87 First-Then Boards

This strategy shows an expectation followed by something preferred (e.g., first work, then video game). It shows that one activity (usually a less preferred one) must happen before the next (a preferred one) can occur. Therefore, using first-then boards help draw attention to the immediate non-preferred tasks (e.g., homework, chores) with motivation in the form of a preferred option to follow. The “Then” box may represent a choice time, break time, a specific activity (e.g., iPad, YouTube), or an object (e.g., book). It is okay to place a concrete object (such as a book) on the “Then” box if no pictures are available. Keep in mind that preferred options must be immediately available. Also, be sure the preferred option is pre-planned and not merely offered as a consequence to problem behavior or it will be likely that the individual will learn to misbehave in order to obtain the preferred activities.

Below are a few examples of places and activities where a first-then board can be helpful:

Home/Community

• First homework, then video games
• First dinner, then movie
• First grocery store, then candy store

School

• First work, then break
• First math, then computer
• First lunch, then recess

Work

• First work, then break
• First work, then lunch

Medical

• First shot, then sticker
• First doctor, then McDonald’s
• First medicine, then balloon