What is Joint Attention? Why It Matters for Children with Autism

  • Joint attention is one of the most important foundational communication skills for children with autism and speech delays. Skills like pointing, imitation, eye gaze, and shared enjoyment help children connect socially and build language naturally.
  • Simple activities like bubbles, songs, books, and playful routines can help build joint attention throughout the day. Communication grows best when interactions stay fun, engaging, and functional—not pressured or repetitive.
  • ABA and speech therapy should work together to support children with autism. Strong collaboration between professionals helps create more consistent communication goals, reduces stress for families, and improves outcomes for children.
  • Dr. Mary Barbera and Rose Griffin discuss practical joint attention strategies, communication development, and the importance of collaboration in this podcast episode inspired by Rose’s new book Say It With Me.

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When toddlers are not pointing, making eye contact, responding to their name, or engaging in back-and-forth interaction, many parents wonder what it means — and what they should do next.

Recently, I had the chance to talk with my longtime friend and colleague Rose Griffin about one of the most important, and often overlooked, foundational communication skills for children with autism and developmental delays: joint attention.

Rose is both a speech-language pathologist and a BCBA, which gives her a unique perspective on communication development and behavior. In fact, there are fewer than 500 professionals worldwide who hold both credentials.

Her new book, Say It With Me, is filled with practical strategies parents and professionals can use to help children communicate through connection, play, books, music, and everyday routines.

Over the past 25 years as both a behavior analyst and a parent of a son with autism, I’ve learned that communication does not begin with flashcards, complicated programs, or perfect therapy plans. Communication begins with connection, motivation and reinforcement.

And that’s why joint attention matters so much.

What Is Joint Attention?

Joint attention is the shared focus between two people during an activity, interaction, or experience.

In simple terms, it means a child and another person are “tuned in” together to the same thing.

Examples of joint attention include:

  • Looking back and forth between a toy and a parent
  • Pointing to show interest
  • Bringing an item to someone
  • Responding when another person points
  • Sharing enjoyment during songs or games
  • Participating in back-and-forth play

Rose Griffin described joint attention as the foundation for all communication because it helps build social reciprocity — the ability to engage and connect with another person.

In my experience, joint attention is one of the most important skills we can build with toddlers showing signs of autism and children with autism.

It’s not about teaching children to “look normal” or forcing eye contact. It’s about helping children become more engaged with the people around them so communication can grow naturally.

When I assess young children, I’m often looking for:

  • Does the child look back and forth between people and activities?
  • Do they point to share interest?
  • Do they imitate actions?
  • Do they enjoy interactive games?
  • Do they engage socially during routines?

These early social communication skills matter tremendously.

Joint Attention and Autism

Over the years, I’ve found that lack of joint attention, limited pointing, reduced eye gaze, and difficulty engaging socially are some of the biggest developmental signs parents and professionals should pay attention to.

Children with autism may:

  • Avoid or limit eye contact
  • Rarely point to share interest
  • Not consistently respond to their name
  • Prefer playing alone
  • Have difficulty engaging in shared activities
  • Struggle with imitation or social games

Sometimes parents are told to “wait and see.”

But I’ve said for years that waiting and worrying rarely helps children move forward.

The earlier we work on foundational communication skills, the better.

And I want to be clear: the goal is not to make children “look less autistic.” The goal is to help children communicate, connect, learn, and reach their fullest level of independence and quality of life.

That starts with engagement.

That starts with joint attention.

joint attention. autism connection

Examples of Joint Attention Activities

One thing I really appreciate about Rose Griffin and her work is how practical her strategies are for families.

Parents do not need expensive materials or perfect therapy setups to start building communication skills.

In fact, some of the best joint attention activities happen naturally throughout the day.

Use Books With Repetition and Songs

Rose shared examples like:

  • Pete the Cat
  • Chicka Chicka Boom Boom

Books with repetition, songs, movement, and predictable language patterns naturally encourage engagement and participation.

You can model pointing, gestures, sounds, and imitation while keeping the interaction fun and low pressure.

I also love activities that combine music and movement because they naturally build social reciprocity and shared enjoyment.

Play Simple Social Games

Simple games like modified Simon Says can help children build:

  • Imitation
  • Engagement
  • Listening skills
  • Shared enjoyment
  • Turn-taking

Rose gave examples like:

  • “Clap your hands”
  • “Touch your head”
  • “Twist around”

And these activities can happen anywhere — while waiting for food, during bath time, or even in the grocery store.

Don’t Forget Bubbles

Bubbles are one of my favorite early communication tools too.

They naturally create opportunities for:

  • Eye gaze
  • Pointing
  • Vocalizations
  • Turn-taking
  • Shared excitement

As Rose explained, bubbles disappear quickly, which creates repeated opportunities for communication and interaction.

Simple activities often work best

ABA and Speech Therapy Should Work Together

Over the years, I’ve become increasingly passionate about improving collaboration between ABA professionals and speech therapists because families are often stuck in the middle of conflicting recommendations and disconnected services.

Many parents are juggling:

  • ABA therapy
  • Speech therapy
  • Occupational therapy
  • Evaluations
  • Goal meetings
  • Scheduling challenges
  • Different recommendations from different professionals

It can quickly become overwhelming.

The reality is that ABA and speech therapy both play important roles in helping children communicate.

When professionals collaborate effectively, children benefit from:

  • More consistent goals
  • Better support across settings
  • Reduced frustration
  • Improved communication progress
  • Stronger family support

Rose and I also discussed how social media has increased tension and misinformation between professions.

