Transitions can be challenging for many children, especially those on the autism spectrum. First/Then cards are a simple yet effective tool that can help ease these transitions, promote positive behaviors, and support independence.
What Are First/Then Cards?
First/Then cards are visual aids that outline a sequence of activities:
- First: The task or activity that needs to be completed.
- Then: A preferred activity or reward that follows.
For example:
- First: Buckle Seatbelt
- Then: Watch iPad
This approach leverages the Premack Principle, which suggests that a more preferred activity can reinforce a less preferred one. By clearly displaying the sequence, children can better understand expectations and feel more in control of their routines.
Benefits of Using First/Then Cards
- Reduces Anxiety: Visual schedules provide predictability, which can alleviate stress associated with transitions.
- Enhances Communication: Especially beneficial for non-verbal or minimally verbal children, these cards offer a clear method of conveying expectations.
- Promotes Independence: Children learn to follow routines with less prompting over time.
- Supports Positive Behavior: By setting clear expectations and rewards, children are more likely to engage in desired behaviors.
Implementing First/Then Cards at Home
- Identify Tasks and Rewards: Choose a task that needs to be completed and a motivating reward.
- Create Visuals: Use pictures or symbols that your child understands. Resources like LessonPix offer customizable templates.
- Introduce the Card: Present the card before starting the task, explaining the sequence.
- Follow Through: Ensure the reward follows immediately after task completion to reinforce the behavior.
Practical Examples
| Setting |
First Task |
Then Reward |
| Morning |
Brush teeth |
Watch cartoon |
| Community |
Grocery shop |
Visit park |
| School |
Write name |
Sensory bin play |
| Clinic |
Complete activity |
Tablet time |
Tips for Success
- Consistency is Key: Use the cards regularly to establish routines.
- Customize for Your Child: Tailor the visuals and rewards to your child's preferences and understanding.
- Start Simple: Begin with easy tasks and gradually increase complexity as your child becomes more comfortable.
Local Arizona Resources
Located in Scottsdale within Phoenix's East Valley, the Arizona Institute for Autism (AIA) offers support and resources for families in the Greater Phoenix and Tucson Metropolitan areas:
- Free Consultations: Schedule a free consultation to discuss personalized strategies for your child.
- In-Home Therapy: Available in Tucson to provide support within your child's natural environment.
- Upcoming AIA Gifted Shop: Soon, you'll be able to access a variety of visual support tools, including First/Then cards and PECS collections, through our online storefront. Stay tuned for updates.