Helping Hands Toilet Training Certification™

(AOTA-Approved CEU Course + Certification Program)

Become a Certified Toilet Training Specialist

Using a Regulation-First, Nervous System-Based Approach

Learn how to successfully toilet train children—including complex and neurodivergent cases—by addressing the root causes of resistance, accidents, and delays through nervous system regulation, interoception, and sensory-based strategies.

AOTA-Approved CEU Course Included
Certification Pathway (International Association of Therapists)
Live Cohort Support + Clinical Application

👉 Join the Next Certification Cohort

⚠️ Limited cohort spots available. Founding pricing available for a short time.

Why Traditional Toilet Training Methods Fail So Many Children

Most toilet training approaches focus on primarily on behavior—reward charts, routines, and consistency.

And while that may work for some children…

It often fails when a child:

  • refuses to sit on the toilet
  • holds their stool for days
  • has frequent accidents
  • becomes anxious or overwhelmed
  • will only go in a diaper or pull-up

 

This is especially true for children who:

  • have sensory processing differences
  • struggle with interoception (body awareness)
  • have cognitive or developmental differences
  • experience anxiety, trauma, or nervous system dysregulation

These challenges are often labeled as behavioral.

 

But in reality…

👉 They are nervous system and body-based responses.

When the body does not feel safe, it cannot relax, process internal signals, or learn new skills.

👉 This is why many children continue to struggle—despite consistent effort, structure, and support.

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
✔ 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.

 

The Helping Hands Framework

This certification teaches a step-by-step clinical model:

Regulation → Interoception → Sensory → Motor → Routine → Independence

Instead of starting with routines and rewards…

You start by preparing the body and nervous system so the child can feel safe, aware, and ready to learn.

Because when the body is ready:

✔ awareness improves
✔ resistance decreases
✔ progress becomes consistent

👉 You cannot teach toileting to a nervous system that does not feel safe.

 

 

Inside This Certification, You Will Learn How To: 

 

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 independence

What’s Included in the Certification

This certification provides a complete, step-by-step system for understanding and implementing a regulation-based approach to toilet training.

Part 1: Regulation First Protocol

✔ understand how the nervous system impacts toileting
✔ learn why behavior-based strategies often fail
✔ identify signs of dysregulation and readiness

 

Part 2: Toilet Training Success Academy (TTSA)

A comprehensive, step-by-step system designed to help you successfully toilet train even the most complex cases through a regulation-first, whole-body approach.

 

Foundations + Clinical Mindset

✔ clear course roadmap and implementation workflow
✔ shift limiting beliefs around toileting and independence
✔ understand toileting through a neurodevelopmental lens
✔ assess readiness for both the child and family

 

Brain-Body-Gut Connection + Regulation

✔ understand the brain-gut connection and its impact on toileting
✔ address selective eating and bowel/bladder challenges
✔ improve interoception and body awareness
✔ respond to meltdowns and dysregulation effectively

 

Working With Neurodivergent Behaviors

✔ apply strengths-based approaches to toileting
✔ implement skilled strategies for resistant behaviors
✔ support children with complex developmental profiles
✔ integrate real-world clinical insights and case application

 

Building Underlying Skills Through Play

✔ address motor, sensory, and pelvic floor function
✔ improve executive functioning and body coordination
✔ use therapeutic play to support toileting readiness
✔ apply goal writing templates for toileting

 

Treatment Planning + Clinical Implementation

✔ implement structured toilet training treatment packages
✔ adapt across settings: home, school, clinic, and telehealth
✔ address encopresis, enuresis, and regression
✔ understand billing, CPT codes, and service delivery

 

Coaching + Carryover

✔ coach caregivers, teachers, and support teams effectively
✔ improve consistency and follow-through at home
✔ prepare families for successful implementation
✔ increase long-term toileting independence

 

Step-by-Step Application + Case Study

✔ follow clear action steps for implementation
✔ complete guided assessments and to-do lists
✔ apply learning through a case study
✔ build confidence and clinical decision-making

 

Part 3: Clinical Application & Certification

✔ apply the framework through case studies
✔ develop individualized treatment plans
✔ improve carryover and parent support
✔ follow a structured, step-by-step progression for toileting success
✔ implement targeted activities and interventions for each stage
✔ complete certification process

 

+ Live Cohort Experience

biweekly live coaching calls with real case discussion 
✔ Q&A and troubleshooting

 

