For child care, preschools and schools

Visual schedules, first-then boards and calm-down spaces in the classroom

Updated 13 minute readApplies to: United States

Sourced and dated · professional review pending

In short

A visual schedule uses objects, photos, symbols or words to show children what happens in the day and in what order, and a first-then board shows just two steps. In a preschool or K to 3 classroom, post a class schedule, give any child who needs one their own schedule or board, and teach them to use it every day. Add AAC, sensory changes and a calm-down space the child chooses and can always leave.

Key points

  • Post a class visual schedule, and give any child who needs one their own schedule or first-then board.
  • Use pictures the child understands, and the same pictures and words as home.
  • A warning alone often doesn't help at transitions. Always show what comes next.
  • Keep the child's AAC with them all day, and have every adult model on it.
  • If a child can't leave a calm-down space, or believes they can't, federal school data counts it as seclusion. It is never a punishment.
On this page

What visual supports does a child care, pre-K or K to 3 classroom need?

Start with a class schedule, then add individual supports for the children who need them. Visual supports show information as objects, pictures or words that stay put after speech has gone. The main kinds, drawing on AFIRM and the NCAEP review, both from the University of North Carolina (AFIRM; NCAEP 2020):

Support What it is Good for
Class visual schedule The day in pictures and words, for the whole class Arrival, circle, after recess
Individual schedule A child's own strip, kept close or carried Fewer steps, own pictures
First-then board What happens first, and what comes next Hard changes, new activities
Work system What to do, how much, when it is finished, what is next Table tasks, centers
Visual instructions The steps of a task in pictures Handwashing, getting ready for recess
Choice board A few pictures to point to Centers, snack, calming choices
Visual timer Shows time passing Waiting, turns, endings

A first-then board (some people call it a now and next board) is often the easiest place to start.

Objects, photos or symbols?

Use pictures the child understands straight away. AFIRM suggests choosing objects, photographs, picture symbols or words to suit each child (AFIRM). In a picture-search game, minimally speaking autistic children did better with color photographs than with black-and-white line drawings (Hartley and Allen 2015). Write the word under each picture, so every adult says the same thing.

Try this: Photograph your own classroom: the rug, snack table, cubbies and bathroom door. Give the family copies for home.

Introducing them and using them every day

Ask the family what pictures and words they use. AFIRM advises using visual supports "consistently and across settings" (AFIRM).

  1. Go through the schedule at the start of the day, pointing to each picture and saying one or two words.
  2. Go back to it at every change. AFIRM suggests standing behind the child as you prompt, so they look at the schedule, not at you (AFIRM).
  3. Give the child a job, such as posting each finished picture in a "finished" pocket.
  4. Teach it, then fade your help. A review of 31 studies found picture schedules worked best "in combination with systematic instructional procedures": adults taught children to use them step by step (Knight, Sartini and Spriggs 2015).
  5. Keep it true. When plans change, change the schedule and show the child.

Free visual schedule, first-then board and calm choices board printables fit US Letter paper. If the child has an IEP or 504 plan, write what works into it.

How can I make transitions easier?

Pair every warning with what comes next. A 2026 review of 19 experiments with people with disabilities found no statistically significant overall effect of transition supports. Where warnings alone were tested, "Advance notice alone was not effective" at reducing challenging behavior, and in one study it made things worse (Kim et al. 2026).

  • Show the next picture with the warning: "Blocks almost finished. Then snack."
  • Use timers with care. Put the next picture beside the timer, and choose a silent one if the child dislikes beeps.
  • Make the next thing worth moving to, or let the child carry something with them.
  • Let the child save what they are doing: a photo of the tower, or a "later" shelf.
  • Go to the child rather than calling across the room.

In a small study, pictures helped two autistic boys start the next activity sooner (Dettmer et al. 2000).

How do I support AAC and communication in the classroom?

Make sure the child can communicate all day, everywhere. AAC (augmentative and alternative communication) means signs, pictures, picture boards or a device that speaks. The American Speech-Language-Hearing Association (ASHA) says "There are no prerequisites for AAC intervention", and that AAC "does not affect motivation to use natural speech" (ASHA). Under federal rules in effect on October 1, 2026, an IEP team must "Consider the communication needs of the child" and "Consider whether the child needs assistive technology devices and services" (34 CFR 300.324).

