sTEPS NEEDED TO COPE WITH A CHILD REPEATEDLY SOILING HERSELF

I am a supervisor in an afterschool care program serving youngsters in grades 1-6.  We currently have a female third grade student who either wets or soils herself weekly - sometimes several times during a week.  The child attends a special school for children with behavior issues and comes to us after school.  We are told that she looks forward to coming to the program and she is actively involved in all physical activites and sports that we offer. She usually is resistant to leaving at the end of the day.Her mom has told us, that her daughter just needs a gentle  reminder to go to the bathroom when the group is involved in activities as she becomes very caught up in the moment and waits until it is too late to make it to the bathroom. This strategy has not been successful. We have also requested the parents to provide us with a set of alternate clothing for the child to change into if an accident should occur.  This has not been done. What steps should we take to resolve this situation?  

[RockRose]

Bon,  an afterschool program sounds like it lasts 2 hours max?  When she arrives,  it's time to go to the bathroom whether she needs to or not.  Go sit on the toilet whether you need to go or not,  and then we'll start the activities.

How does she do in the classroom all day,  do you know?   Does she have the same problem there with soiling herself?

I don't know what your payment schedule is,  but I've seen schools provide children with clean used clothing at $5 an item,  and they choose to send their child with clean clothing or they can pay the $5 per item (sweat pants,  underwear,  that's $10.). Added on to the YMCA bill.  

Enough is enough.  Send a few pairs of underwear and a few pairs of pants,  or get charged.

The reason I know this is I ran a service for the school district that provided nurses with undies and pants.  An occasional problem is okay for a sick child.  Children who aren't potty trained drain the system,  and the parents need to provide clothing.

Best wishes.

[Sally44]

Do you know if the child is on the autistic spectrum.  If so this is a common problem.  Try to find out how they do things in school as there could be problems with generalisation eg. she may have a routine in school that needs to be taught explicitly to her for afterschool club.
Does the child appear to have sensory issues?  If so she may not feel the urge to use the toilet, or as her parents have said if she is focused on something she may not register the need for the toilet.  However, there is a need to follow a routine and it is best to use the routine she already has for home/school as trying to teach a different routine may not work.  If she is on the spectrum that may even involve using exactly the same words they use at home/school for her to recognise the situation.
Parents should provide you with extra clothes incase of accidents, that is only reasonable.