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.
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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%.
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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

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.
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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.
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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.

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

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

Name: Andrea Oh
Location: San Francisco
Role at IDEO: Front Desk Concierge, Experience team. Steward of magical work-life experiences. Gatekeeper of the guest Wi-Fi. (She guards it with a Gandalf staff made out of Twix chocolate).
Joined IDEO: August 2015
Instagram: @fermdaza
Titillating Fact: Matcha is my life! For someone who doesn’t drink coffee, a dose of matcha powder mixed in with water in the morning is my saving grace.

1. Isaiah Rashad: "The Sun’s Tirade" (2016)

There are a couple albums I’ve been gravitating towards in the past month, but the one that’s been in constant rotation—and I mean constant—is the debut release of Top Dawg Entertainment-signed rapper Isaiah Rashad, The Sun’s Tirade. His earnest, poetic musings on butter-smooth production make for perfect late-summer listening. Roll the windows down while you’re at it.

2. Drumming around with Pyle-Pro PTED01

I used to take drum lessons when I was younger and regrettably fell out of the habit of playing as I got older and distracted by high-school-Andrea things. I’ve had an itch to take it up again so I recently just purchased this electronic drum kit to practice exercises and learn new grooves and fills (YouTube tutorials are your friend). I don’t have the space to house a real set and classes in the city are steeper than I can afford, so this is a good alternative to keep that itch scratched.

3. Warsan Shire

I’ve been reaching a lot for Warsan Shire these days. She is a Somali-British writer, activist, educator—and one of my favorite female voices in contemporary poetry. She explores themes ranging from love, sexual violence, religion, war, displacement, and the immigrant experience. Her words are often sharp and unapologetic. I love that her writing is a celebration of womanhood and the female body, as well as a tribute to Somali culture and her ancestry.

Watch: Warsan Shire reads her poem “Conversations About Home (at the Deportation Centre)” from Teaching My Mother How To Give Birth.

Header image by Markus Spiske.

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In this series, we ask IDEO designers to share the stuff they're digging right now—tools, books, music, sites, people, places—so you, too, can drink from the fount of inspiration bubbling up here. This week's guest star: Andrea Oh.

1. Free Writing

Creativity manuals like the Artist's Way talk about the power of the "Morning Pages"—a ritual in which you start writing just after waking up, and bang out some prose before your conscious, self-critical self has fully come online. Conveniently, there's an app for that. Flowstate is a word processor with a twist: You set a timer, then write until it dings. If you hesitate for more than a couple of seconds, the app will delete everything that you've put down so far. Although it sounds like torture, the app can actually help you let go of editing and enter a state of uncritical flow.

2. Phone Denial

Before going to bed, move your phone charger to another room. Then, put a pencil and paper in its place on your nightstand. Now, when you wake up, instead of looking at Google News or Facebook, write down some thoughts that are related to how you're feeling, what is important for you, and how you're going to make a creative impact today. If that feels too involved right after waking up, draw a picture of something instead. Either way, don't let yourself get distracted by your phone until you've engaged your creativity.

3. Disposable Poetry

When Kurt Vonnegut was 84, he received a letter from a high school student, asking him to visit his school. The writer refused, claiming that he was now so old that he now "resembled an iguana." Instead of visiting, he sent a letter that contained a creative exercise. "Write a six-line poem, about anything, but rhymed. No fair tennis without a net. Make it as good as you possibly can." Then, Vonnegut said, the poem was to be torn up and discarded. "You will find that you have already been gloriously rewarded for your poem. You have experienced becoming, learned a lot more about what’s inside you, and you have made your soul grow." As a tribute to the great Mr. Vonnegut, try his ritual every morning.

4. Creative Collaging

Collect any old magazines or catalogues lying around your house. Leaf through them and cut out any interesting pictures or headlines. Assemble these into a collage. Take a photo of the collage and post it to Instagram, Facebook, or whatever social media site you use. Doesn't that feel better than posting a picture of yourself playing with your dog, or the avocado toast that you had for breakfast? Of course it does. You just stepped away from the ordinary world for a moment and created something original. For bonus points, download the Boomerang Gmail extension, and you can email your pictures to your future self—in a month or even a year. Think of it as a way to remind future you to stay creative.

