Interoception Activity Library
- ✓Fine + Gross Motor Pre-Toileting Skills Checklist
- ✓Seating Adaptation Guide
- ✓Toilet Training Interview + Profile Form
- ✓RFTTP credential + certificate + digital badge
- ✓IAOTH directory listing
- ✓Access to Helping Hands community
- ✓24 months to complete · Lifetime content access
Level 1 + Level 2 · Full Specialist
Certified Toilet
Training Specialist
Training Specialist
RFTTP + CTTS
$547
$797
Founding price · Increases to $797 on June 8, 2026
✦ Both Credentials · 1.0 AOTA CEU + Specialist Modules
Everything in Level 1, Plus
- ✓Module 11: Anxiety, Fear & PDA in Toileting
- ✓Module 12: Potty Training with Sensory Sensitivities
- ✓When Your Child Won't Poop — Clinical Module
- ✓Potty Training with Communication Delays
- ✓12-Week Implementation Curriculum (Weeks 1–12)
- ✓Session-by-session implementation guide (Sessions 1–8+)
- ✓Treatment planning + goal writing templates
- ✓Complete assessment protocol
- ✓Bathroom Sensory Checklist
- ✓Sensory Desensitization Plan
- ✓CPT code reference guide
- ✓Referral letter templates
- ✓Business + marketing tools module
- ✓Access to Certified Practitioners community
- ✓CTTS credential + certificate + digital badge
Level 2 specialist modules releasing over 60 days inside your dashboard
Enroll — Founding Bundle $547 →
Upon Completion of Level 2
You earn your CTTS Credential
Certified Toilet Training Specialist · IAOTH Accredited · International Recognition
CTTS
Credential
Level 3 · Licensed Provider
Licensed Regulation First™
Provider
Provider
LRFP
🔥 Memorial Day Launch Special — 3 Days Only
$1,297
Goes to $1,597 May 27 · Then $1,997 after June 8
First year renewal: $297 (founding) · then $397/yr
Limited availability
Enroll — $1,297 Launch Special →
Everything in Level 1 + 2, Plus
- ✓License to use Regulation First™ curriculum with clients
- ✓Helping Hands Certified Provider™ designation
- ✓Listed on Helping Hands provider directory
- ✓Quarterly live strategy calls with Kathleen Yopp
Parent Course Library — Share Directly with Families
- ✓What To Do When Your Kid Won't Poop (full course)
- ✓Potty Training Made Simple (full course)
- ✓14-Day Sensory Success Training (full course)
- ✓Potty Training with Communication Delays (full course)
- ✓eBook: Potty Training a Child with Special Needs
- ✓Complete Family Resource Library
- ✓Potty songs, routine scripts, visual schedules for families
- ✓Nutrition guides — high fiber foods, hydration, constipation
Facility License — Up to 10 Therapists
Everything in Level 3 · For your entire team
$6,500
First year renewal: $597 (founding) · then $797/yr | New hire seats: $697/seat
Each of the 10 Therapists Gets
- Full Level 1 + Level 2 certification (RFTTP + CTTS)
- 1.0 AOTA CEU (10 contact hours)
- All 20+ clinical downloads and resources
- IAOTH directory listing
- Access to Helping Hands community + Certified Practitioners group
- Access to parent course library to share with families
The Facility Gets
- Licensing rights to use Regulation First™ curriculum internally
- Helping Hands Certified Facility™ designation
- Quarterly live strategy calls with Kathleen
- Complete Family Resource Library for all clients
- All 4 parent-facing courses to share with families
- Admin oversight of therapist completions
- New hire per-seat rate: $697/seat
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Full Curriculum
Every module across all certification levels
LEVEL 1 · PART 1 — The Regulation First Framework · Kathleen Yopp, MOT, OTR/L
RF1
Introduction to the Regulation First Framework
Why the nervous system comes first. What makes this approach different from every other toilet training program. The clinical framework overview.
All Levels
RF2
The Framework Course
Deep dive into the Regulate → Recognize → Respond → Generalize clinical model. Polyvagal theory applied to toileting. The nervous system states and their clinical implications for toilet training outcomes.
