I have a first grader in my school who is not fully toilet trained! Apparently this has been an issue since PK with this child. Mom doesn't bother to send a spare set of clothes because the child refuses to clean himself up. This is the root of problem. At home, mom wipes him after he has a BM, so if nobody is there to wipe him, he just goes in his pants and waits for someone to come to the school and clean him up. He refuses to do it himself. He told me flat out that he can't poop on the toilet because his mom needs to be there to wipe him. I've offered to allow him to use my bathroom and assist him and he refuses, it has to be mom. We are almost done with the year, and this is a 2-3 day a week issue. What's worse, is it takes 1-3 hours for someone to come to the school to change him. He thinks it's playtime, and wants to color or pretend play in my clinic the whole time.
The administrator came into the office yesterday and demanded he try to change himself, gave him a change of clothing and wipes and sent him into the restroom, he stood in there and cried for 30 minutes, never once attempting to do it.
I'm really at my wits end. The kid is a bit below his peers academically, but definitely able physically and psychologically to do this by himself.
Any ideas? Mom and sister claim they've "tried everything". I suggested sticking clothing and wipes in the bathroom, and making himself get cleaned up every time he does this. I believe eventually he'll decide it's easier to wipe himself than clean up after pooping his pants. But something tells me mom isn't willing to take the hard line here.
