This technique uses Now (First) and Then schedules. This method uses clear concise instructions and keeps things simple so that the child/young person does not become overwhelmed by too much verbal stimulation ie: too many prompts/questions/tasks. Used consistently, this technique could help to reduce the number of behavioural incidents that occur when a child with a neuro diverse condition becomes anxious. This is an effective behavioural management tool which can be made at a relatively low cost.
This technique may also be effective when trying to get younger children without neuro diverse conditions into a routine.
The schedules can be made simply by using sturdy card and Velcro. Set up the card with FIRST and THEN sections
- Decide on what you are going to use as your visual prompts i.e.: photographs, objects
- Stick a strip of Velcro to the schedule, then cut out your chosen prompts and stick another strip of Velcro to these. Make sure once you have decided on your visual prompts you have enough to cover every daily task.
- Make sure that you hang the schedule in a place which can be seen by you and your child
Using the First and Then schedule:
- Shows what needs to be done now (first) and what reward they get once the task is done (then).
- For example:
First: Brush teeth
Then: iPad
It is important to keep things simple and that your child is provided with enough time to understand what you are asking them to do.
- The schedule should be used throughout the day and the activities changed, for example:
First: Dinner
Then: Garden
- As this technique is designed to help reduce a child’s anxiety, the schedule once introduced, should be used as part of a daily routine and whenever the child is asked to complete a task.
- Change prompts as required throughout the day.
- Once introduced to the child, it is important that this technique is used consistently so that the child becomes familiar with it and eventually they can start to make choices about what reward they would like.
If you need further support with your child's behaviour you should contact your Health Visitor, GP or school who will be able to advise you. Our Resilient Family Service may also be able to help.