“Use both hands”: Helping toddlers learn self-help skills
“I have to quit teaching and take care of my mom,” Liz tells
the child care director. “When Mom gets out of the rehab hospital next
week, she’ll need someone to care for her.”
“I’m sorry to hear that,” the director says. “We hate
to lose you. Maybe you can come back in a few weeks or a few months?”
“I don’t know,” says Liz. “When Mom turned 85, I started
helping her out with cooking and cleaning. But now with this broken hip and memory
loss, she needs help with everything—eating, bathing, dressing, using the
She pauses, staring out the window. “Funny, isn’t it? These are the
very things I teach toddlers how to do.”
• • • • • • • • • •
In early childhood education, we call them
In elder care, we call them . They
are the ordinary tasks of everyday life.
Their ordinariness makes them no less important. As the example
above indicates, the loss of self-care skills in an aging relative
can affect jobs, family life, and finances, not to mention the
elder person’s privacy and self-esteem.
When seen from this perspective, self-help skills in toddlers
assume great significance. A child’s acquisition of these
skills can affect jobs, family life, and finances. In addition,
these skills play a huge role in the social-emotional development
phase that psychiatrist Erik Erikson called . The goal is that by about age 3, children are well
on their way to autonomy, confident and pleased with their newly
What’s more, we adults expect these skills to conform to
health and cultural standards. Yes, children will learn to feed
themselves, but we want them to know how to use a fork and spoon
and use these utensils with the appropriate foods. Yes, children
will learn how to eliminate body wastes, but we want them to
know how to wipe themselves and wash their hands afterward.
In early care and education, helping toddlers learn self-help
skills is more a matter of opportunity than curriculum. The opportunities
occur largely in daily routines and transitions. Toddlers learn
to use spoons, for example, during snack and mealtime. They learn
to wash their hands before eating and after diapering or toileting.
Use a developmental approach
Between 18 months and 3 years, children are developing physical
skills that enable them to learn self-care tasks. They progress
through gross motor skills —walking, running, climbing,
hopping, and jumping—and move toward fine motor skills,
such as scooping up food with a spoon and buttoning a button.
They need some degree of physical coordination to be able to
pull down their pants to use the toilet.
Toddlers are also developing language and cognitive skills. Children
need to know the meaning of and to learn how to put
on a jacket, for example. They need memory skills to turn on
both faucets part way make the water warm and not too hot or
Because toddlers are still acquiring these physical and mental
skills, safety is a primary concern. Take precautions in setting
up the toddler room and supervise carefully. By observing and
getting to know individual children, teachers know when and how
to offer help. Jeremy needs someone to hold the bottom of the
zipper while he pulls it up, but Kayla insists on doing it herself.
In caring for children with limited physical or mental abilities,
consult with the child’s parents and Early Childhood Intervention
team. For a child with cerebral palsy, for example, the ECI team
may suggest seating the child in a specially designed chair to
help with body balance while eating.
In all interactions with children, use positive guidance. Instead
of saying “Don’t spill it,” for example, say, “Use
both hands to hold the pitcher.” In no circumstances do
adults shame a child. Whether a child spills milk or has a toileting
accident, the teacher treats the incident matter-of-factly. Likewise,
adults never punish children by withholding food or keeping them
in soiled diapers.
Tips for teaching
Self-help skills for toddlers fall into four main categories:
washing, eating, dressing, and toileting.
Hand washing. Make it a habit for children to wash hands before
eating and after diapering, toileting, or nose wiping. Make
sure soap, paper towels, and a trash can are within a child’s
reach. Provide sinks at a height that children can reach comfortably,
or a sturdy step stool that children can stand on.
Spend the first few days teaching children which faucets are
hot and cold. Demonstrate how to turn on both faucets part way
to make the water warm. Show how to test the water with one finger
before putting both hands in the running water. Supervise children
as they wash their hands and offer help to make sure they are
doing it correctly.
note: Adjust the water heater temperature to below 120
degrees F. so it won’t scald children.
brushing. Introduce tooth brushing, but don’t expect
children to do it independently until they are about 4 years
old. Provide soft-bristled, child-sized toothbrushes and, if
possible, children’s toothpaste. Help children squeeze
a small amount of toothpaste on their brushes.
Show children how to spit out the toothpaste and rinse their
mouths with water. Be aware that some children will need time
and practice to learn how to spit out effectively.
blowing. Teach this skill when children have a runny nose.
At first, you might hold up a mirror so the child can see how
the nose looks with drainage coming out. Offer a tissue and let
the child wipe, while looking in the mirror. Encourage the child
to blow gently—not too hard—and wipe the nose. Make
sure the child tosses the tissue in the trash. Keep tissues within
Weaning from the bottle or breast. If children are not weaned
by 18 months, encourage parents to begin. Check to make sure
children are sleeping through the night, and that parents will
follow the same feeding schedule on weekends that you use on
Generally weaning starts with the child’s least favorite
feeding time, such as afternoon snack, and ends with the child’s
most favorite feeding time, which is usually before bedtime.
Substitute a drink from a cup at the targeted time. Do this for
at least a week before targeting the next feeding time, which
gives children time to adjust.
family-style. Family-style eating, though messy and often
challenging, helps children develop language and social skills
in addition to feeding skills. Younger toddlers may sit in highchairs
or booster seats at an adult-sized table. Make sure children’s
elbows are at table height. A child-sized table and chairs allow
children to seat themselves and assist with setting the table.
Provide a child-sized spoon, a plate or bowl, cup, and paper
napkin for each child.
