I'm sure there have been a million threads on toilet training, and I've done my share of it, but this year I am encountering a unique problem. I have a kid (5 years old, has moderate autism) who can't/won't poop in the toilet. When the year began, he used to "streak" his pants, like he needed to go, but was holding it. Now he just flat out poops his pants. Twice. Daily. Background info: he has made some progress with the whole bathroom routine in that he now tolerates sitting on the toilet. We take him 4 times during the school day (the bathroom is an unfortunate hike away). He shows consciousness of when he is pooping (will verbalize what he is doing/that he needs to change). He is a VERY large child for his age (wears size 14 boys pants) and really hates pulling his clothes up and down, though he is doing better at tolerating trying more/harder. Things I have done: provide stool for his feet, books he likes that he can ONLY look at in the bathroom, provided sensory items for him to transition to/from the bathroom (stressful transition), provide visual sequence w/ photo pictures for both, made a flip visual for the door to show whether he has to just pee or pee and try poop, make a social story about him pooping in the toilet, given him choices as much as possible (i.e. do you want to use this wipe or this one) and stack his schedule with first: toilet/then: highly preferred activity. Oh, and I also took a picture of poop in his underwear and posted it in the classroom and bathroom stall with a universal no sign over the top of it. Oh, AND I keep data of when he poops - to see if I can figure out if its related to an activity or transition yet. So far no pattern that I can figure out, except that he tends to go at least once in the morning and once in the afternoon - though the times vary. Often we'll spend 20 minutes in the bathroom trying, then come back only to have him poop his pants 2 minutes later. Its really hard because it usually takes at least 30 minutes to get him through the bathroom and cleaned up - he really makes a mess. You have to have him take all his clothes off, clean his legs, butt, back, etc. He's highly resistant to most of this. I try to make him do as much of the dressing/undressing as possible, and that has gotten better, but is very slow. Then the kids in my classroom aren't able to follow their schedules because myself or my para are out of the room dealing with poop. Any ideas???!