All Levels
RF3
Bridge to Part 2 — The Next Step
Connecting the Regulation First framework to the TTSA clinical system. How the two parts work together as a unified approach.
All Levels
LEVEL 1 · PART 2 — TTSA CEU Course · All Levels · 1.0 AOTA CEU · Arianna Medina, COTA/LView CEU Course + AOTA Compliance →
1
The Mindset Transformation
Breaking limiting beliefs about toilet training. Why neurodivergent children can be trained. Clinical confidence building.
All Levels
2
Meeting The Family Where They Are
Readiness signs for child and family. Toilet training from a neuro-perspective. Assessment of family readiness and dynamics.
All Levels
3
Preparing From The Inside Out
Brain-gut connection. Selective eating and bowel/bladder health. Interoception basics. Meltdown management during toileting.
All Levels
4
Working With Neurodivergent Behaviors
Strengths-based approaches. Skilled teaching strategies for elimination. Complex behavioral profiles.
All Levels
5
Addressing Underlying Skills Through Play
Cognition, executive function, pelvic floor, motor, sensory, and behavior. Therapeutic play activities. Goal writing templates.
All Levels
6
Toilet Training Treatment Blueprint Protocols
3 evidence-based treatment packages across all settings including outpatient, home health, school, and telehealth. Encopresis, enuresis, regression prevention. CPT codes and billing. treatment packages across all settings. Encopresis, enuresis, regression prevention. CPT codes and billing.
All Levels
7
Coaching and Carryover — The Game
Coaching caregivers, teachers, and daycare providers. At-home carryover strategies. Telehealth delivery.
All Levels
8
Execution — Conclusion
Bringing it all together. Step-by-step action plan. Required: TTSA Case Study submission. Required: Post-Course Satisfaction Questionnaire. Next steps into the certification program.
All Levels
LEVEL 1 · PART 3 — Clinical Application of the TTSA Using the Regulation First Framework · 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. Clinical application framework.
All Levels
C2
Interoception
What interoception is, why it matters for toileting, and how to assess and build it. The most overlooked piece of toilet training.
All Levels
C3
Potty Training Through a Polyvagal Lens
Polyvagal theory applied directly to toilet training. The three nervous system states and their clinical implications for toileting.
All Levels
C4
Emotional Regulation — The Key to Success
How emotional regulation drives or prevents toileting progress. Strategies for building regulatory capacity before asking for skill performance.
All Levels
C5
Understanding Behaviors as Stress Responses
Reframing resistance, refusal, and regression as nervous system communication. What behaviors are telling you and how to respond.
All Levels
C6
Polyvagal Strategies to Improve Emotional Regulation Related to Toileting
Specific polyvagal-informed strategies for use before, during, and after bathroom trips. Clinical application with real cases.
All Levels
C7
Module 7 | Bringing it All Together: Practical Application of Strategies
Integration of all clinical modules into a unified treatment approach. Case application and clinical decision-making.
All Levels
C8
Wrap Up, Conclusion + Bonus: How to Conduct a TT Workshop
Course conclusion and RFTTP credential pathway. Bonus: how to run a toilet training workshop for families in your community.
All Levels
✦
Wrap Up and Conclusion
Integration of all clinical modules. Bringing the Regulation First™ framework together as a complete clinical approach.
Level 1
Upon Completion of Level 1
You earn your RFTTP Credential
Regulation First Toilet Training Practitioner · 1.0 AOTA CEU · IAOTH Accredited
RFTTP
Credential
LEVEL 1 · WRAP UP AND NEXT STEPS
✦
Congratulations on Your Certification!
Celebrating your completion of Level 1. Your RFTTP credential pathway and what comes next.
Level 1
✦
Obtaining Your Certificate
How to access and download your RFTTP certificate and digital badge. IAOTH directory listing activation.
Level 1
LEVEL 1 · BONUSES AND BUSINESS TOOLS
★
Conduct a TT Workshop
How to run a toilet training workshop for families in your community. A ready-made additional income stream for certified practitioners.
Level 1
LEVEL 2 — Clinical Toolkit Introduction · Level 2 + 3 Only
✦
Introduction to the Clinical Toolkit
Overview of the Level 2 clinical system. How the toolkit connects to the Regulation First™ framework. What to expect across the specialist modules and implementation curriculum.
