20/11/2025
Encouraging Toileting for Children with a Disability – Why Waiting Isn’t Always the Best Option
If your child has a disability or developmental delay, you might have been told: “Just wait until they’re ready.” That guidance most likely came from a caring place, but the latest evidence suggests that waiting too long to support toileting skills can actually make things harder for you and your child.
Here’s what the research is showing:
Children with developmental disabilities (including intellectual disability, autism spectrum disorder and other challenges) are more likely to have ongoing toileting issues than typically developing children.
Delaying the process of toileting or leaving it “to when they’re ready” may lead to longer-term incontinence, fewer opportunities for independence, and greater stress for the family. (Continence health Australia)
While children with additional needs may need more support, they can still learn toileting skills, and early, proactive efforts (tailored to their needs) have benefits for their health, self-care, participation in community settings, and social inclusion.
“Waiting for readiness signs” may be tricky because children with sensory, communication or physical issues may not show the clear cues that are typical for other children (e.g., telling you they’re wet, recognising the urge).
sfcp.cedwvu.org
What this means for you as a parent
Start by working with your child’s unique profile, their physical, communication, sensory and cognitive strengths and challenges.
Rather than “waiting” passively, you can begin small steps of toileting support, routines and practice.
If things aren’t straightforward: that’s totally okay. This is exactly where specialist help (like from a paediatric continence nurse, specialised continence OT or physio) is worth it.
The goal isn’t perfection overnight, it’s building confidence, reducing accidents, supporting dignity, and giving your child more independence.
In short: If your child has a disability or developmental delay, you don’t need to put toileting on hold. Starting earlier (with the right support) often means better outcomes, more independence, and less stress for everyone.
If you’d like help mapping out the “how”, with a plan that works for your child and your family, I’d love to support you through that.
💧 Amanda at Thriving Families (Connect · Sleep · Grow) has 30 years of child development and specialised continence education to help find the solution for your family