  • Every adult models. Point to symbols on the child's board or device as you talk, or sign key words, without asking the child to copy. A review of 28 studies found this, called aided language modeling, "highly effective" (O'Neill, Light and Pope 2018). Yet a 2025 review of 34 studies found AAC in schools was "often implemented outside the classroom" (Alfaro-Urrutia and Pérez-Godoy 2025), so show every adult, including paraprofessionals, how.
  • The board or device goes where the child goes, including lunch, the bathroom, recess, specials and field trips. The Communication Bill of Rights includes the right to working AAC "at all times" (Communication Bill of Rights).
  • Say it once, then wait. Hanen suggests waiting "up to 10 seconds" for a child to start an interaction (Hanen Centre).
  • Use fewer words, and say what to do: "Feet on the floor" rather than "Don't climb on that".
  • Treat echoes as communication. Echolalia, repeating words or phrases, often has a purpose: one study found seven functions for immediate echoes (Prizant and Duchan 1981). With "a lot of questions and commands", children who echo tend to repeat words without understanding them (Hanen Centre), so comment more and quiz less.

Which sensory changes help in a classroom?

Do a quick audit, then make the easy changes. Many autistic children have sensory processing differences. In a 2021 meta-analysis of interview and questionnaire studies, about 41% of autistic people currently had hyperacusis, where everyday sounds feel too loud (Williams et al. 2021). Sit where the child sits, at their height, at a busy time, and check:

  • Noise: echo, buzzing lights, fans, hand dryers, bells, music left on.
  • Light: flicker, glare and very bright areas.
  • Displays: busy walls near the schedule and work areas.
  • Smells: cleaning products, air fresheners, lunches.
  • Crowding and seating: cubbies, lines, the rug at circle time, and where the child sits.

Then offer:

  • Noise-reducing headphones for loud times, if the child wants them. Two small studies of school-age autistic children were promising (Pfeiffer et al. 2019; Zanin et al. 2024).
  • Seating choices, such as the edge of the rug, a cushion or standing, for comfort. A 2025 review found alternative seating did not improve attention (Piller et al. 2025).
  • Movement breaks, planned before still or hard activities. If you use sensory breaks, make them movement breaks: exercise and movement is one of 28 practices a large US review rated evidence-based (NCAEP 2020).

Never use a sensory item as a reward or take it away as a punishment. Head Start rules in effect on October 1, 2026 say programs "must provide any necessary modifications to the environment" (45 CFR 1302.61). An August 7, 2026 proposal would replace this with a general duty to follow disability law; comments close October 6, 2026 (Federal Register).

What makes a calm-down corner work?

A calm-down corner works when the child chooses to go there, it is calm and predictable, and it is never a punishment.

  1. Put it in the classroom, in view of staff, away from doors and traffic, with soft light and bare walls.
  2. Stock it for this child: a cushion, a blanket, headphones, a book about a favorite topic, a calm choices board.
  3. Keep it the same, and teach it when the child is calm. Visit together, and add a "break" picture to their board so they can ask to go.
  4. Let the child choose to go and to come back. Stay close and say little: lending your calm is called co-regulation.
  5. Never send a child there for misbehaving, and never use it as time-out.

When does a calm-down space become seclusion?

It becomes seclusion when the child can't leave, or believes they can't. The Civil Rights Data Collection (CRDC), which public schools from preschool to grade 12 report to, defines seclusion as "the involuntary confinement of a student in a room or area, with or without adult supervision, from which the student is not permitted to leave" (CRDC 2021-22). Students who "believe or are told by a school staff member that they are not able to leave" count as secluded. The definition leaves out a technique, part of an approved program, of "monitored separation of a student in an unlocked setting, from which the student is allowed to leave".

So keep the door unlocked and unblocked, never stand in the way, make sure the child knows they can leave, and stay close. As a 2019 review of state laws put it, "Whether a room is a seclusion room depends on its function, not its name" (Butler 2019).

The US Department of Education's 2012 Restraint and Seclusion Resource Document, guidance still posted on October 1, 2026, says restraint or seclusion "should never be used as punishment or discipline", and should not be used except where a child's behavior poses "imminent danger of serious physical harm to self or others and other interventions are ineffective" (ED 2012; IDEA website). For distress, behavior plans and the rules on restraint, see when an autistic student is in distress.

