Dry bed training is similar to intensive daytime toilet training. It requires considerable effort from the trainer over a short period of time but may solve the problem very rapidly. The main features of the programme are: Positive reinforcement for having a dry bed and for using lavatory at night; practice in getting up during the night to urinate; extra fluids to provide more opportunities for urination to occur; alarm systems to enable immediate detection of correct toileting; and punishments for accidents in the form of reprimands and cleanliness training.
Initially the trainee is given extra fluids before going to bed, is woken every hour is led to the toilet. If he uses the toilet within five minutes, he is rewarded, taken back to bed, praised for having dry sheets and allowed to go back to sleep for the remainder of the hour. If he/she does not use the toilet, he is taken back to bed and reinforced for having a dry bed. Reinforcement in both situations included extra fluids. If the trainee wets his bed, he is woken, scolded, taken to the toilet and then made to change his toilet; he returns to bed for three minutes, is then taken to the toilet, returns to bed for another three minutes and so on for 45 minute. When there is one accident or less a night, and the trainee uses the toilet on at least 50 percent of occasions, he moves on to the second stage of monitored post training. During this stage, wet bed results in reprimands, cleanliness training and positive practice, but there are no extra fluids and hourly awakenings. Stage two continues until there are seven consecutive accident free nights when treatment is discontinued although the trainees’ bed is inspected each morning and if wet, he is required to change the sheets and remake the bed. Stage two is reintroduced if two accidents occur in a week. Dry bed training is an effective method for intensive toilet training.