Sometimes there is no medical reason and then it is reverting back to the difference between not wanting to stop playing or not even being aware. The parents may not even know which direction to go or they may not have access to resources.
So, then we need to start looking at environments. Start from the outside in. What does the neighborhood look like? What is the level of violence in the neighborhood? Who are the primary caretakers? What is the family structure? What is the socioeconomic status? How many siblings?
I don't disagree with any of this, but again, I worked in some very disadvantaged districts in the past and never heard of students coming to school in pull-ups or routinely having accidents (that aren't really accidents). So it's not THAT it happens--odd things happen. It's that it's happening to apparently many kinder teachers around the nation.
And I can't buy that with zero information on the parents, the kids etc.
You can't buy that it's happening?
It's happening even in the UK:
Infant school recruits nappy changer because so many kids aren't toilet trained
And in Spokane WA:
Students who aren’t potty trained an issue for kindergarten teachers
For those who are not, about 20 percent refuse to learn to use the toilet for a variety of reasons, including excessive parent and child conflict, the child’s parents attempted to start training too early, irrational fears about going to the bathroom, a child’s difficult temperament or even constipation.
Generally, if a child is 5 and still not potty trained, the child needs to be seen by a doctor, McCarthy said.
Bleecker’s concern is that such medical support for students from poor families, who make up nearly 60 percent of Spokane Public Schools’ student body, is not available.
“I would say over the last five or six years we have lost a lot of the community support for families, such as resources for mental health, public nursing services,” Bleecker said. “That lack of support has had an impact.”