

Mental health, co-designed
Kooth partners with young people to create Soluna, a mental health resource for California youth.
Increasingly, digital spaces are proving detrimental to youth mental health. By co-designing with youth, Kooth and IDEO set out to flip the script, creating a positive digital space for young people to safely explore their mental wellbeing.
When Kooth, IDEO, and Blackbird, IDEO’s longtime development partner, first started working on the project, the window of opportunity was narrow, and the stakes were high. The group was up against a nine-week deadline to create a working proof of concept app. Also on the line: a $188 million contract with the Department of Health Care Services (DHCS)—one that would open an entirely new line of business for Kooth.
The app needed to do more than demonstrate functionality—it needed to prove its value. To ensure that they were creating an asset that truly fit the needs of young people, the team turned to an initial cohort of 13-25 year-old co-designers who explored early features, created video diaries, and shared their questions about and experiences with mental health. These young people often gravitated toward self-service tools that helped them take action based on their feelings. With their feedback, the team created new expressions of clinically-validated behavioral health tools like journaling, breathwork and white noise—and built novel tools, such as Starboard, an expressive drawing tool and a nod to art therapy.
The team took inspiration from content the co-designers liked to consume, such as story-driven video games that enable freedom of exploration, deepened by a unifying mythology. That led them to a constellation theme, which made the experience more intriguing and playful. The co-designers also recommended a dark color palette, because they preferred exploring the app at night.
With these insights, the team refined the proof of concept, and then conducted a one-week pilot with another 50 young people across California. Their positive feedback gave the State the confidence to invest in a $188 million, four-year contract for Kooth to bring the app to a platform at scale.
Over the next year, the team engaged another 150 young people to help design, shape, and test the app. At the same time, Kooth and IDEO created a clinical oversight group, which included a pediatrician, therapists, and other clinical specialists. This group anchored the platform in the practices of Acceptance and Commitment Therapy (ACT), cultivating psychological flexibility—the mindful acceptance of positive and negative emotions. Young people are invited to complete short reflections and surveys throughout their journey with the app, which includes rigorous, science-backed measurements to assess the therapeutic benefits.

Behind the scenes, the team developed a clinical-facing service and digital platform that empowers Kooth’s peer specialists, social workers, community curators, and clinicians to support the youth experience, all while protecting privacy and confidentiality. They also navigated a complex landscape of state requirements and government legislation, ensuring that the platform could cover topics like substance abuse and gender identity, and that users could access coaching within 24 hours, and choose from a diverse set of experts.
The last step was to select a name that worked across multiple languages, trademarks, and competitor branding, and didn’t come off as a mental health service, something the youth co-designers believed was critical. IDEO and Kooth landed on Soluna, a name that alludes to the app’s presence in both the bright (“sol” for sun) and the dark times (“luna” for moon).
Now, Soluna is available for free to all youth in California, and the state has set ambitious targets for reaching all young people at scale. Soluna is a living platform that will continue to receive product and design updates for years to come, all deeply rooted in youth co-design.
The US Surgeon General named mental health “the defining public health crisis of our time,” and cited social media, online bullying, and the isolation exacerbated by the COVID-19 pandemic as major drivers that have significant negative outcomes for youth.
In California alone, more than 284,000 youth cope with major depression. 66% of kids with depression do not receive treatment. Between 2019-2020, the suicide rate for kids ages 10-18 increased by 20%.
In 2022, California Governor Gavin Newsom’s Master Plan for Kids’ Mental Health set aside $4.6 billion to increase access to mental health and substance abuse support, the largest commitment to youth mental health ever made by a state.
94%
of proof-of-concept app users would recommend the Soluna app to a friend, and believe that engaging with the app would be a positive addition to their daily/weekly routine
6 million
young people in California had access to Soluna at launch in January 2024


A more comfortable Pap smear
Teal Health creates a system for at-home cervical cancer screening.
Creating a better cervical cancer screening experience is an important mission, but also a challenging one. Not only would Teal have to address the regulations that face healthcare device companies, it would also need to build a comprehensive telehealth platform and a physical product—a wand that could easily collect an adequate cell sample, even in the hands of an untrained person.
The first challenge was to create the wand. The device would need to do a lot: It’s impossible for a person to see their own cervix, so the user would have to be able to find the cervix blind, collect the sample themselves, and remove the wand from their bodies without contaminating it on other parts of their anatomy. Because this is something users are likely to do in their bathrooms, where there is no space to lie down, they would need to be able to use the device while standing—and with one hand. From the beginning, the IDEO team set out to design functional, testable prototypes to make sure the idea was viable, and incorporate diverse voices into the research process, including trans, minority, and disabled women.

