Just had to shout it out: My new kid (12 years old, profound autism and cognitive impairment) came to me "not toilet trained." Within the first two weeks, I've gotten him up to a 50 minute schedule. He is schedule trained. I know people say this isn't "toilet trained," but to be honest, I'd much rather have a schedule trained 12 year old than a not potty trained at all making huge amounts of urine all over my floor 12 year old. At any rate, with my little Teachersk Method of Toilet Training, I use the PECS card attached to his pants and require him (prompt) to exchange it each time he enters the bathroom. The routine starts to "stick" and the kids get it that the bathroom tag = I go into the bathroom. Also, successful voids in the toilet = something really motivating (in this case, skittles). So, there are times where he randomly pulls the card off to stim with it, but if he puts it in our hand, we honor it like a true bathroom request, even if we know he doesn't have to go. We're trying to get that "connection" that THIS CARD = bathroom. So, today, he pulled off the card and handed it to me - it was SO intentional. He then trotted off to the bathroom without distractions (which is huge for him, he normally trots around the room flicking his fingers and forgets what he's doing!!). He went right in, pulled down his pants, sat down, and peed. Then he stood up and put his hand out for his skittles. lol. AWESOME. So, not sure if the total connection is there, but at least we're getting somewhere. We're at 50 minute scheduled trained with one single successful independent request for the bathroom within the second week of school. I'll take it! Hooray!