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How to Use a First Then Board
Our ABA and occupational therapists can help parents create and effectively use a first then board – which can go a long way toward helping with transitions.
It’s important to be consistent. Use the same language and format every time. Always follow through with the “then” activity to build trust and understanding.
Some additional tips for success:
- Start with highly-preferred “then” activities to build motivation.
- Keep “first” tasks short and achievable initially.
- Use pictures for non-readers, and words or both for readers.
- let your child help remove/flip the cards when tasks are done.
- Be patient – it may take time for your child to understand the system and what’s expected of them.
Need more support? Our pediatric occupational therapists, ABA therapists and parent coaching services can help you implement visual supports like first then boards effectively at home.
FOCUS Therapy offers occupational therapy, ABA therapy, occupational therapy, speech therapy, parent coaching, IEP assistance and ADOS testing in Fort Myers, Florida. Call (239) 313.5049 or Contact Us online.

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