Because the product is meant for people who aren’t medical professionals, the team worked to design something as simple, intuitive, and unintimidating as possible. They used a 3-D printer to create multiples of every prototype, autoclaves to make sure that the designs they were creating were sterile, and leaned into shapes women are already used to, like the cylindrical shape of a tampon. The wand they created has that same basic form, but with a soft sponge that the user can deploy with the turn of a dial to collect the sample, then close to protect it from contamination on the way out of the body.
With working prototypes in hand, Teal set out to test their efficacy. In an initial study with 220 participants varying in age, race, socioeconomic status, and geography, Teal found that not only were participants able to successfully self-collect samples, they also preferred them over the speculum, the device doctors typically use during a screening. Some 92 percent said if they knew the results were equal they would prefer self-collection, while 87 percent reported they would stay current with screening if Teal Wand was an option. Self-collection took the vast majority under two minutes to complete, and 97% of study participants reported it was very easy or easy to use. The Teal Wand recently received a patent for its unique design.

The IDEO team also worked on the packaging and unboxing experience, which plays an important role in supporting the user through the self-screening process. The team built in thoughtful design cues to give users reassurance that they are using the wand correctly, and to provide the same level of confidence they would have in the results of an in-clinic screening.
In January 2023, Teal raised an $8.8 million seed round from Serena Ventures, Emerson Collective, and Metrodora, and later that year, launched a nationwide clinical trial with leading health organizations including Johns Hopkins University, Yale University, the University of Colorado, Washington University, and others. In 2025, The Teal Wand became the first FDA-authorized device for at-home cervical cancer screening, with virtual medical provider support. Today, it's available in all 50 states. i’s an enormous step toward its North Star: catching cervical cancer earlier and saving lives.
Cervical cancer is nearly 100% preventable when it’s caught early, yet one in four women in the US are not up to date on their screenings.
More than 12,000 people in the US are being diagnosed with cervical cancer every year, and more than 4,000 people die of the disease, which disproportionately impacts Black, Asian, and Hispanic women.
More than half of cervical cancer cases are found in women that are not up-to-date on their screenings.
97%
of clinical study participants said the Teal Wand was very easy or easy to use.
87%
of participants said they would be more likely to stay current with screening guidelines if Teal Wand was an option.
94%
of participants said they would choose to collect their own sample from home rather than the current standard of care where a clinician collects it in-office.
2025
The Teal Wand becomes the first FDA authorized device for at-home cervical cancer screening, with virtual medical provider support.


Amplifying a movement
Cities United rebrands to create safe, healthy, hopeful communities for Black men and boys.
Cities United already had a strong foundation with its stated mission, vision, and values. IDEO brought those to life with a new visual and verbal brand identity system that celebrates Cities United’s inclusive approach to building relationships and reimagining public safety.
To help Cities United with its verbal identity, the IDEO team defined the organization's voice, tone, and key messages, making it easier to tell its story more consistently and clearly, a crucial step toward engaging stakeholders.
To define the new visual identity, the team created a new logo, a letter C composed of interwoven shapes that represent the three tenets of their vision—“safe, happy, and hopeful;” a new design language that references city grids; and a typographic system anchored by the typeface VTC DuBois, inspired by W.E.B. DuBois’s own custom lettering and designed by the Black-owned Vocal Type Co. The team also designed a color palette that embodies the textures of city life with hues reminiscent of asphalt, sunrise, and brick.
To amplify the refreshed branding, the team designed a new responsive website, citiesunited.org. The intuitive site shares the organization’s mission, resources, ongoing projects, and partner network, inviting stakeholders to join in their transformative work. IDEO also created a video to humanize Cities United’s mission and showcase its nationwide impact. It underscores the unity, resilience, and hope embodied by the organization through a chorus of voices.
This comprehensive rebranding widens Cities United’s reach and impact, helping the organization share its goal of creating safe, healthy, hopeful communities for young Black men, boys, and their families, and reintroduces the organization to a national audience.
The Cities United work was supported by IDEO’s Racial Justice Impact Fund, part of a commitment IDEO made in 2020 to address systemic racism and advance equity within our own organization, our client work, and beyond.
Cities United is committed to reducing the epidemic of homicides and shootings among young Black men and boys ages 14-to-24 by 50%.
Between 2009 and 2019, the number of Black children who “did not go to school at least one day in the past month because they felt unsafe at school or on their way to or from school” increased by 84%, according to Cities United.
Homicide is the leading cause of death for Black men and boys from birth to age 44, according to the Centers for Disease Control and Prevention.
2023 SF Design Week Award
In recognition of IDEO’s brand work with Citizens United