What You Will Receive 

As part of this certification, you will receive:

__________________

 

➡️ access to the full 12 hour TTSA CEU course (1.2 AOTA CEUs)

➡️ screening and assessment tools 

➡️ evidence-informed treatment planning frameworks and intervention strategies 

➡️ therapist and caregiver tools and downloadable resources

➡️ A structured coaching model and TeleSCOPE Intervention Blueprint to support parent-directed implementation 

 

Additional Resources Included

➡️ ​caregiver education materials and handouts 

➡️ ​structured workshop and training frameworks 

➡️ access to referral and implementation support  

➡️ nervous system regulation audio tools 

ENROLL NOW

 

From Personal Struggle to a Proven Approach

This work is deeply personal to me.

My daughter was potty trained at age 2, and everything seemed to be going well—until she became severely constipated and began withholding.

What followed was one of the most challenging and emotional experiences I’ve gone through as both a parent and a therapist.

She was afraid.

And I could see it clearly.

But I didn’t know how to help her feel safe again.

I was encouraged to use behavioral approaches—reward charts, routines, and consistency—but everything in me knew this wasn’t a behavior issue.

👉 It was fear.

And I didn’t know how to teach her that it wasn’t going to hurt anymore.

For three years, I tried everything.

It was exhausting.
It was frustrating.
And it was heartbreaking to watch her struggle.

We began using calming strategies, working through her fear slowly, and helping her body feel safe again.

Little by little, things started to shift.

And eventually… she was able to use the bathroom again.

 

That Experience Changed Everything

After that, I began receiving more referrals for children who were also:

• withholding stool
• struggling with constipation
• not potty trained
• stuck in cycles that traditional methods weren’t resolving

I started diving deeper.

And it wasn’t until I began learning about:

✔ the nervous system
✔ past experiences and memory
✔ interoception and body awareness

That everything truly clicked.

👉 There was a direct connection between the nervous system and toileting.

 

Building on a Proven Foundation

As I continued this work, I was introduced to the Toilet Training Success Academy, originally created by Arianna Medina, COTA.

This program provided a strong clinical foundation and practical framework for addressing toileting challenges.

Through Helping Hands, I was able to expand upon this work—integrating a deeper nervous system, interoception, and regulation-based approach based on both my personal experience and the needs I was seeing in families and therapists.

 

An Expanded, Regulation-First System

Today, this certification combines:

✔ the foundational TTSA framework
✔ expanded nervous system and regulation-based strategies
✔ additional modules developed from real-world clinical and parent feedback

Creating a more comprehensive, whole-body approach to toilet training 

So therapists and families no longer have to feel stuck, overwhelmed, or unsure of how to help.

 

Toilet Training Success Academy is for you if:

  • You work with Autism, ADHD, Oppositional defiant disorder, Sensory processing disorder, Down syndrome, Spina Bifida, and related diagnoses
  • You have kiddos on your caseload who are still in diapers that desperately need to be toilet trained
  • You feel guilty avoiding toileting goals knowing your client could be toilet trained given the proper intervention and carryover
  • You want to have the confidence knowing your family will follow through at home when you're not there
ENROLL NOW

 

Choose Your Certification Path

 

Certification

CEU Course

  • full Helping Hands Toilet Training Certification™
  • Regulation First Method™ training 
  • Toilet Training Success Academy (TTSA) AOTA-approved CEU course access
  • access to full certification materials  and session planning templates
  • core nervous system audio tools
  • certification credential 
Enroll in Certification

Certification + Implementation Toolkit

MOST POPULAR

  • everything in Certification 
  • therapist worksheets, tools, evaluation and documentation templates 
  • parent education handouts 
  • session planning templates and step-by-step curriculum
  • includes expanded regulation tools 
  • expanded ready-to-use implementation resources 
Get Certified + Toolkit

Certified Licensed Provider

Limited Availability

  • everything in Certification + Toolkit
  • expanded regulation tools + client-ready resources 
  • licensed to use program with clients
  • access to client education videos to share with families 
  • priority coaching support for complex cases and implementation
Get Certified + License

AOTA Approved

12 Contact Hours = 12.0 AOTA CEUs

After completing this intermediate, 12-hour self-paced course, you will be awarded 12.0 CEUs (12 contact hours) only if you:

✅ Complete all CEU modules

✅ Pass the simple quizzes

✅ Submit your case study, and

✅ Complete the required post-course satisfaction questionnaire.