Always begin by having children wash their hands. Then have them
take a seat at the table, where the cook has placed serving bowls
of food and small pitchers of water and milk. Start a conversation
about the food, naming each item and commenting on such things
as color and texture. Over time, you can talk about the place
settings, activities the children are doing at school, or news
about their families.
Pass one bowl at a time. Hold the bowl while each child takes
a serving. At first, you may need to help the child grasp the
serving spoon, scoop up a small serving, and transfer it to the
For pouring, instruct one child to use both hands to hold a cup
firmly to the table. A second child uses both hands to hold the
pitcher and gently pours the milk into the cup—but only
Remember that toddlers are growing more slowly than they did
as infants and probably will have smaller appetites. Never force
children to “eat one more bite” or clear their plates.
If you offer dessert, make it a nutritious part of the meal.
Don’t offer it as a reward for eating everything on their
End by having children assist with cleanup, which may require
three trips. First, children empty their cups and stack them
in a designated place. Second, they scrape any remaining food
from their plates into the compost container and stack the plates.
Third, they put napkins in the trash.
As children move to toileting or napping, you clean off the table
with a diluted bleach solution and sweep the floor.
with a spoon. Offer at least one finger food while children
are learning to eat with a spoon. You can help feed the child
with another spoon or fork. Encourage children to chew foods
slowly and eat with their mouths closed. By about age 2 1/2,
they can begin spearing food with a fork.
from a cup. Typically, children are introduced to “tippy” or “sippy” cups
when they begin eating solid foods, about 8 or 9 months of age.
These cups have a lid with drinking slit or spout to prevent
spillage, and some have a straw and handles. Use tippy cups only
at snack and mealtime; don’t let children walk around with
When moving to a cup without handles, encourage children to hold
it with two hands and fill it only halfway.
through a straw. When children are learning to suck
the liquid, they may release it before it gets all the way to
the top. If so, you can cut the straw in half.
note. Don’t give small foods that can cause choking.
These include nuts, seeds, raisins, and other dried fruits. Cook
hard foods such as meat and vegetables and cut them into small
pieces. Cut grapes into quarters, and avoid serving chewey foods
like hot dogs and peanut butter.
Pulling off clothes is typically easier than putting them on.
By about 18 months, many children can pull off caps, socks,
and shoes (unlaced). About age 2, they can begin learning to
put on clothing—jackets and mittens before outdoor play
and shoes after nap.
Dress-up clothing can provide practice in zipping large zippers,
buttoning large buttons, snapping snaps, and buckling buckles.
Older toddlers may enjoy practicing with fastener boards, either
homemade or commercial.
note: Make sure buttons, snaps, and other fasteners are
secure. They can be a choking hazard.
Encourage parents to dress toddlers in T-shirts, pants with elastic
waists, and shoes with Velcro fasteners. (They won’t learn
to tie shoes laces until they are 5 or 6 years old.) Ask parents
to provide a change of clothes because many activities are messy.
As part of routines, remind children to put away their jackets
in their cubbies after arrival, and hang paint aprons on hooks
after painting. Keeping the room tidy is an important self-help
note: Don’t let children share hats, brushes, and
combs to prevent the spread of lice.
Learning to use the toilet can take a long time. Many children
will continue needing help until age 4 or 5. Parents’ cooperation
is essential. Avoid starting during times of change or stress,
such as having a new baby at home, weaning from the bottle,
and changing teachers.
The key to learning this skill as quickly and with as little
stress as possible is a child’s readiness. The child must
be physically ready; that is, the bladder must have grown large
enough to allow fewer urinations (compared to an infant’s
12 times a day). The child must also have developed control of
sphincter muscles that hold and release urine and feces.
Children will show other signs of readiness when they:
have a predictable pattern each day;
understand and use words such as and
can pull their pants down;
can wash their hands; and
indicate discomfort with soiled pants.
Ideally children have already learned toileting words from conversations
during diapering as infants. Extend these conversations by showing
the child that you drop the poopoo from the diaper into the toilet,
and let the child press the flush handle.
Beginning about 15 months, offer casual opportunities to learn
about the toilet. Tell stories and read books about going to
the potty. Afterward, you might provide a clean potty (never
before used) and a doll that can sit on it.
Introduce toddlers to the bathroom. Point out the potty chairs
or child-sized toilets, and answer children’s questions
about them. Invite children to sit on a potty with their clothes
on to ease potential fears.
If you’ve noted a child’s elimination pattern, you
may be able to anticipate bowel movements. Encourage the child
to sit on the potty with diaper and pants off at the expected
time, but no longer than about 10 minutes.
Expect accidents to happen, and treat them matter-of-factly. “Oh,
an accident. Let’s change your pants.” Offer praise
and encouragement for trying.
When children are successful, express approval but avoid over-praising
or giving rewards. Ideally they will want to learn toileting
to feel good about themselves, not to earn prizes. Show them
how to pull out an appropriate amount of toilet paper and wipe.
Instruct girls to wipe from front to back.
When the child has had about a dozen successful attempts, begin
using training pants. Ask parents to use cloth training pants
rather than paper or plastic ones. Disposable training pants
are still diapers to a child. Children who can go for a few days
without an accident can begin wearing underwear.
Moving toward autonomy
Children continue developing self-help skills as they move through
the early years and adolescence. They learn to bathe themselves,
wash their clothes, use a telephone, prepare meals, ride a
bicycle, and drive a car.
The foundation for self-care tasks is laid during the toddler
years. Our role as caregivers is to provide a safe environment
and the guidance to help them begin learning to do things for