5. Walking and Observing

Everyone from Beethoven to Steve Jobs relied on the inspirational powers of a walk. Neuroscience backs up their belief: A walk will remove you from the distractions of conversations and technology, freeing the mind to explore new associations between the ideas already in your head. Why not skip breakfast altogether and walk to work? Look around as you do so, and see if you notice anything unusual or surprising in the environment. Take a gander at other people too. Try to put yourself in their shoes, and imagine what they're thinking or feeling. Remind yourself that everybody sees the world differently, and that this kaleidoscope of human perceptions and viewpoints is a wonderful thing. Remember that inspiration is all around you—you just have to stop occasionally to breathe it in.

Illustrations by Megan Crabtree.

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Benjamin Franklin used to spend his mornings naked. Sigmund Freud would trim his beard. Marcel Proust smoked opium. There are many ways to start the day in a creative frame of mind. If you want an alternative to being nude, beardy, or high, here are some of our favorites.

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This post is a source of parody and is for entertainment, education and commentary purposes only.

You may have heard: Designers like fonts. They dream in Helvetica. Letterforms may play as central a role in a designer's life as their favorite bands. Knowing this, our Tokyo studio threw an event called "PLAY - Creativity at The Intersection of Design + Music." We needed posters to promote it, and asked ourselves: How might we bring music and design together? The exercise quickly devolved into a competition for who could come up with the worst font-band pun. There's a slim overlap in the venn diagram of people who appreciate both Frank Zappa and Zapf Dingbats, but that is exactly who we were aiming for. Got your own #ideobandfont? Do share.

What was the spark?

I’m the type of person who always has a plan B. For my entire working life, I’ve had a side hustle. It made perfect sense to me, then, that in 2006, while I was working as the Chicago editor of Flavorpill, I’d accept the challenge to be a local producer for Mortified, a grassroots comedy show started by Dave Nadelberg in Los Angeles five years earlier. Even though, at that time, I was more comfortable behind a laptop than on stage, the show’s premise — everyday people reading their childhood diaries in front of a live audience — had everything I liked in comedy and storytelling: It was awkward, cathartic, redemptive, and totally relatable to anyone who was once a kid. It turned regular people into comedy stars. I jumped at the chance.

Most memorable Mortified moment? (Say that five times fast...)

For this year's Valentine Schmalentine show, we surprised one of our favorite performers, Kerstyne Kromer, by inviting her childhood celebrity crush Eden Riegel to Skype in and read the part Kerstyne had created for her in one of her childhood soap operas. In the early 2000s, Eden played Bianca Montgomery, the first openly lesbian character on All My Children. Watching Bianca's struggles on daytime TV helped Kerstyne eventually come out to her family and friends. Kerstyne almost passed out from happiness.

For a decade, my friends and I have been "sharing the shame" in Chicago.

What keeps you going?

We just celebrated Mortified Chicago’s 10th anniversary, which is astounding to me. I never thought we’d be around this long, or that I’d still be co-producing six Mortified shows a year at big venues like Lincoln Hall and The Promontory while working at IDEO. (Or that Mortified, which is now 15, would expand into books, a podcast, a TV series, a film, etc.) What energizes and inspires me is meeting new people and helping them unearth long-lost stories from their childhood. It’s an incredible privilege to have total strangers open up to you and tell you amazing and sometimes painful stories from their past. The night of the show, I love to sit in the A/V booth, hear the waves of laughter, and watch as the audience falls in love with our performers. It’s immensely gratifying to know I had a hand in making that moment possible.

What lessons from your after-hours project do you bring into your day job?

Three things immediately come to mind: I’m a better listener, I’m more empathic, and I’m a stronger storyteller. Human-centered design is all about having empathy for the end user in order to design a more desirable product, service, or fill in the blank. I also draw on many of the same techniques I use on our performers to help our designers prep for big client meetings and public speaking opportunities. Although, in the case of IDEOers, I hope nothing about their experience will be mortifying.

Annette Ferrara has been publicly embarrassing people for a decade. As a producer of Mortified, a live comedy show, she spends nights and weekends coaching people on how to get up on stage and read from their deeply personal, purple-prosed, and yes, mortifying childhood diaries. We asked her about the side project, and how it has influenced her work.

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.

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.

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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.

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.

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.

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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.

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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.

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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.

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.

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.

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.