Practical visual-support guide · Reviewed 22 July 2026

First-then boards: a simple visual for what happens now and next

First-then boards are deliberately small. They reduce a longer routine to the two pieces that matter right now: what happens first, and what happens next. Words, symbols, drawings, or photographs can all work when they are meaningful to the person using the board.

Quick answer

A first-then board shows one activity to do first and one clear activity that follows. Choose an achievable “first,” a motivating or naturally next “then,” show both before the transition, and follow through promptly.

How to use a first-then board

1Choose one specific, achievable activity for “first.”
2Choose a preferred activity or clear next event for “then.”
3Show the board before the transition and use a short, consistent phrase.
4Mark or remove the first activity when it is complete.
5Move to the “then” activity promptly and acknowledge the completion.

Keep the visual simple

Start with two items, not an entire day. Use a real photograph when a generic symbol is not specific enough. If the board is becoming a negotiation, simplify the language and check that the first activity is realistically achievable.

A first-then board is a communication support, not a punishment chart. The goal is to make the sequence understandable and predictable.

Everyday examples

First: shoes on · Then: go outside

First: brush teeth · Then: bedtime story

First: two maths problems · Then: drawing break

First: pack the tablet away · Then: choose music for the car

My first-then board

alora.kids

FIRST

THEN

Draw, write, or attach a photograph or symbol in each box.

Common questions

What goes in the “then” box?

Use a motivating activity or the naturally next event, and choose something you can provide promptly when the first activity is finished.

Should I use photos or symbols?

Use whichever representation the person recognizes most easily. A specific real photo can be clearer than a generic symbol for some activities.

Is a first-then board only for autistic children?

No. It is a general visual support that can help many people understand a short sequence. Individual needs differ, so ask a qualified professional for personalized guidance when needed.

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Sources and review note

This page provides general educational information, not individualized medical, therapy, or education advice. A qualified professional who knows the person can help adapt a support to their needs.