My wife works part-time at an elementary school which uses a year-round format. Anthony's school is on the traditional schedule with a long summer break. Because our daughter is now out of elementary school and subsequently also on Anthony's schedule, we are having her stay at home with him while my wife goes to work.

We would not be able to have this arrangement if my wife's work did not allow some flexibility, however. She has already had to return home a couple of times to deal with him being violent. Then, yesterday, she had to return to attend to Anthony in the bathroom.

My wife had to leave for the day before Anthony got out of bed. We can ask our daughter to tell Anthony to go to the bathroom when he wakes up, and we can ask her to wash his hands when he is finished. Yet, for reasons we don't understand, Anthony will often not urinate even though sitting on the toilet unless someone is standing in the bathroom with him, telling him to go. And if he does not go, he will likely become very upset later before relieving himself on the floor. We cannot ask our daughter to stay with her brother in the bathroom. So, my wife had to excuse herself from work for a time to come home and make him go.