Name
Can You Help with Poop?: Treatment of Elimination Disorders in Pediatric PCBH
Date & Time
Friday, October 17, 2025, 5:00 PM - 6:30 PM
Description

Elimination disorders (constipation, encopresis, enuresis, “accidents”) are common concerns in pediatric primary care. Treating these disorders often involves behavioral changes in addition to medication options. PCBH providers are well situated to support families and medical providers in implementing these changes. However, they often lack the foundational knowledge of elimination disorders and their treatment, which is necessary for them to provide the needed support. This presentation aims to provide that foundation.

Content Level
Novice
Tags
Behavioral Medicine Topics such as insomnia or medication adherence, Pediatrics, Primary Care Behavioral Health Model
Session Type
Poster
SIG or Committee
Pediatrics (PEDs), Primary Care Behavioral Health (PCBH)
Objective 1
Identify reasons why treating elimination disorders is appropriate for pediatric focused PCBH.
Objective 2
Describe a brief intervention model for treating elimination disorders that is appropriate to PCBH.
Objective 3
Discuss steps needed to build a clinical pathway focused on treatment of elimination disorders.
Content Reference 1

Thompson AP, Wine E, MacDonald SE, Campbell A, Scott SD. Parents’ Experiences and Information Needs While Caring for a Child With Functional Constipation: A Systematic Review. Clinical Pediatrics. 2021;60(3):154-169. doi:10.1177/0009922820964457

Content Reference 2

Di Lorenzo C. Faecal incontinence: Retentive, non-retentive and when to suspect organic pathology. Aliment Pharmacol Ther. 2024; 60(Suppl. 1): S54–S65. https://doi.org/10.1111/apt.17832

Content Reference 3

Walter, H. J., Vernacchio, L., Trudell, E. K., Bromberg, J., Goodman, E., Barton, J., Young, G.J., DeMaso, D.R., & Focht, G. (2019). Five-Year Outcomes of Behavioral Health Integration in Pediatric Primary Care. Pediatrics July 2019; 144 (1): e20183243. 10.1542/peds.2018-3243

Content Reference 4

Hostutler, C., Wolf, N., Snider, T., Butz, C., Kemper, A. R., & Butter, E. (2023). Increasing Access to and Utilization of Behavioral Health Care Through Integrated Primary Care. Pediatrics, 152(6). https://doi.org/10.1542/peds.2023-062514

Content Reference 5

American Psychiatric Association. (2022). Diagnostic and statistical manual of mental disorders (5th ed., text rev.). https://doi.org/10.1176/appi.books.9780890425787