Level 2 + 3
✦
Using the Clinical Toolkit
How to navigate and apply the clinical toolkit in practice. Integrating Level 2 resources into your existing caseload and treatment approach.
Level 2 + 3
LEVEL 2 — Specialist Modules · Level 2 + 3 Only
11
Anxiety, Fear & PDA in Toileting
Fear-based avoidance. Pathological Demand Avoidance profile. Trauma-informed strategies. Low-demand language as a clinical tool.
Level 2 + 3
12
Potty Training with Sensory Sensitivities
All seven sensory systems in toileting. Hypersensitivity vs. hyposensitivity. 14-day desensitization framework. Environmental modifications.
Level 2 + 3
13
When Your Child Won't Poop — Clinical Module
stool holding, chronic constipation, fear-based avoidance. Physiology and nervous system overlap. Clinical intervention sequence.
Level 2 + 3
14
Potty Training with Communication & Cognitive Delays
Strategies for children with communication limitations. Visual supports, AAC, simplified routines. Autism-specific approaches.
Level 2 + 3
LEVEL 2 — 12-Week Implementation Curriculum · Level 2 + 3 Only
W1–2
Weeks 1–2: Building Interoceptive Awareness
Body sensation activities. Bladder and bowel cue recognition. Interoception charting. Parent coaching scripts for body check-ins.
Level 2 + 3
W3–4
Weeks 3–4: Establishing Predictable Routines
Visual schedule creation. Potty routine scripts. Bathroom social stories. Consistent language across settings. Parent coaching tips.
Level 2 + 3
W5–6
Weeks 5–6: Sensory Strategies + Sit and Go
Pre-toilet sensory warm-up. Sensory toolbox. Co-regulation coaching. Environment modifications. Sit-and-go practice with support.
Level 2 + 3
W7
Week 7: Motor Skills, Clothing Management + Hygiene
Dressing skills for toileting. Wiping techniques. Handwashing sequence. Fine and gross motor activities. Clothing adaptation strategies.
Level 2 + 3
W8
Week 8: Introducing Underwear + Managing Accidents
Underwear transition protocol. Accident response scripts. Reward systems — when to use and when not to. Managing regression with calm.
Level 2 + 3
W9–10
Weeks 9–10: Generalization — New Environments + Public Restrooms
Toileting in school, daycare, public bathrooms. Social stories for new environments. Portable toilet kit. Public restroom desensitization.
Level 2 + 3
W11
Week 11: Nighttime Training
Nighttime readiness signs. Bedtime routine protocol. Managing nighttime accidents. Parent coaching for realistic expectations.
Level 2 + 3
W12
Week 12: Self-Advocacy, Communication + Graduation
Building communication for toileting needs. AAC + visual supports. Fading prompts toward independence. Potty graduation celebration.
Level 2 + 3
LEVEL 2 — Clinical Toolkit · Level 2 + 3 Only
CT1
Assessment Protocols
Nervous system state assessment. Readiness scoring. Intake process. Identifying which framework area to address first for each individual child.
Level 2 + 3
CT2
Treatment Planning & Goal Writing
OT assessment templates. Plan of care templates. Long and short-term goal examples. Progress monitoring and documentation for billing.
Level 2 + 3
CT3
Implementation Activities
Session-by-session implementation guide. Clinical activities and intervention strategies. Downloadable session guide included as a resource.
Level 2 + 3
CT4
CPT Codes, Billing + Documentation
CPT codes for toilet training OT services. Documentation to support each code. Justifying medical necessity. Private pay packaging.
Level 2 + 3
LEVEL 2 — Business Tools · Level 2 + 3 Only
BT1
How to Market Your Toilet Training Specialty
Specialty bio template. Psychology Today profile. Social media announcement. How to position yourself to pediatricians and referral sources.
Level 2 + 3
BT2
Referral Letter Templates
Ready-to-send referral letters to pediatricians, GI physicians, and urologists. Professional templates for introducing your toilet training specialty.
Level 2 + 3
BT3
Scope of Practice Guide
Understanding your scope as a certified toilet training specialist. When to refer out. How to document scope in your clinical notes.