Balancing work and sleep
Somni’s personalized sleep program helps workers maintain their health.
Sleep is a critical resource for shift workers—and their employers, too. Together, IDEO and Somni worked directly with people with acute and chronic sleep challenges to create concepts that could support their sleep goals, and provide employers with the means to improve employee health.
When IDEO and Somni first partnered, the startup was an early-stage company, so the team started small, with focused sprints and workshops to redesign the core aspects of the company and product offerings. The team interviewed shift workers about their sleep patterns, which can vary quite a bit. Even when people keep to a specific schedule on work days, they often have to change their patterns on days off to spend time with family and friends, leading to a very disruptive sleep cycle. Research revealed that many third shift workers were dealing with sleep and health issues, but also a pervasive “machismo” culture, pressure to “tough it out,” and a reliance on energy drinks to deal with lack of sleep.

To address those issues, the team designed a digital experience for sleep cohorts, support groups where members could share their experiences and sleep strategies, and work with a coach and sponsor who already had been through the program. The platform analyzed workers’ data, and provided AI-enabled recommendations for improving their sleep. The big takeaway? Data by itself wasn’t necessarily helpful, and could be confusing for folks who were less digitally-fluent. Providing context, like a calendar that displayed sleep experiments at a glance, was crucial.
The IDEO team also created a new user experience for a genetic testing program that could uncover factors associated with sleep issues. Somni aims to use a saliva-based genetic test to monitor for DNA damage caused by circadian disruption, then leverage its sleep improvement program to prevent further damage. Because biomarker testing is a differentiating offer for Somni, it was extremely important that the team get it right, both to make sure that users could understand its utility, and for Somni to provide real value. The design challenge was unique—and not just because of data privacy concerns. Presenting data about DNA damage in a non-human-centered way could increase the anxiety workers had around their sleep.
At the end of the project, Somni leveraged the insights the IDEO team surfaced to improve products like its sleep coaching service, and to refine its biomarker testing offering. Based on this work, Somni has also created a pilot with a Fortune 100 company, which is currently in progress, as it works to mitigate the ill effects of disrupted sleep for employees and the companies they work for.
In the short-term, circadian rhythm disruption leads to an array of jet-lag-like symptoms, and in the long-run, it may contribute to weight gain, obesity, metabolic syndrome, type 2 diabetes, and cardiovascular disease.
It also impairs people’s ability to work, affecting productivity, creativity, and the overall work environment. Productivity loss can lead to employer baseline healthcare costs that are 26% higher, and over time, insomnia can result in an average cost of $4,267 more per employee per year.
In June 2019, the International Agency for Research on Cancer classified shift work as a probable carcinogen.
75%
user retention in Somni's sleep program
$2,450
savings per year per employee for users who complete the program
33%
improvement in sleep quality, and 41 more minutes per night


How Learning Photography Will Make You Better At Everything Else
How taking up a photography hobby can influence your design
Fifteen years have now passed, and in that time, I’ve developed a sincere passion for the medium. I’ve worked with many photographers both in the studio and on location, and also have shot my own work, both at IDEO and personally. Though I consider myself a designer first and a photographer second, I realize now just how much this art form has influenced the way I work. The overlapping values in each discipline have sharpened my focus and demanded a constant reassessment of line, color, and composition.
Here’s how photography can help you become a better...
1. ART DIRECTOR
Being able to identify not only the subject but also the photographic styles that will work with your concept adds richness to the message. For example, is the experience that you are creating intended for families or teenage fashionistas? Should the audience feel like they’re part of the story, or like they’re being challenged by the subject? Does the graphic design feature geometric lines or organic shapes? Try answering questions like these and choose appropriate imagery with consideration for lighting, color, tone and camera perspective to help define the experience.