You'll have lifetime access to the content but have 24 months upon enrolling to complete the course to receive the CEU.

 

Toilet Training Success Academy (TTSA) – CEU Course Details

 

Who is this for? 

This Distance Learning - Independent Professional Development Activity is designed for Occupational Therapists, COTAs, Speech Language Pathologists, and Physical Therapists and other pediatric providers who are committed to supporting toileting independence in neurodivergent children and teens. 

It is especially beneficial for clinicians working with children who present with sensory, behavioral, or regulation challenges that impact toileting success.

When does it start?

You will receive immediate access upon enrollment.

The course is self-paced and includes 24-month access to the full online curriculum, allowing you to move through the material at a pace that fits your schedule.

The program includes approximately 12 hours of content, and participants can progress through the material based on their individual learning pace and clinical application.

Biweekly group coaching sessions are included for support, case discussion, and implementation.

What's included?

This online program awards 12.0 AOTA CEUs and is at an Intermediate educational level.  

The course is designed to be practical and results-oriented, providing:

✔ evidence-informed toilet training systems across settings
✔ assessment tools and measurement strategies
✔ goal writing templates
✔ intervention planning to support carryover
✔ access to a wide range of clinical resources and tools

Course Development & Instruction

The Toilet Training Success Academy (TTSA) was originally developed by Arianna Medina, COTA/L.

Her work provides a strong clinical foundation for toileting intervention, which has been expanded within this certification program to include a regulation-first, nervous system-based approach, along with additional training modules, tools, and clinical applications based on real-world experience and feedback from therapists and families. 

The program also includes contributions from guest speakers and additional instructional content.

 

Presenter Disclosure 

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. 

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

Led by Kathleen Yopp, MOT, OTR/L

Kathleen Yopp is a pediatric occupational therapist and the founder of Helping Hands Therapy Services, where she provides a holistic, nervous-system-informed approach to supporting children and families.

With over two decades of experience working with children across home, clinic, and school settings, Kathleen specializes in emotional regulation, sensory processing, interoception, and functional skill development, including toileting and feeding.

Her work is grounded in a regulation-first approach, recognizing that toileting challenges are not simply behavioral, but are deeply connected to the nervous system, body awareness, and past experiences.

Through both her clinical work and personal experience, Kathleen has developed an expanded, whole-body framework that integrates nervous system regulation, interoception, and practical strategies to support toileting success—even in complex and resistant cases.

She is the creator of the Helping Hands Toilet Training Certification™, where she combines the foundational TTSA framework with additional training, tools, and clinical application to help therapists confidently support their clients and families. 

 

Presenter Disclosure 

Financial: Kathleen Yopp is the owner of Helping Hands Therapy Services and receives compensation for this course.

Non-Financial: Kathleen Yopp has no relevant non-financial relationships to disclose.

Content Disclosure: This course includes discussion of clinical frameworks such as nervous system regulation and polyvagal theory but does not focus exclusively on any specific product or service.

🎉 Expert Guest Speakers 🎉

Kelly Mahler, OTD, OTR/L - Expert in Interoception and Toilet Training

Kelly is the winner of multiple awards including the 2020 AOTA Emerging and Innovative Practice Award & a Mom’s Choice Gold Medal, she is an interoception groupie who is actively involved in research projects on topics such as interoception, self-regulation, trauma, and autism.

In our interview, she reveals the root cause as to why some children don't recognize that they need to toilet and exactly what we can do to achieve ultimate toileting success. 

Kerri Hample, OTD, OTR/L - Expert in Selective Eaters and Toilet Training

Kerri has 20+ years of experience working with selective eaters and toileting problems. During her extensive continuing education in accomplishing her Certification as a Functional Medicine Health Coach, she has discovered a deeper root to these problems.

In our interview, she reveals the vicious cycle behind our children's food habits and how to break them in order to achieve ultimate toileting independence once and for all.

Dr. Steve Hodges, Pediatric Urologist MD - Expert in Enuresis, Encopresis, and Toilet Training

Children with severe bedwetting and accident problems are referred to Dr. Hodges on a daily basis. 

During our interview, he reveals how to resolve constipation, urine withholding, and bedwetting with diagnoses such as Autism, ADHD, ODD, and SPD in order to achieve ultimate toileting independence and prevent years of suffering.