Level 2 + 3
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20+ Clinical Downloads Included
Every tool you need to assess, plan, and implement — ready to use with your next client
No other toilet training certification comes close to this resource library
Oh Crap!, IPSP, and Settled Petals combined don't offer the depth of clinical tools included in Level 2. These aren't generic handouts — every resource was developed from real clinical cases and is designed specifically for licensed therapists working with complex presentations.
🧠
Nervous System ToolsToileting Nervous System State Chart (2 versions) · Nervous System Decoder · Nervous System Map · Co-Regulation Planner · TTSA Nervous System Connection Slides
🔍
Assessment ToolsToilet Training Interview Form · Profile Form · Readiness Signs Checklist · MAIA Interoceptive Awareness Questionnaire · Fine + Gross Motor Pre-Toileting Skills Checklist
🛁
Sensory ToolsBathroom Sensory Checklist · Sensory Desensitization Plan · Seating Adaptation Guide · 14-Day Desensitization Framework · Environmental Modifications Guide
🎯
Clinical ImplementationSession-by-Session Guide · Treatment Planning Templates · Goal Writing Templates · Case Study Submission Template · Assessment Protocol
🎨
Activity LibrariesPlay-Based Interoception Activities (tactile, taste, smell, sound, temperature, clean/dirty) · Autism-specific interoception activities · Clothing Management Toolkit
👨👩👧
Parent + Carryover ToolsPotty Routine Scripts (therapist + parent versions) · Potty Songs + Rhymes · Visual Schedules · Introducing Underwear Steps · Weekly Readiness Log · Accident Response Scripts
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Business + Marketing Tools
Everything you need to build a toilet training specialty and attract the right referrals — designed specifically for licensed therapists
This is what sets licensed therapists apart from coaches and consultants
You're not starting a potty training consulting business — you're building a clinical specialty within your existing license. That means knowing how to document it, bill for it, market it to referral sources, and position yourself as the expert in your area.
💰
Pricing + Packaging GuideHow to structure toilet training service packages — evaluation only, treatment packages, home program consults, telehealth. Private pay and insurance options.
🏥
CPT Code Reference GuideSpecific CPT codes for toilet training OT services. What to document to support each code. How to justify medical necessity for toileting goals.
✉️
Referral Letter TemplatesReady-to-send letters to pediatricians, GI physicians, and urologists introducing your toilet training specialty. Plus a template for referring out when needed.
👤
Specialty Bio TemplateA customizable professional bio positioning you as a toilet training specialist for your Psychology Today profile, clinic website, and insurance panel listings.
📱
Marketing + Social Media GuideHow to announce your certification, what to post to attract referrals, and how to talk about the Regulation First™ approach to parents and providers.
🎤
How to Conduct a TT WorkshopStep-by-step guide to running a toilet training workshop for families in your community. A ready-made additional income stream for certified practitioners.
How Certified Practitioners Use These Credentials
- Email signature: "Jane Smith, OTR/L, RFTTP" or "Jane Smith, OTR/L, CTTS"
- Psychology Today profile specialty section
- Clinic website bio and specialty page
- Insurance panel specialty listings
- Referral letters to pediatricians, urologists, and GI physicians
- Social media certification announcement posts
- Visibility in the Helping Hands community — families already searching for specialists
8
Who This Certification Is For
Open to licensed professionals working with children of all abilities
🖐️
Occupational TherapistsOT, OTR/L, COTA/L — any setting: clinic, school, home health, telehealth
💬
Speech-Language PathologistsSLP, CCC-SLP, SLPA — especially those working with AAC users and complex cases
🏃
Physical TherapistsPT, DPT, PTA — pelvic floor, motor, and postural aspects of toileting readiness
🧠
ABA Therapists + BCBAsBCBAs, RBTs (under supervision) — adding a nervous system lens to behavioral approaches
💛
Psychologists + Mental HealthPsychologists, LPCs, LCSWs — addressing anxiety, trauma, and PDA in toileting
🌱
Early Intervention + EducatorsEI specialists and special education teachers with therapy backgrounds
9
What Practitioners Are Saying
From therapists who have completed the TTSA program
This completely changed how I approach every single toileting case. I stopped fighting the resistance and started listening to it. My outcomes improved immediately.