2. UI & UX DESIGNER
Photographic composition translates well to design composition. In photography there are many ways to draw the viewer’s eye to the intended subject or to communicate a message. In UI/UX, it is often beneficial to limit your color palette and reduce visual noise. In photography, creating an image with areas of equal tonal values or color helps to simplify and focus. You are making conscious decisions to help the viewer (or user) make choices. Interestingly, when photography is used in conjunction with UI elements, designers often have to figure out how to maintain the legibility of text, important links, and buttons. You can sometimes get away with using a dark tint (usually an opacity of black) over the image, although this can appear dark and muddy. Use a gradient overlay rather than a full tint. It will look less heavy. Video tends to be more forgiving as your eye can distinguish the type more easily against the moving content.


3. DESIGN RESEARCHER
Most people aren’t comfortable in front of the camera, and I don’t blame them — it can feel awkward and vulnerable. Creating a good rapport with a subject can ease their stress, and is essential to capturing their true character. This is my favorite aspect of portrait photography — connecting with people — and it can be hard to do in a limited period of time.
Getting to know a person before you just start shooting away is a lot like breaking the ice before diving into an interview . As Ann Kim, a design researcher at IDEO, says, “Building trust is essential to successful design research.”
As an exercise, try photographing a colleague or acquaintance. Spend time getting to know your subject before shooting their portrait. Share your final image with a few people. Ask them who they think your subject is, and what they are like. It will be interesting to compare their feedback to the experience you had with your subject.

4. STORYTELLER
Use photographs to document each stage of a design project to visually enhance your story. Capture images of your experiences during research and inspiration trips. Record user interactions through video and photography. These tools build trust by placing the user front and center, bringing focus back to the intended audience. Build your narrative by introducing the components of your design first. For the big finale, show the human response to the product or prototype as a holistic system or journey.
Photographing your process also ensures that you have assets for sharing work with colleagues or collaborators which helps to inform and inspire.

I would love to hear how other designers and creators connect with photography — both the process and the perspective it gives. How has it influenced your work? What has it helped you to see more clearly? What hurdles has it helped you to clear? Direct message me your responses on Twitter.
Have fun shooting!
Many moons ago, when I was a couple of years out of college working at a digital agency in London, they handed me the responsibility of directing my first photo shoot. Cue anxiety. As a junior designer, I had limited experience with professional photography. I didn’t understand enough about the medium to give adequate direction to a photographer. On the day of our shoot, it seemed like magic watching the photographer and his assistants make it happen — the combination of their technical knowledge and efficient process was fascinating.


Non-Boring Podcast with Futurist Kevin Kelly
Kevin Kelly's "The Inevitable" will have you peeling back layers
Kelly masterfully weaves together what he calls the 12 forces, tech trends driving us into the future. In Kelly’s view, the forces—Becoming, Flowing, Filtering, Remixing, etc—lean on and reinforce each other. Each is a combination of technologies and societal factors that give us a preview of what the future will look like. In the Cognifying chapter, Kelly details the ways artificial intelligence is already catalyzing technological disruption, and imagines the infinite ways it will continue to change our experience. What happens when physical objects aren’t just smart, but also constantly learning? Like many of the chapters in the book, Cognifying is both entirely relatable and totally mind bending; you unpeel layer after layer, occasionally pausing to savor the individual seeds.

As Rodriguez notes in the episode, each chapter almost seems like a book unto itself. “It feels like what we get here at IDEO with a group of people in a project space for six months.” It turns out, some of these chapters started 10 years ago as blog posts, then went through ruthless revisions by magazine editors, and were rewritten again over the years, eventually ripening into this multifaceted fruit.
Some business books are like bananas: easy to consume, bland, too mushy. But when IDEO Futures host Diego Rodriguez dug into podcast guest Kevin Kelly’s latest book, The Inevitable, it felt like something entirely different. Kelly’s book outlines the technological trends that will drive every aspect of business going forward. It’s no banana. It’s more like a pomegranate—layered and fractal. Peeling back the layers requires work, but the rewards are juicy.