Introducing Our Expert Guest Speakers

Kerri Hample, OTD, OTR/L, Expert in Selective Eaters

Kerri is a fantastic OTR/L who has over 20 years of experience working with children and teens with selective eating habits and toileting problems. During her extensive continuing education in accomplishing her Certification as a Functional Medicine Health Coach, she has discovered a deeper cause of selective eating problems

In our exclusive interview, Kerri reveals the vicious cycle behind the child or teen's food habits and how to break this cycle in order to achieve ultimate toileting independence once and for all. 


Financial - No relevant financial relationship exists.

Non-Financial - No relevant nonfinancial relationship exists.

Dr. Steve Hodges, Pediatric Urologist MD, Expert in Enuresis, and Encopresis

Dr. Hodges is an excellent Pediatric Urologist who is an expert in toilet training. Children and teens with severe bedwetting and accident problems are referred to Dr. Hodges on a daily basis. 

During our exclusive interview, he reveals how to resolve constipation, urine withholding, and bedwetting with different diagnoses such as Autism, ADHD, ODD, and SPD in order to achieve ultimate toileting independence and prevent years of suffering. 


Financial - No relevant financial relationship exists.

Non-Financial - No relevant nonfinancial relationship exists.

Kelly Mahler, OTD, OTR/L, Expert in Interoception

Kelly is an incredible OTR/L and the winner of multiple awards including the 2020 AOTA Emerging and Innovative Practice Award and a Mom's Choice Gold Medal, she is an interoception groupie who is actively involved in research projects on topics such as interoception, self-regulation, trauma, and autism.

In our exclusive interview, she reveals the root cause as to why some children or teens won't respond to the sensation of needing to void and exactly what we can do to address it.


Financial - No relevant financial relationship exists.

Non-Financial - No relevant nonfinancial relationship exists.

Dr. Whitney Sippl, DPT, WCS

Dr. Whitney Sippl is an amazing Pelvic, Abdominal, and Pediatric Physical Therapist who specializes in pelvic health. She has unique insights and perspectives by specializing in pediatric pelvic health but also working with pregnancy and postnatal women's health.

In our exclusive interview, she teaches us how the pelvis works during toileting with an interesting real-life physical pelvis model.


Financial - No relevant financial relationship exists.

Non-Financial - No relevant nonfinancial relationship exists.

Brittany Cheng, MS, OTR/L

Brittany is a wonderful pediatric OTR/L and expert in toilet training and carryover. She really understands how to coach and consult the primary caregiver for successful at-home carryover. 

She shares her secret carryover strategies that we can implement to facilitate at-home carryover during toilet training.


Financial - No relevant financial relationship exists.

Non-Financial - No relevant nonfinancial relationship exists.

Join the Helping Hands Toilet Training Certification™

Spots are limited to ensure a high-quality learning and coaching experience.

If you’re ready to:

✔ confidently address toileting challenges
✔ support even complex and resistant cases
✔ implement a clear, structured, regulation-first approach
✔ become a specialist in a high-demand area

Then now is the time to take the next step.

👉 Choose your certification path and secure your spot today.

  

Founding Beta Cohort (First 10 Participants)

Receive $100 off your certification as part of our initial launch group.

CEU Certification

 

Choose Certification if you want CEU course access and materials to learn the method and apply it in your current role.

$697

$597

Founding Beta (first 10 spots)

 

BUY NOW

Certification + Toolkit

 

Choose Certification + Toolkit if you want ready-to-use resources to implement immediately and save time.

 $1097

$997

Founding Beta (first 10 spots)

 

BUY NOW

Licensed Provider

 

Choose Licensed Provider if you want to fully integrate this system into your services and position yourself as a specialist.

$1697

$1597

Founding Beta (first 10 spots)

 

BUY NOW

Customer Reviews

Louise D., OTR/L, Clinic

⭐️⭐️⭐️⭐️⭐️

"Great Course! Very helpful in learning about the various aspects of toileting and how to treat various issues. Great handouts were provided as well. Highly recommend this course as an OT."

Lacey L., OTR/L, Clinic

⭐️⭐️⭐️⭐️

"I do not always feel like I have the needed time to review evidence-based articles related to pertinent topics (such as toileting) and am often limited to anecdotal advice. I most appreciated an in-depth review of current literature to make informed decisions regarding toilet training practices. I have already implemented and recommended strategies to my families including the use of a tiny toilet to carry them to the bathroom when practicing and reading potty books prior to practicing in the clinic."

