Training Course

Autism and continence

13 February 2020, London

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About the course

This one day course will focus on the common toileting difficulties in autistic children. It aims to help with understanding the potential impact of autism on learning to use the toilet, alongside discussing specific continence issues. It will include information about toileting training, potential reasons why autistic children may have toileting difficulties alongside specific autism-related continence issues. The session will focus on both the need for detailed preparation, understanding of toileting readiness, alongside examining autism related continence difficulties such as only using certain toilets, smearing and sensory differences.

The course has been written by Dr Eve Fleming, Community Paediatrician and Lorraine MacAlister, a National Autistic Society Autism Training Consultant. Eve and Lorraine have both published articles in Nursing Times about autism and are authors of the book Toilet Training and the Autism Spectrum: A Guide for Professionals.

We look forward to seeing you in London!


Shauna Fleming E: T: +44 (0) 300 303 4313

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National Autistic Society Training Courses
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Key topics

Some of the key topics this training will cover include:

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  • autism and common toileting difficulties
  • toilet training (including pre-toileting preparation and toileting readiness)
  • specific continence issues (including constipation and bladder problems)
  • specific autism issues
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  • working co-operatively with parents to develop toileting skills
  • getting support (including local authority and national guidance).

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Dr Eve Fleming
Eve Fleming is currently working as a Clinical Education Fellow at the University of Warwick Medical School and contributes to medical student support and group teaching.

She qualified as a doctor in 1965 and, after junior posts in hospital became a general practitioner. She then transferred to working in community child health, seeing families with children and teenagers with chronic health problems and complex needs. She had a special interest in adolescent health as she felt the health needs of this group were often neglected.

Her role in the community included setting up and running the local bowel and bladder service. This included supervision and training of other staff who ran clinics for children with bedwetting. As part of this service she had close working relationships with child clinical psychology colleagues to create joint approaches for children with continence difficulties and autism.

Since leaving direct working with children in 2012 she has concentrated on writing and teaching, and is a trustee for ERIC, the children’s bowel and bladder charity. She feels that bowel and bladder problems have perhaps more impact than almost any other medical condition on children’s self esteem, education and social relationships, and effective treatment can change children’s lives.

MB ChB Leeds 1964
Diploma in Community Paediatrics University of Warwick 1984
Postgraduate Award in Medical Education. University of Warwick 2003
English and Cultural Studies BA University of Warwick 2008

Publications and resources by Eve Fleming:
• National Service Framework for Children, Young People and Maternity Services - Continence issues for a child with learning difficulties (Department of Health)
• Toilet Time Resource Pack Sense Toys
• Toilet Training and the Autism Spectrum - A Guide for Professionals
Lorraine MacAlister

Lorraine is an Autism Training Consultant who has worked with autistic people and their families throughout her career and is passionate about increasing understanding of autism. Joining The National Autistic Society in 2005, Lorraine has delivered a variety of autism training to both professionals and families, covering a range of topics including sensory differences, continence, sexuality and women and girls. She has lectured on autism at a variety of UK Universities and has spoken at several conferences on autism and related subjects.

Her publications include Toilet Training and the Autism Spectrum: A Guide for Professionals (2016) with Dr Eve Fleming, Toileting problems in children with autism (2014) in The Nursing Times, and the NAS Teen Life workbook. Lorraine developed the new NAS Teen Life parent support programme and accompanying Licensed User Training, and has written a variety of articles on Network Autism, covering topics such as catastrophising and toileting difficulties.

Lorraine’s most recent project is as one of the content writers for the NAS’s newest online training module on autism in women and girls, which launched in March 2018.

“My favourite part of the job is the opportunities I get to constantly learn more about autism, often from autistic people themselves, and to share that knowledge with those who come on my training”.

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The course will be held at The National Autistic Society in London.

393 City Road

The London office is at the Islington end of City Road, on the north side of the street. Turn left on leaving Angel Underground station and take the first road on the left. The National Autistic Society is approximately three minutes' walk from the Underground.

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National Autistic Society training venue and location
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Why attend?

  • increase your understanding of autism and the underlying reasons for toileting difficulties
  • develop skills to support toilet training and specific continence issues
  • have ideas about management of specific autism issues
  • opportunity to share experiences and support strategies with colleagues in other settings
  • develop the ability to support parents in approaches to developing continence.   

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Course Fee £185 + VAT

This includes:

  • training materials
  • certificate of attendance
  • lunch and refreshments.

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Who should attend?

This course is aimed at those working with autistic children who are experiencing difficulties with any aspect of toileting across a variety of settings. It is particularly relevant for continence advisers, nursing teams and school-based staff or advisers.


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Really good training. Very useful information and resources. Great to discuss ideas with other professionals.

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To secure your place register now to avoid disappointment.

Book now