Designing a circular economy
What if we had a new way to design products, services, and businesses that were good for people, the planet, and business?
That’s the radical promise of the Circular Economy: moving from our traditional take-make-dispose economy, to one that has a closed loop, where materials, nutrients, and data are continuously repurposed.
Working with the Ellen MacArthur Foundation, which aims to inspire a shift to that new model, we’ve designed this guide to meet an emerging need among industry leaders: an alternative, restorative, and regenerative approach to business, one that creates new value and delivers long-term economic, social and ecological prosperity.
Transitioning the Circular Economy into the mainstream will be one of the biggest creative challenges of our time. But we believe design thinking is an ideal approach for tackling this complex, systemic, ambitious challenge.
Created for innovators, entrepreneurs and intrapreneurs, the guide aims to raise awareness of the Circular Economy, nurture a systems perspective, and share practical innovation methods.
We hope these ideas will galvanize readers to start designing tomorrow’s breakthrough businesses.
Get started at circulardesignguide.com.
What if we had a new way to design products, services, and businesses that were good for people, the planet, and business?


What’s in my Moleskine: Ashley Holtgraver
A look into the lives of complicated women

I’ve always loved drawing. I had cool, encouraging parents who’d do things like let me draw an invitation to my 6th birthday party, then go make copies of it so that I had personalized cards to send out.
I remember discovering my mom’s college sketchbook in the basement when I was a teenager, and feeling like it gave me a window into who she was at that time of her life. I started keeping sketchbooks in 10th grade, and have managed to hold on to almost all of them since then.

In my career as a programmer, I live and work inside my computer screen. My professional body of work can sometimes feel so ephemeral—everything I’ve ever made could be wiped out by a really strong magnet. So it feels really nice to have some solid, double-layered bookshelves and bins full of sketchbooks to step back and look at sometimes.
Lately, I’ve been drawing complicated women in the evenings. A woman’s physicality is so much more political than a man’s—and to me, this makes it so much more powerful. A woman has more expectations placed on her physical looks—her clothes, her hair, even her expression—and that only makes it that much more of a provocation when those expectations are thwarted.

When I was a kid, I’d spend hours drawing Ariel from Disney’s A Little Mermaid. I'd sometimes catch myself unconsciously copying her expression with my own face. Even at 9 years old, I’d feel a little embarrassed when I felt a big, fake grin on my face. I liked Ariel and her gadgets and gizmos aplenty, but I wasn’t like Ariel. I was faking it.
Then in high school, when it was time for my exciting locking-myself-in-my-room-and-drawing-self-portraits period, I had to shift into thinking intentionally about what my face was doing while I drew from the mirror. I found that whether I was trying to make a specific kind of face, whatever came out ended up feeling like a character. And that somehow felt instantly more powerful than just the image in the mirror.

The women I like to draw now capture some element of that feeling. They may not be the definition of self-possessed, they may or may not be confident and composed, but they are self-aware, and in control of what they are putting out into the world. They may be performing a little, but they're doing it on their own terms, for their own benefit.
They’re from noir movies and punk bands. They’re artists, journalists, wastoids, and dweebies. I like to think they lived for themselves and as themselves—the most provocative act there is for any human. I admire them and want to see myself in them
“I have been drawing complicated women in the evenings lately.” Cambridge software designer Ashley Holtgraver reveals the secrets of her notebooks.


Lindsey Turner
I’m passionate about building brands, products, and experiences that help organizations show up with meaning and momentum.
I help organizations cut through complexity by shaping how they show up, through brand strategy, identity, and storytelling.
Working at the intersection of brand and business, I bring an editorial eye and a bias toward making—turning ideas into tangible experiences that people can understand, trust, and believe in.
My work spans government, healthcare, financial services, media, and consumer goods, from launching Gen Z-focused ventures to building innovation labs and reimagining legacy brands. I relish moments of ambiguity and enjoy translating across teams, perspectives, and priorities to move ideas forward.
I started my career in editorial and digital design, shaping cross-platform experiences and identity systems in publishing and agency environments. That foundation still shapes how I work today: I’m detail-oriented, collaborative, and overreliant on the Oxford comma. I hold a BFA in Visual Communication from the School of the Art Institute of Chicago.