Daza H., Clinic

⭐️⭐️⭐️⭐️⭐️

"The instructor was very clear and explained things in a way that was easy to understand. I enjoyed the way the information was presented and backed up with research. I will use the information and skills learned in his course to further improve my career. I can also implement these skills in my personal life when the time comes to potty train my kids."

Rowan B., OTR/L

⭐️⭐️⭐️⭐️

Taihler N., COTA/LSchool

⭐️⭐️⭐️⭐️⭐️

"It was great."

Kaylee F., OTR/L, Clinic Lexington Services

⭐️⭐️⭐️⭐️

"Despite so many methods out there it was nice to have evidence-based approaches presented with a clear method for working through toilet training and addressing many of the grey areas in between."

Shirley C., OTR/L, School

⭐️⭐️⭐️⭐️⭐️

"The Toilet Training Success Academy is a complete package guiding both the experienced and the not so experienced therapist on how to ensure toilet training successs. Arianna provides information regarding the necessary underlying skills and body awareness needed, as well as strategies on how to elicit these from your client. I highly recommend this course to therapists who work with clients who need toilet trainging. The course provides us with protocols for variuos settings, not just home or clinic. Most valuable were the modules that discuss the various protocols for different settings. I plan to use the knowledge to implement a toilet training program in the school I work in."

Kayla B., Speech-Language Pathologist Assistant, School

⭐️⭐️⭐️⭐️

"This course is particularly useful when it comes to any parents or professional who is having difficulty toilet training their students or children. It provides downloadable resources that can be utilized during the training process as well as many studies/facts about why certain methods of toilet training are more effective than others. This course is extremely detailed and well-researched! I intend on using this knowledge to assist the paraprofessionals/parents within the school system I work with."

Naomi O., PT, Clinic

⭐️⭐️⭐️⭐️

"Interesting course with some good resources."

Julie S., OTR/L, Home Health

⭐️⭐️⭐️⭐️⭐️

"The Toilet Training Success Academy gave me more hands on interventions such as play and modeling with toys to increase understanding of toileting process in a less threatening environment prior to introducing the toilet. I will be implementing all learned techniques with multiple children in my home health setting."

Margarita Y., OTR/L, School

⭐️⭐️⭐️⭐️

"Detailed overview of EBP research and articles, as well as interviews. Will to incorporate into my interventions with neuro-divergent school population. Collaborate with teachers, paras and parents/ primary caregivers."

Carla P., OTR/L, Clinic

⭐️⭐️⭐️⭐️

"I found the evidence based research very helpful! I will use it in clinic, before I was overwhelmed by TT. I know feel suitable to address this need in our profession within the pediatric field."

Olandria L., OTR/L, Home Health

⭐️⭐️⭐️⭐️

"The overall course was really helpful in helping to understand simply where to start with TT. I enjoyed learning how to approach and solve challenges that I see too often and was stumped on how to get pass them. I am new to the TT realm and feel a bit more confident that I can provide the families I serve true hope in reaching their goals. I truly appreciate all of the resources provided and Arianna's prompt responses to any and all questions/comments I had. Her thoroughness in researching this topic does not go unseen."

Elizabeth A., OTR/L, Clinic

⭐️⭐️⭐️⭐️

"Enjoyed the evidence review of literature on the topic."

Stephanie T., OTR/L, Clinic

⭐️⭐️⭐️⭐️⭐️

"This course does a fantastic job at looking at toileting from different angles and providing a holistic approach to helping parents and therapists learn the skills to assist children with developing this skill. I found it interesting, as well as confirming to the current strategies I use with clients.I intend to use some of the strategies learned within my work setting. I have many families coming to therapy for assistance with toilet training. I think the visuals and suggestions will be helpful to use when goal setting with families."

Kylie R., OTR/L, Home Health

⭐️⭐️⭐️⭐️

"I like the flexibility of scheduling, where you go at your own pace and there are multi-level EBP approaches for specific toileting problems to make the ability to apply the materials more achievable based on client presentation. I intend to use this for several families who have struggled with toilet training their 7+ year old child and hope to work down the age ladder of my younger clients to assist in prolonged independence. With the resources and slides, I hope to create more customized approaches that can be applied multi contextually and cultural."

Helene K., OTR/L, Clinic

⭐️⭐️⭐️⭐️

"Thank you for doing the research on all the different TT methods."

