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First and then boards are a type of visual support. They show two activities that take place in sequence, to help your child understand what is going to happen.
First and then boards are really helpful for helping children to understand and follow directions and for making things predictable.
They can help children understand what is going to happen and make it easier to move from one activity to another. Some children might not want to stop doing an activity they really like – but seeing a picture showing them that another activity is going to happen next, can help them to move on. Knowing what is going to happen next can reduce anxiety.
They can also motivate them to do an activity that they do not like as much, by showing them when they can do what they enjoy.
They also lay the foundation for carrying out activities which require multiple steps later on.
Decide what your child will do first, and then decide on the preferred item or activity for them to have afterwards. The preferred item or activity needs to be motivating enough that your child wants to follow your instruction.
It can work well to start using a first and then board with a sequence your child already knows, for example ‘first bath…then story’ – this way, your child will find it easy to move from the first activity to the next.
Put the visuals on the board. You could use photographs, symbols, or even draw them on, depending on your child’s understanding, then show the board to your child and give a very brief verbal instruction using the least number of words possible.
For example, you might say “first breakfast, then playdough”
When they’ve completed the first task, you should refer back to the board, for example saying “breakfast finished, time for playdough” then immediately provide the second activity. If you don’t provide it straight away, your child might not trust the first and then board.
Some examples of activities include:
Try to think of some activities that you would like your child to do as your ‘first’, and also some motivating activities that you could use for ‘then’.
First and then boards can use different kinds of visuals, including photos, symbols, hand drawn pictures, or even an app. Symbols or photos can be attached to the first and then board using velcro or blue tack. Here are some examples:
Using photographs
Using symbols
Using hand-drawn pictures
There are also some downloadable apps for your phone or tablet, but sometimes using technology can be distracting for children.
Your child’s speech and language therapist can help you to decide which of these methods is the most appropriate for your child.
Download a free first and then board and symbols to use at home with your child here: First and Then board and symbols
This video is part of the Weekend Words series and explains what is a ‘first and then’ board and why do we use it. It includes a demonstration of how to use it.
For more information please contact the Speech and Language Therapy Service at Flockton House on 0114 226 2333.
Please note: this is a generic information sheet relating to care at Sheffield Children’s NHS FT. These details may not reflect treatment at other hospitals. This information is not intended as a substitute for professional medical care. Always follow your healthcare professionals’ instructions. If this resource relates to medicines, please read it alongside the medicine manufacturer’s patient information leaflet. If this information has been translated into another language from English, efforts have been made to maintain accuracy, but there may still be some translation errors. If you are unsure about any of the guidance in this resource or have specific questions about how it relates to your child, always ask your healthcare professional for further advice.
Resource number: SL18
Resource Type: Article
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