Rachel Young
My work helps organizations see who their products aren't working for—and build the will and the tools to do something about it
For 25 years, I've asked the same question: Who does this design exclude—and what are we going to do about it?
My work spans human-centered strategy, inclusive design, and qualitative research, with clients ranging from Microsoft, Google, and Verizon to the National Science Foundation, and San Francisco Unified School District.
Before IDEO, I taught elementary school in East Palo Alto and spent a decade doing design work with social service organizations—where I learned firsthand what it costs people when systems are built without them in mind.
I am currently writing User Error, a nonfiction book about digital access and the design decisions behind it. I live in Oakland, California.


Brian Pelsoh
I lead with craft, ensuring our work is creatively excellent: rooted in deep human insight and imagination, while also grounded in the realities of business and technology.
My expertise spans brand, communication, and product design across tech, education, the arts, and social impact.
I believe great work demands both high-level vision and obsessive attention to detail, and only happens through collaboration.
I bring an inclusive, hands-on approach and a deep understanding of business, which enables me to consistently deliver excellence while always asking why.
Before joining IDEO, I worked at the brand firms Pentagram and VSA Partners. I began my career as a designer, leading teams at the School of the Art Institute of Chicago and the Milwaukee Art Museum. I hold an MFA in graphic design from Maryland Institute College of Art and a BFA in communication design from the Milwaukee Institute of Art & Design, and have taught at some of the best design schools in the US.


Tony Wong
I am responsible for IDEO’s long-term success in China and working with clients to use design as a tool to enable growth.
I am responsible for IDEO’s long-term success in China and working with clients to use design as a tool to enable growth. Specifically, I have helped Chinese companies design holistic brand solutions through the development of their products, communication, services, and innovation teams, and I have helped multinationals expand their presence and influence in China.
I advise global leaders on developing China-led innovation and capabilities.
In over 15 years in IDEO Shanghai, I have worked on projects that use design to elevate the quality of the experience of healthcare products and services, streamline processes that increase productivity, create spaces and programs that promote and enable inclusive communities, and build next generation mobility solutions that are planet-positive.
Before joining IDEO, I worked at Philips Electronics and the Electrolux Group in Italy, the Netherlands, and Singapore on a number of breakthrough commercial products. I am a member of the Young President Organization in Shanghai.
Building a personal AI for the messiness of life: Sida Li
Most AI products today are built for work—a space with clear problems and established systems. One founder noticed a gap: personal life is messier, harder to systematize, and mostly left behind by the AI boom. So she built Cue, a personal AI that lives inside iMessage and group chats, to go where the other tools haven't.
In this episode, Becca Carroll, IDEO's Chief Strategy Officer, talks with Sida Li, co-founder and CEO of Shared Context Lab, about staying anchored to a human need while the technology around her keeps changing shape, why she treats her business model with the same rigor she'd bring to a product, and what it feels like to build a company at this particular, disorienting moment in AI.
The conversation also gets into how Sida makes design decisions: the language Cue uses to describe itself, the tradeoffs behind building inside iMessage instead of a new app, and a real story about a business idea that didn’t pan out.
This is the second in a two-part series profiling founders from IDEO's Startups-in-Residence program. The first conversation is with Johannes Seemann, founder of Sooner, on designing GenAI for the emotional side of money.
Designing GenAI for the emotional side of money: Johannes Seemann
Most personal financial tools are built to run the numbers and optimize towards a budget. While that works for some, most people experience money as a lived relationship that does not neatly fit into a spreadsheet. Johannes Seemann and Becca Carroll discuss why money is emotional before it is mathematical, and what a human-centered approach to building a generative AI financial product looks like in practice.
The curious leader's edge in uncertainty: Scott Shigeoka
Mina Seetharaman talks with Scott Shigeoka, author of Seek and Head of Curiosity Cultivation at the Eames Institute, about what distinguishes genuinely curious leadership from performative curiosity, how power dynamics shape curiosity, and why practicing curiosity can restore energy rather than drain it.
How constraints make us more creative: David Epstein
Mina Seetharaman talks with David Epstein, author of Inside the Box and Range, about why total freedom often produces average work, how leaders can design useful limits on purpose, and what organizations such as General Magic and Pixar reveal about the relationship between boundaries and creativity.
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