Ann K., OTR/L, Clinic

⭐️⭐️⭐️⭐️

"The course includes evidence on protocols that work and that are individualized. The details and helpful checklists in the course make you the expert on how to choose the right protocol. There is also needed education on how to be a toilet training coach. I would not have any confidence in this intervention without this course. I have already used the coaching/collaborative style with 2 parents. I have instilled a path and some confidence in the things going well and have become a resource and an accountability partner. "

Miranda H., OTR/L, Clinic

⭐️⭐️⭐️⭐️⭐️

"Great resource with so much helpful information! I loved all the research articles that were referenced. I work in an outpatient setting with children with a variety of diagnoses. I have already started to implement the handout and assessments provided to assist families in toilet training children!"

Kristen A., OTR/L, Clinic

⭐️⭐️⭐️⭐️

"Very thoroughly researched and blending insights and interviews from ALL of the disciplines involved was super helpful. I feel much more confident in toilet training than I have in my 10 years as a practitioner."

Theda B., OTR/L, Clinic

⭐️⭐️⭐️⭐️⭐️

"Thank you for synthesizing all of the evidence-based research and presenting it in this format. Thank you also for all of the ideas and handouts we can use with families. I appreciated your friendly and easy-going nature. I see children at our outpatient clinic daily that are struggling with potty training that are autistic or developmentally delayed. Some are not potty trained at all after parents say they tried and failed, some have frequent accidents even after potty training, and some have constipation issues. Almost all have picky eating issues and do not stray far from the "tan diet. This course will help me set up better plans with the families to tackle the potty training issues."

Patille N., OTR/L, Home Health

⭐️⭐️⭐️⭐️⭐️

"I love how how concrete and practical this information and that it is evidence-based. I feel much more equipped to support the kiddos and families I work with. I intend to help families in the home health setting which children ranging in ages 3-14 with TT."

Wendy T., OTR/L, School

⭐️⭐️⭐️⭐️⭐️

"Phase 2 was helpful for understanding how the child's strengths and processing impact the behaviors around toileting. The course covered several areas, coaching, Telehealth, and toilet training. I'm going to start having conversations with teams around toilet training, and with my fellow OTs."

Sarah V., OTR/L, Clinic

⭐️⭐️⭐️⭐️

 

Ella A., OTR/L, Clinic

⭐️⭐️⭐️⭐️

"Super helpful course with handouts to include caregivers and parents in the process. Provided evidence to back up theories and interventions. I have so many families coming in whose main stressor at home is difficulty with toilet training their kids with special needs. I plan on implementing some of the strategies and interventions as well as including the parent/caregiver in the process with the education piece and handouts."

Faith C., OTR/L, Clinic

⭐️⭐️⭐️⭐️⭐️

"As an OT in an outpatient clinic, one of the biggest concerns parents have shared with me are related to toilet training difficulties. I didn't know where to start and the research process for evidence-based practices was daunting. 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! The information provided within the course is thorough yet practical. The handouts provided are amazing and Arianna has been so great to work with!"

Nour O., OTR/L, Clinic

⭐️⭐️⭐️⭐️⭐️

"I would like to thank you for this course and I am so happy and satisfied with what I have learned through this course. the course is very comprehensive, goal-directed. it provides me with very important tips on how to do toilet trained children on my caseload in different settings such as clinics, telehealth and daycare. The attached resources are very helpful. thank you."

Siobhan D., OTR/L, School

⭐️⭐️⭐️⭐️⭐️

"It was a very insightful course that encompassed a wide variety of toilet training topics! I thoroughly enjoyed this course. It was insightful and really had me think about the whole child in terms of toilet training. I believe this was a beautifully formatted course"

Stephanie C., OTR/L, Clinic

⭐️⭐️⭐️⭐️

"I loved how in-depth the course went into evidence-based toilet training methods in different settings. Exploring various underlying reasons for various toileting challenges was also extremely helpful. Thank you Arianna for such a comprehensive toilet training course!"

Amy W., Child Therapist

⭐️⭐️⭐️⭐️⭐️

"Such a thorough course! It is obviously well-researched and presented beautifully."

Yun F., OTR/L, Home Health

⭐️⭐️⭐️⭐️⭐️

"Love this course! Learnt a lot about underlying issues to toileting, and more clear ways to coach parents throughout the toileting journey."

