# The complete guide to first-then boards

> What they are, why they work, how to make your first one tonight, and what to do when your child says no.

URL: https://theautismkit.com/guides/first-then-boards
By [AUTHOR NAME] · Reviewed by [BCBA NAME], BCBA · Updated 2026-09-18

**Short answer:** Show two pictures: the task, then something your child wants. Show it before the transition, use few words, and deliver the "then" right away. Keep it the same for a week before changing anything.

## 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]

**It isn't a bribe.** A bribe is offered after a problem starts. A first-then board is set up ahead of time, so the plan is predictable and
  calm.

## How do I make my first board tonight?

You need two pictures and something to put them on. Here's the quickest way:

1. **Pick one tricky moment.** Leaving the park, turning off a screen, bath time.
2. **Choose the "then."** A snack, a song, a favorite toy. Small and immediate.
3. **Take two photos** or draw two simple pictures.
4. **Put them side by side,** labeled "First" and "Then."

**Keep "then" small and quick.** Something that can happen right away works better than a big reward later in the day.

## 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.

## 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.

**Talk to a professional if....** refusals regularly escalate to self-injury or aggression. Your child's BCBA or pediatrician can help you build a safer
  plan.

## 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.

## 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.

## Sources

1. [Citation for evidence on visual supports, with link]

General guidance, not a diagnosis or treatment plan. Talk with your pediatrician or a developmental specialist about your child's care.