@TwoFeralKids@x2boys
I was one of the posters who spoke about how some other European countries don’t have a toilet training difficulties.
I also said that I believed it was a social issue rather than a rise in Sen diagnosis and the lack of specialist school places.
I ‘ll try and expand.
While I DO NOT feel that here ( in Italy) disability and SEN have better provisions on the whole, there are very big problems here too, I do feel that the differences in the set up for the age range 0-6 is key to this particular issue , ie toilet training.
Firstly all children are assigned a paediatrician from birth till 14 years of age. Children will be seen at regular intervals for 30/45 minute appointments where a whole range of checks will be carried out, as well as generally whenever they need to be seen for illness or advice etc.
Here parents are given detailed instructions and support about feeding, and subsequently exactly how to ween, with a programme of when exactly to introduce each new food type to best avoid allergies is given. Italian parents will be given a literal list of the order to introduce fruit and vegetables etc
Depending on the child’s birthday Paediatricians will instruct parents to remove nappies, in the summer before they turn 3.
The idea that parents wait till children show an interest isn’t really considered. They are told to take off nappies and advice on how to do this and that’s what they do.
At the milestone check ups 12/18/24/36 months all children are monitored and children who show differences outside of the normal range of development, will have been already seen by specialists during this time.
A child with a speech delay would be seeing a speech therapist within a relatively short time.
Italy has state run preschool provision for 3-6 year olds. When I say that children start at 3 or just under out of nappies I think I should make a clarification. The children don’t wear nappies, but their training, as in using the toilet, is part and parcel of the educational process for this age range .
WE DON’T EXPECT 2/3 YEAR OLDS TO BE SELF SUFFICIENT IN TERMS OF TOILETING.
We expect them to come in and be used to not using nappies, but not to remember by themselves to go to the toilet.
Children use almost classroom sized wet rooms with 8/10 miniature ceramic toilets, sinks and a shower.
They go to the toilet as a class, all together, first girls then boys. They learn how to undress, use the toilet, wipe, wash hand and redress. This happens basically every 2 hours for the first year.
It’s a fundamental part of preschool.
Children who have accidents or children with SEN who use nappies are changed and washed by state employed female caregivers who do this as part of their role and again are considered a fundamental part of this stage of education. Class teachers don’t really deal with nappy changes because they are responsible for supervising the rest of the class.
One difference is that the children don’t get a choice , and parents are used to and go along with this type of approach. They sit on the toilet at 9:00/ 11:00/ 13:00 and 15:00 whether they want to or not.
They can decide to not use the toilet if they don’t want to, but they still have to sit down.
This acceptance of not giving young children choice over certain things, and accepting that they go along with how things are done is fine by parents and you don’t generally find parents who want exceptions made.
For example all children eat a portion of fruit mid morning. There is usually the odd child who doesn’t want to eat what’s offered, and obviously they aren’t forced to eat anything, but they sit with the others and no alternative is offered or allowed. Same with lunch, which is a year long menu designed by specialists.
For the first 2 years, so from 3-5 roughly, if the school has adequate space, all children will sleep in little separate beds in a dormitory. They sleep for 1 -1 1/2 hours. Again there aren’t any exceptions made. Parents who don’t want their children to sleep, or at least lie down in the dark take them home, they can’t stay awake and play.
Italy doesn’t have separate education for those with disabilities, and this has drawbacks in my opinion for a proportion of children with disabilities so it’s not a case of being better.
However as a country they feel that it is beneficial to society to provide access to a paediatrician and have a state run free full time education of 3-6 year olds before their more academically focused education begins at 6.