Within ACL 5 High, anticipating secondary effects is added. A secondary effect usually happens after and as a result of a primary effect. The secondary effect is coupled with the word anticipation because of the importance of forming an image of what might happen, before it happens. The importance of anticipation is that it is essential to understanding safety precautions. Perhaps the most serious and socially crippling aspect of a cognitive disability is their dependence on other people for their safety and the safety of the community.