What is a first-then board?
A first-then board shows two pictures side by side: first, the thing that needs to happen, and then, what comes after. "First shoes, then park." That's the whole idea.
It's often the simplest visual support to start with, because it answers just one question: what happens after this?
Why does it work?
Transitions are hard when the next thing is invisible. A first-then board makes it visible, and pairs a less-preferred task with something your child looks forward to.
Visual supports are recognized as an evidence-based practice for autistic children, and first-then boards are one of the most common ones clinicians teach families.1
Back to top ↑How do I make my first board tonight?
You need two pictures and something to put them on. Here's the quickest way:
- Pick one tricky moment. Leaving the park, turning off a screen, bath time.
- Choose the "then." A snack, a song, a favorite toy. Small and immediate.
- Take two photos or draw two simple pictures.
- Put them side by side, labeled "First" and "Then."
How do I use it through the day?
Show the board before the transition, not in the middle of it. Point to "first," say it in a word or two, then point to "then."
"First shoes, then park." Point, pause, and let the pictures do the talking.
When "first" is done, deliver "then" right away. That follow-through is what builds trust in the board.
Back to top ↑What if my child says no?
That's expected, especially in the first few days. Stay calm, keep your words short, and keep showing the board.
- Make the "first" step smaller: "First one shoe."
- Check that the "then" is something your child really wants right now.
- Offer a choice between two "then" options.
When do we move to a full schedule?
Once first-then feels easy, add a third picture. Then a fourth. Before long, you have a visual schedule for a whole routine.
Should we fade it out?
Some kids use the board less as a routine becomes familiar. Others keep using it for years. Both are completely fine. The goal is an easier day, not independence from pictures.
If you do want to fade it, try showing it only at the start of the routine, then only when your child seems unsure.
Back to top ↑Summary
- Two pictures: first, then.
- Show it before the transition.
- Keep "then" small, quick and wanted.
- Follow through every time.
- Add steps when it feels easy.