ENROLL NOW

What Pediatric Therapists Are Saying

 

Faith C., OTR/L 

"As an OT in an outpatient clinic, one of the biggest concerns parents have shared with me are related to toilet training difficulties. I didn't know where to start and the research process for evidence-based practices was daunting. 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! The information provided within the course is thorough yet practical. The handouts provided are amazing and Arianna has been so great to work with!"

 

Ann T., OTR/L

"The course includes evidence on protocols that work and that are individualized. The details and helpful checklists in the course make you the expert on how to choose the right protocol. There is also needed education on how to be a toilet training coach. I would not have any confidence in this intervention without this course."

Stephanie C., OTR/L

"I love how in-depth the course went into evidence-based toilet training methods in different settings. Exploring various underlying reasons for various toileting challenges was also extremely helpful. Thank you, Arianna for such a comprehensive toilet training course!"

Learning Outcomes

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  • You have a new client that desperately needs to be toilet trained and the primary caregiver is looking right at you for help. So you'll be able to:

    1. Identify a child’s level of readiness for toilet training

    2. Identify the family's level of readiness for toilet training

    3. Identify three reasons why primary caregivers may have difficulty with at home carryover and how to adapt and modify accordingly in order to achieve the goals, solidify at-home carryover, and ensure the utmost success.

  • But you know before you can even begin to address toilet training, you must first address the vital prerequisites that most clinicians overlook, so you'll be able to: 

    4. Analyze a child's pooping behavior to determine what type of approach strategy will be most effective and meaningful

    5. Develop three or more specific hypotheses about how a child's bowel and bladder health (constipation or urine withholding) may be related to their food and fluid intake which then impacts the toilet training process as a whole

    6. Apply two or more teaching strategies that increase the variety of nutritious foods and drinks into the child’s repertoire for selective eaters

    7. Generate three or more intervention strategies to address interoception

    8. Analyze a child's potential meltdown triggers in regards to toileting and determine 3 approaches that will prevent or diffuse the trigger.

Now it's time to address the underlying skills needed for ultimate toileting independence. So you'll learn how to: 

9. Analyze a child’s learning style using a process of informal assessment.

10. Analyze a child's level of mastery and emerging underlying skill level for toileting and utilize this understanding to plan meaningful play-learning activities

11. Generate three or more intervention strategies based on a specific child's strengths that will address the underlying skills required for toileting

12. Analyze typical sensory behaviors to identify three barriers to toileting

13. Generate six or more intervention strategies based on sensory approaches in regard to toileting.

  • Wonderful, you've prepped and primed the client for ultimate toileting success but now this is where the real results show, so now you'll learn how to: 

14. Adapt, modify and individualize an evidence-based toilet training treatment package to determine which approach will be most meaningful to the child and family

15. Collaborate with the primary caregiver to develop an At Home Toilet Training Program in consideration of the family’s dynamic and availability.

16. Develop a remote monitoring intervention plan: weekly support, follow-ups, accountability, and an understanding of the family dynamic.

17. Apply the “Regression Prevention Process” and an understanding of family dynamics to identify three reasons why children may regress and what you can do to coach and consult to help the primary caregiver in case of regression.

Once you and the family have masterminded a solid At-Home Toilet Training Program, it's time to fully set up their home environment with all the equipment they need for ultimate success. So you'll know how to: 

18. Analyze a client's learning style to determine what type of toilet training resources (toilet training pics, visual sequence charts, social stories, progress charts) will be most meaningful to them.

19. Plan an individualized visual daytime and nighttime toilet training routine checklist based on your collaboration with the primary caregiver, including instructions at the appropriate level, a method for the child to use the schedule, resources, and at least two concrete ways that the schedule and resources can be used to promote flexibility.

  • Great work! 🥳 But your client thinks any other toilet aside from the toilet at home is the apocalypse! So now it's time for overall generalization at school, daycare, and public restrooms so everyone is on the same page and the child is not brought back to square one. 

20. Synthesize and apply your knowledge of the “Caregiver Carryover Process” across all areas of your client’s occupation environments that he/she will be performing this ADL such as at home, school, and daycare that include at least three carryover strategies from the course.

FAQs

Helping Hands Toilet Certification 

Built on the foundational Toilet Training Success Academy (TTSA) CEU course and expanded with a regulation-first, nervous system-based framework.

If you're ready to move forward, review the certification options above and choose the path that best fits your goals.

Founding beta pricing is available for a limited time and will increase as the program continues to expand. 

View Certification Options