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The Clean Kid Manual:

Soiling Solutions Logo  The Clean Kid Manual (CKM) for Encopresis of the Functional Fecal Retention (FFR) form was first privately published in 1998
after the author, Dr. Robert W. Collins, a Clinical Psychologist, developed his unique treatment protocol for encopresis or fecal incontinence.
It is now in its Fourth Edition and it is only sold over the Internet at (Store) or by health professionals. A 5th edition will likely be introduced in
mid or late 2011 with added chapters on bladder incontinence, especially nocturnal enuresis or bedwetting. 

Purchase of the CKM from this website will allow automatic participation on the SS® Parents Forum with over 300 parents ... many of whom
are “oldbies” that look forward to sharing their hard won expertise with the “newbies.”  Founder, Dr. Collins, no longer does private
consultations with parents. He looks forward to more professionals who will monitor and consult with CKM purchasers. 

Currently, there is a professional, a Social Worker, Eunice Lehmacher, MSW, at www.mindfulmomentsinsc.com, who offers private
consultations to purchasers and members of the SS® Parents forum.  Professionals who purchase the CKM and offer consultation services
for the SS® protocol will be listed for encopresis treatment centers after completing the necessary form.


Unique Features of the Soiling Solutions (SS®) Protocol Include:

 
 


Dr. Robert W. Collins, PhD, PC
Soiling Solutions®
P. O. Box 293
Spring Lake, MI 49456-0293


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  • The "bottom up" use of suppositories and enemas assures more powerful voiding signals followed by very
    successful bowel movements (BMs).

  • "Top down" or oral agents only offer confusing and delayed signals because they have to operate through
    the entire lengthy Gastrointestinal (GI) tract.

  • "Top down" agents also make a child more likely to "leak" or "ooze" stool during the day.

  • "Top down" voiding signals only multiply "holding" responses that the child can fight off and actually build up
    resistance to voiding! How self-defeating for children for which it does not work!!!

  • Assuring a BM relieves GI pressure enough in time to prevent soiling for a whole day until the next treatment
    hour.

  • Successful voidings on their own with two opportunities heads off using the suppository or enema.

  • Daily guaranteed voidings assure "fresher" and softer stools as the child resists less and less, gains
    confidence, and becomes more bowel competent.

  • Successful voidings "desensitize" the child and having BMs becomes normalized.

  • The use of suppositories and enemas are not intended as punishment, they simply "retrain" or condition
    the bowel signals and voiding responses that lead to more successful and complete BMs.

  • If parents use a punishing attitude, the protocol will not work and will only make the child more fearful
    and resistant to BMs. We are advocating a legitimate, rational, medical and behavioral conditioning
    approach.

 

 

 
 

 

           
 


Copyright © 1998 - 2011, Dr. Robert W. Collins and Soiling Solutions®. All rights reserved.
All information contained herein is deemed to be accurate; no warranty or guarantee is given or implied regarding the accuracy of said information.
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