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I am interested if there exist information or scholarly research for special needs clients that suffer from chronic enuresis. my client currently places holes in his mattress and uses the mattress as his toilet. He also goes to the bathroom in his room in unusual places ( furnace and heater grate) the grate has been placed on the ceiling and he now has a inflatable mattress. but the problem of enuresis still exist. Any guidance or support is welcomed. He is being medically supervised but that has not been helpful. the client is in his mid 50's.
 
It sounds like this client has some mental health issues that need to be evaluated. I would start there then get him some diapers. That is not normal in the least.
 
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