State rules differ: Restraint and seclusion in schools are "largely governed by state law" (Education Week, February 24, 2026). In the latest 50-state comparison found, of laws in effect on July 1, 2019, "only 2 states ban all seclusion for all children; 5, for children with disabilities" (Butler 2019). Ask for your state's law and your district's policy on seclusion and timeout. In child care, check your state's licensing rules.

Get help now: If you believe a child is being harmed, for example locked in a room or restrained as a punishment, follow your program's policy and your state's mandated reporter law. Call 911 if anyone is in immediate danger. To talk a worry through, the Childhelp National Child Abuse Hotline has trained counselors, but it is not a reporting line.

Checklist: is your classroom autism-friendly?

Check these as a team each fall and when a child joins.

Area What to check
Class schedule Pictures and words at eye level, used every day
Individual supports A first-then board or schedule for each child who needs one
Home and school The same pictures and words; changes shared both ways
Transitions Every warning paired with what comes next
Communication AAC, board or signs within reach everywhere; every adult models
Senses Echo, buzzing, flicker, glare, busy walls and strong scents checked; headphones on hand
Crowding and seating Room at cubbies and the rug; a choice of seats
Movement Breaks planned before still activities
Calm-down space In view, unlocked, chosen by the child, never a punishment
The plan Supports written into the IEP or 504 plan and shared with every adult

What does the research say?

Visual structure and AAC have the strongest support. Several popular sensory products and programs have little or none.

Support Evidence What was found
Visual schedules and work systems Strong 65 studies of visual supports (NCAEP 2020); structured teaching, including work systems, improved independent task completion across 14 school studies (Zhou et al. 2024)
AAC Strong 44 studies in the same review
Modeling AAC in class Moderate "Highly effective" across 28 studies, but schools often use AAC outside the classroom
Movement breaks Moderate Better attention and social-emotional functioning across 13 exercise studies (Bremer et al. 2016)
Noise-reducing headphones Limited Two small studies, promising
Alternative seating Limited Small, mixed studies; no gain in attention in a 2025 review
Social narratives Limited "cannot be considered an evidence-based practice for young children" (Wahman et al. 2022)
Weighted vests None "cannot be recommended" (Stephenson and Carter 2009)
Fidget toys None No studies with autistic children; two tiny studies in children with attention difficulties disagree (Aspiranti and Hulac 2022; Croley et al. 2023)
Sensory diets None One study; NCAEP says its listing is not "an endorsement"
Zones of Regulation None "does not meet the standards for an evidence-based practice" (Mason, Leaf and Gerhardt 2024)
Calm-down corners None No studies found

If your program uses any of these, no one is to blame: watch whether each helps this child, and put most effort into supports with stronger evidence.

Evidence check: In the NCAEP review's 2012 to 2017 studies, research staff delivered the support in 52% and educators in 20%. Almost 80% used one-on-one sessions (NCAEP 2020). Expect to adapt for a group, and ask for coaching in your classroom.

Where can teachers, providers and families get more help?

Much of the best training is free and online.

  • Free training. AFIRM's modules, including ones for paraeducators, are free: "All content is now freely available" (AFIRM). The IRIS Center's "Autism Spectrum Disorder (Part 2): Evidence-Based Practices" is free, with a free certificate (IRIS Center). The National Center for Pyramid Model Innovations describes its Pyramid Model as "a framework of evidence-based practices for promoting young children's healthy social and emotional development" (NCPMI).
  • Your team: the special education teacher, a speech-language pathologist for pictures and AAC, and an occupational therapist for sensory needs and seating. Ask the family's consent before sharing information.
  • A child not yet getting services: early intervention under age 3, or the school district's Child Find from age 3. Families can find early intervention on the contacts list.
  • For families: Parent Centers help with IEPs and 504 plans, and Protection and Advocacy agencies give legal advocacy, including on education.

If the family wants something to read, our parent guides on visual schedules, first-then boards, feelings and calming and whether an autistic child will talk use the same approach. For everyday inclusion, see supporting an autistic child in child care or preschool.

Questions staff ask

Do we need a diagnosis or an IEP before we use visual supports?

