The initial step in the management of encopresis is:

The initial step in managing encopresis is client and family education. This approach is crucial because understanding the condition is foundational for successful treatment. Educating both the child and family about encopresis clarifies its nature, potential causes, and the importance of treatment adherence. It helps to establish realistic expectations and promotes open communication about the child's bowel habits, which can reduce feelings of shame or embarrassment often associated with the condition.

This educational component lays the groundwork for additional interventions, such as dietary changes or bowel cleansing, which may be necessary later. It can also facilitate discussions around psychosocial factors that might contribute to the issue, ensuring that the entire context of the child's life is considered in the management plan. Ultimately, without proper education and understanding, families may struggle to engage effectively with further steps in treatment.