L.A.
It takes more than 3 sessions to figure out what is going on here.
The parents need to make this a priority in their lives, but not sure who need to tell them this. I assume they do not appreciate your help or suggestions?
What on earth does this young boy do at school?
Does he change his own diaper? Don't the other children and teacher smell the odor? Or is he holding it all day? This also cannot be good.
I would think the parents must have some idea of what is going on or they would not allow this to continue. At this point it is neglect.
Does he have other learning issues or emotional issues? Are the parents reluctant to share this information for some reason?
I have a teacher friend that say they are dealing with some parents right now that are in total denial about their child. His IQ has been tested and it is very clear he is limited in his capacity to care for himself or function in a classroom with children his age. But the parents insist he is just shy and a little slow.
The school is going to have to go down a road that is quite difficult to make it clear this boy will need assistance for the rest of his life.
I agree they are doing great harm to this young boy. He deserves better and a chance to be able to fully function in his society.
See how the holidays go and see if you can offer them any type of assistance. If not and this is still not being address, I would also call Child services and ask them what should or can be done about this.