Outpatient Pediatrics
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.
Pediatric Practice
I love how in-depth the course went into evidence-based toilet training methods. Exploring the underlying reasons for various toileting challenges was extremely helpful.
School-Based OT
10
Certification Requirements
What you need to complete to earn each credential
Level 1 — RFTTP
Regulation First Toilet Training Practitioner
- ✓Complete all Level 1 modules to 100%
- ✓Pass all module quizzes (multiple attempts allowed)
- ✓Complete post-course satisfaction questionnaire
- ✓Submit brief case application worksheet (1 page)
- ✓Complete within 24 months of enrollment
Outcome: RFTTP Certificate + credential + digital badge + 1.0 AOTA CEU
Level 2 — CTTS
Certified Toilet Training Specialist
- ✓Complete all Level 1 requirements
- ✓Complete all specialist modules + 12-week curriculum
- ✓Complete full clinical toolkit modules
- ✓Pass CTTS knowledge assessment
- ✓Submit full case study (reviewed 7–10 business days)
- ✓Complete within 24 months of enrollment
Outcome: CTTS Certificate + credential + digital badge + IAOTH listing
11
Frequently Asked Questions
During the founding period, Level 1 and the bundle are both $547 — what's the difference?
Level 1 alone gives you the RFTTP credential, 1.0 AOTA CEU, and all Level 1 content. The founding bundle gives you everything in Level 1 PLUS all Level 2 specialist modules, the 12-week implementation curriculum, the clinical toolkit, business tools, and the CTTS credential — for the exact same price. During the founding period, there is no reason to buy Level 1 alone. After June 8, 2026, the bundle increases to $797.
I already purchased the $497 CEU course. What does this mean for me?
Your $497 investment counts toward the certification. You can upgrade to the full RFTTP + CTTS founding bundle for just $50 more — $497 + $50 = $547 exactly. This upgrade offer closes on June 8, 2026.
The Level 2 modules aren't all available yet — should I wait?
No. Founding members get the best price and access to every module as it releases over the next 60 days. If you wait, the bundle goes from $547 to $797. Enroll now, start Level 1 immediately, and Level 2 releases into your dashboard over 60 days.
How do the AOTA CEUs work?
Helping Hands Therapy Services, PLLC is an AOTA Approved Provider #0000001046. This course has a Course Approval ID of #7621. The certification provides 1.0 CEU (10 contact hours). Distance Learning — Independent. Intermediate educational level. CEU certificates are issued upon completion. You have 24 months to complete. For full AOTA compliance details including presenter disclosures, visit the TTSA course page →
What is the CTTS case study submission?
You submit a written case study applying the Regulation First™ framework to a real client case. It is reviewed within 7–10 business days. Detailed guidelines and a submission template are provided in the capstone module.
Can I use this with neurotypical children?
Absolutely. The Regulation First™ framework works for all children. It is the most effective approach for children who have failed everything else — neurotypical children with mild resistance or anxiety benefit just as much.
What is the IAOTH and why does it matter?
IAOTH (International Association of Therapists) is an internationally recognized accrediting body for therapy training programs. Your RFTTP and CTTS credentials are recognized globally. Your first year of IAOTH directory listing is included in your certification — families and other providers can find you as a certified toilet training specialist.
What about Level 3?
Level 3 — the Licensed Regulation First™ Provider (LRFP) — is application-based and limited availability. It includes full licensing rights to use Kathleen's curriculum with clients, access to four complete parent-facing courses to share with families, quarterly live strategy calls with Kathleen, and provider directory listing. $1,997 + $297/yr first renewal (founding) then $397/yr. Contact us to learn more.
Ready to Become a Certified
Toilet Training Specialist?
The only certification built for licensed therapists. Nervous system framework. AOTA CEUs. Both credentials. Closes June 8, 2026.
✓ AOTA Approved Provider #0000001046 · ✓ IAOTH Accredited · ✓ Founding price closes June 8, 2026 · ✓ 24 months to complete · ✓ Lifetime content access
