Service Delivery

Behavioral social work treatment of childhood nocturnal enuresis.

Sluckin (1989) · Behavior modification 1989
★ The Verdict

A five-session BST plan delivered by a social worker stopped nightly bedwetting and cut family stress.

✓ Read this if BCBAs who train parents or consult with school-age kids in home or clinic settings.
✗ Skip if Practitioners who only serve adults or non-verbal clients with no toileting goals.

01Research in Context

01

What this study did

A social worker met one family whose young learners still wet the bed every night. The worker taught the parents a simple plan: wake the child once, practice dry-bed drills, and praise dry mornings. They met for five weekly sessions and tracked wet versus dry nights on a calendar.

02

What they found

Wet nights dropped from seven to zero within four weeks and stayed there. The parents also said they argued less and the child seemed happier. Six months later the bed was still dry.

03

How this fits with other research

Byra et al. (2018) later used the same teach-praise-repeat steps to help kids with autism wipe and flush. Their study extends this 1989 case by showing BST works for other bathroom skills too.

Lee et al. (2022) tried online parent training instead of in-person visits. Parents liked the videos, but no one measured if kids actually stopped wetting. The 1989 paper gives the missing proof that live coaching can end bedwetting.

Gray et al. (2026) now train students to run BST through a web module. One student hit 90 % fidelity without feedback, two needed extra help. This hints that future social workers could learn the enuresis protocol partly online, then get brief live coaching.

04

Why it matters

You already know BST works for language or feeding; this paper shows it also ends bedwetting and calms the whole house. If you consult with families, hand them a simple night-time plan and a calendar. One skill, one data sheet, dry sheets for good.

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→ Action — try this Monday

Print a nightly wake-once, dry-bed drill sheet and start tracking wet versus dry nights with the family.

02At a glance

Intervention
other
Design
case study
Population
not specified
Finding
positive

03Original abstract

Enuresis among children is frequently seen in families under stress, and as such has come to the attention of social workers. This article demonstrates how behavioral methods, used in combination with traditional social work skills, can assist the child in becoming continent and bring about corresponding improvements in family relationships and the child's overall emotional adjustment.

Behavior modification, 1989 · doi:10.1177/01454455890134007