No. Visual schedules and first-then boards are low-cost and help many children, autistic or not, so you can start now. Talk with the family first, and use the same pictures and words as home. If the child later has an IEP or a 504 plan, write the supports that work into it, so every adult who works with the child uses them.

Is a calm-down corner the same as time-out?

No. Time-out is a consequence an adult chooses. A calm-down corner is a place the child chooses to go to feel better, and can leave whenever they want, with an adult nearby. Never send a child there as a punishment, and never stop them leaving. A space a child is made to stay in can count as seclusion.

When does a calm-down room become seclusion?

When a child is made to stay there. The federal Civil Rights Data Collection, which public schools report to, defines seclusion as involuntary confinement in a room or area a student is not permitted to leave, with or without an adult, and counts a student who believes they can't leave as secluded. Monitored separation in an unlocked space the student is allowed to leave, as part of an approved program, is not seclusion. State laws differ, so check yours.

Can we take away a student's AAC device if they are playing with it?

No. A child's way of communicating should stay with them all day, including at circle time, lunch, recess and on field trips, so they can always tell you what they need. Never use it as a reward or take it away as a punishment. If the sound is a problem, ask the child's speech-language pathologist about the volume, a case or a strap, and model a few words on it yourself.

Do weighted vests or fidget toys help autistic students focus?

The research doesn't support them. A review of weighted vest studies concluded they cannot be recommended, and we found no study of fidget toys with autistic children. If a child or family wants to try one, ask an occupational therapist, keep simple before-and-after notes, and stop if it isn't helping. Never use any sensory item as a reward or take it away as a punishment.

Where can teachers get free training on visual supports and autism?

AFIRM, from the University of North Carolina, has free online modules on evidence-based practices, including visual supports, with no account needed. The IRIS Center at Vanderbilt University has free autism modules and free professional development certificates. The National Center for Pyramid Model Innovations has free resources on young children's social and emotional development. This site also has free printables on US Letter paper.

How this guide was made

Written by
The Rocks Make Pebbles editorial team, using the 35 sources listed below.
How
We researched the topic from US guidance, federal law and published research, drafted the guide with the help of AI tools, and checked it against its sources on October 1, 2026. Read our editorial policy.
Professional review
Not yet reviewed. This guide is waiting for review by a occupational therapist (OTR/L), special education teacher, speech-language pathologist (CCC-SLP) and autistic adult. We will show their name and the date here once they have checked it.
Last updated
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Sources

Every fact in this guide links to one of these. We checked each link when we last updated the guide.