Unfortunately, some professionals become more focused on defending their field than helping families.

But families don’t care about professional turf wars.

They care about helping their child communicate and thrive.

That’s why collaboration matters so much.

What Good Collaboration Looks Like

In my opinion, good collaboration means everyone stays focused on the child — not on egos, labels, or who “owns” communication.

Good collaboration looks like:

  • Professionals communicating regularly
  • Shared goals across therapies
  • Respect between disciplines
  • Parents not being forced to choose sides
  • Teams focusing on practical next steps

Rose shared an example of a child who may not yet have foundational joint attention skills, while professionals are debating whether the child should use PECS or a robust AAC device with many buttons.

This is where I think we sometimes put the cart before the horse.

Before worrying about complicated communication systems, many children first need support with:

  • Joint attention
  • Engagement
  • Imitation
  • Pointing
  • Vocal play
  • Social interaction

That does not mean AAC is wrong.

Far from it.

AAC can be life-changing for many children.

But thoughtful assessment, collaboration, and individualized planning are critical.

As Rose discussed, communication systems should match the child’s current abilities and needs — not simply adult preferences or social media trends.

autism joint attention. joint attention communication

Why Parents Should Focus on Connection First

One thing I often coach parents on — and something Rose emphasized too — is that many adults unintentionally bombard children with questions all day long.

Questions like:

  • “What is it?”
  • “What color?”
  • “What does it say?”

Instead of constantly quizzing children, I encourage parents to narrate activities and model language naturally.

For example:

  • “Cow.”
  • “The cow says moo.”
  • “Moo!”

This creates a communication-rich environment without pressure.

Communication does not only happen during therapy sessions.

It happens:

  • During meals
  • During bath time
  • During play
  • During errands
  • During songs
  • During routines
  • During everyday moments

Small daily interactions create opportunities for growth.

And small daily steps can create meaningful change over time.

Final Thoughts

Joint attention is one of the most important foundational communication skills for children with autism and developmental delays.

It affects:

  • Language development
  • Social interaction
  • Learning
  • Play skills
  • Communication
  • Independence

The good news is that joint attention can be supported naturally through books, music, movement, playful routines, and meaningful interaction throughout the day.

As both Rose Griffin and I discussed, communication should stay fun and functional while helping children build meaningful ways to connect with the world around them.

If you are a parent or professional supporting a child with autism or signs of autism, my biggest advice is this:

Don’t wait and worry.

Start building connection, engagement, and communication today — even in small ways.

Because communication begins with connection.

 

Rose Griffin on the Turn Autism Around Podcast

Rose Griffin, MA, CCC-SLP, BCBA, is a certified Speech-Language Pathologist and Board Certified Behavior Analyst with a passion for helping SLPs, BCBAs, and RBTs work together to support all autistic learners.

She is the founder of ABA SPEECH, an organization dedicated to professional development that unites your team and transforms communication through customized consultations, engaging trainings, and the ABA SPEECH Connection CEU Membership.

Rosemarie is also the host of the popular ABA SPEECH Podcast, where she shares practical strategies. A highly sought-after speaker, she enjoys connecting with professionals at the local, state, and national levels. Her book “Say It With Me” is scheduled to come out in July of 2026. She can’t wait to share easy to use strategies to encourage communication with professionals and parents alike! At the heart of Rosemarie’s work is the mission of ABA SPEECH: Keeping therapy fun and functional and collaborating along the way.

Joint Attention Top 5 FAQ

Joint attention is the shared focus between two people during an activity or interaction. Examples include pointing, looking back and forth between a person and an object, sharing enjoyment, and participating in back-and-forth play.

Joint attention is important because it forms the foundation for communication, language development, social interaction, and learning. Many children with autism struggle with joint attention skills, which is why building engagement and connection early is so critical.

Simple everyday activities can help build joint attention naturally, including:

  • Reading repetitive books
  • Singing songs with movement
  • Playing bubbles
  • Turn-taking games
  • Peekaboo
  • Modified Simon Says
  • Narrating daily routines

The goal is to keep communication fun, engaging, and pressure-free while helping children connect socially.

Learn how to engage this way here

Every child is different, but many children first need foundational skills like:

  • Engagement
  • Imitation
  • Pointing
  • Joint attention
  • Vocal play
  • Social reciprocity

AAC can absolutely be helpful and life-changing for many children, but communication systems should match the child’s developmental level and needs. Building connection and engagement first often helps communication grow more naturally.

Families often feel overwhelmed when professionals give conflicting recommendations or fail to communicate with one another.

Strong collaboration between ABA therapists, speech therapists, occupational therapists, and parents helps:

  • Create more consistent goals
  • Reduce frustration
  • Improve communication progress
  • Support the whole child
  • Make therapy more effective and less stressful for families

The focus should always stay on helping the child communicate and thrive.

Start simple.

Communication growth does not only happen during therapy sessions. It happens during:

  • Meals
  • Bath time
  • Play
  • Songs
  • Books
  • Everyday routines

Focus first on connection, engagement, and joyful interaction.

Small daily interactions can create meaningful progress over time — especially when parents stop waiting and worrying and begin intentionally building communication opportunities throughout the day.

Learn how to engage with your child here.

Resources

 

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Want to Learn how to Increase Talking & Decrease Tantrums in Children with Autism or Toddlers Showing Signs?

Want to start making a difference for your child or clients?