Continence & Toilet Training

Our PEBBLES Team provide specialist advice and support for children and adults with a disability who experience incontinence and toileting issues.

How we can help

Our state-wide PEBBLES continence management service provides professional advice and support for toilet training, day wetting, nocturnal enuresis (bed wetting), constipation, faecal incontinence and other toileting issues. PEBBLES stands for Providing Education on Bladder and Bowel Health, Liaison, Expert Advice and Support.

The continence management service is tailored to each individual and can include:

  • An assessment of their condition
  • Management options for incontinence
  • Advice for toilet training
  • Advice on continence aids (e.g. nappies and pads)
  • Referral to subsidy schemes (where the person meets eligibility conditions)
  • Information and education for the client/family and health care professionals, education and childcare providers

View the PEBBLES brochure

How we work

The PEBBLES service is funded by the Disability Services Commission and managed by Therapy Focus in partnership with Bladder and Bowel Health Australia.

Services are delivered by qualified healthcare professionals including nurses, physiotherapists, occupational therapists, dietitians and psychologists who have a wealth of knowledge in continence issues and disability. The PEBBLES Team works collaboratively with families, education staff, other Therapy Focus therapists and health care professionals to provide the individuals with a support framework that caters to their needs.

PEBBLES services are delivered via home and school visits, as well as from clinics located in Cockburn (Rocky Bay clients), Fremantle, Maddington, Mirrabooka and Mandurah. Regional visits are available for families living in regional and remote areas of WA, in addition to telephone, video and web conferencing.

How to access the service

Therapy Focus is a contracted service provider for the Western Australian State Government’s Disability Services Commission (DSC) and a registered provider for the National Disability Insurance Scheme (NDIS). 

To apply for PEBBLES services, please download and complete an application form. Medical referrals will be accepted from General Practitioners (GPs), Paediatricians, other health care professionals, education staff and childcare staff.

PEBBLES Application for Services

PEBBLES Medical Referral Form


Phone: 1300 865 401 (toll free)


pebblesadmin@therapyfocus.org.au (for assistance with application and referral)

pebbles@therapyfocus.org.au (for clinical enquiries)