  1. Visual Supports: EBP brief packet, 2024 update (Sam and AFIRM Team) AFIRM, Frank Porter Graham Child Development Institute, University of North Carolina at Chapel Hill, 2024
  2. Evidence-based practices for children, youth, and young adults with autism (NCAEP report, Steinbrenner et al.) National Clearinghouse on Autism Evidence and Practice, University of North Carolina, 2020
  3. Iconicity influences how effectively minimally verbal children with autism and ability-matched typically developing children use pictures as symbols in a search task (Hartley and Allen) Autism (via PubMed), July 2015
  4. Evaluating visual activity schedules as evidence-based practice for individuals with autism spectrum disorders (Knight, Sartini and Spriggs) Journal of Autism and Developmental Disorders, 2015
  5. Interventions for transition-related challenging behavior in individuals with disabilities: a targeted research synthesis and meta-analysis (Kim et al.) Behavior Modification (via PubMed Central), 2026
  6. The use of visual supports to facilitate transitions of students with autism (Dettmer, Simpson, Myles and Ganz) Focus on Autism and Other Developmental Disabilities, August 2000
  7. Augmentative and Alternative Communication (Practice Portal) American Speech-Language-Hearing Association (ASHA)
  8. 34 CFR 300.324: development, review, and revision of IEP Electronic Code of Federal Regulations (eCFR)
  9. Effects of interventions that include aided augmentative and alternative communication input on the communication of individuals with complex communication needs: a meta-analysis (O'Neill, Light and Pope) Journal of Speech, Language, and Hearing Research (via PubMed), 2018
  10. Curricular integration of augmentative and alternative communication for students on the autism spectrum in inclusive-oriented schools: a scoping review (Alfaro-Urrutia and Pérez-Godoy) Autism, 2025
  11. Communication Bill of Rights National Joint Committee for the Communication Needs of Persons With Severe Disabilities (ASHA)
  12. Waiting: the key to supporting your child's communication The Hanen Centre
  13. Helping children who use echolalia The Hanen Centre
  14. The functions of immediate echolalia in autistic children (Prizant and Duchan) Journal of Speech and Hearing Disorders, 1981
  15. Prevalence of decreased sound tolerance (hyperacusis) in individuals with autism spectrum disorder: a meta-analysis (Williams, Suzman and Woynaroski) Ear and Hearing, 2021
  16. Effectiveness of noise-attenuating headphones on physiological responses for children with autism spectrum disorders (Pfeiffer et al.) Frontiers in Integrative Neuroscience, 2019
  17. Effectiveness of noise cancelling earbuds in reducing hearing and auditory attention deficits in children with autism (Zanin, Tomlin and Rance) Journal of Clinical Medicine, 2024
  18. Systematic review of sensory-based interventions for children and youth, 2015 to 2024 (Piller et al.) Frontiers in Pediatrics, 2025
  19. 45 CFR 1302.61: additional services for children (Head Start Program Performance Standards) Electronic Code of Federal Regulations (eCFR)
  20. Reducing Federal Burden for Head Start Programs (proposed rule, 91 FR 51248) Federal Register, August 7, 2026
  21. 2021-22 Civil Rights Data Collection: A First Look (Office for Civil Rights) US Department of Education (via ERIC), January 2025
  22. Restraint and Seclusion: Resource Document US Department of Education (via ERIC), May 2012
  23. Restraint and Seclusion: Resource Document (page) US Department of Education, IDEA website, September 27, 2018
  24. How Safe Is the Schoolhouse? An Analysis of State Seclusion and Restraint Laws and Policies (laws as of July 1, 2019) Jessica Butler, published through the Autism National Committee, July 2019
  25. Investigation finds 'shocking overuse' of seclusion and restraint in this district Education Week, February 24, 2026
  26. The use of TEACCH in schools to improve the ability of children with autism to complete tasks independently: a single-case meta-analysis (Zhou et al.) Child: Care, Health and Development, 2024
  27. A systematic review of the behavioural outcomes following exercise interventions for children and youth with autism spectrum disorder (Bremer, Crozier and Lloyd) Autism, 2016
  28. Examining the effects of Social Stories on challenging behavior and prosocial skills in young children: a systematic review and meta-analysis (Wahman et al.) Topics in Early Childhood Special Education (via ERIC), 2022
  29. The use of weighted vests with children with autism spectrum disorders and other disabilities (Stephenson and Carter) Journal of Autism and Developmental Disorders, 2009
  30. Using fidget spinners to improve on-task classroom behavior for students with ADHD (Aspiranti and Hulac) Behavior Analysis in Practice, 2022
  31. The effect of the Fidget Cube on classroom behavior among students with perceived attention difficulties (Croley et al.) Behavior Analysis in Practice, 2023
  32. A research review of the Zones of Regulation program (Mason, Leaf and Gerhardt) The Journal of Special Education, 2024
  33. AFIRM: Autism Focused Intervention Resources and Modules Frank Porter Graham Child Development Institute, University of North Carolina at Chapel Hill
  34. Autism Spectrum Disorder (Part 2): Evidence-Based Practices (module) The IRIS Center, Vanderbilt University
  35. Pyramid Model overview: basics National Center for Pyramid Model Innovations (NCPMI)
How to use a first-then board at homeA two-step picture board that shows what happens first and what comes next. How to make one, the words to use, and what to do when it isn't working.How to make a visual schedule for your autistic child at homeA row of pictures that shows your child the order of the day. Which kind to choose, how to make one at home, and what to do when plans change.Helping your child understand feelings and find calm, including at bedtimeCo-regulation first, why feelings can be hard to name, calm tools and a calm space, calmer bedtimes, who to ask about medicine and melatonin, and where to get help.When an autistic student is in distress: meltdowns, behavior plans and what to avoidPreventing distress, staying calm in a meltdown, behavior plans written with families, what to avoid, and the rules on removals, restraint and seclusion.Supporting an autistic child in child care or preschool: a guide for staffPractical help for child care providers and preschool, pre-K and Head Start teachers: the day, communication and play, early intervention and IEP services in your room, the law and kindergarten.

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