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

IDEO: Tell us about your drawings

Dave Russell: A few months ago I committed myself to drawing a comic a day for one month. I’ve never consciously drawn comics before, but I’ve always admired the narrative skill of artists like Chris Ware and Adrian Tomine, so I thought it would be fun to experiment with the format. While both these artists employ a semi-realistic style to tell human stories, I’m equally inspired by the strange and absurd worlds created by the likes of David OReilly and Pendleton Ward.

When do you find the time?

For me, drawing can be a way of escaping the everyday and exploring imagined worlds. Doodling is like my meditation—it clears my mind and helps me to focus. I try to keep these scribblings to a minimum in face-to-face meetings, but when I’m on the phone my drawing hand has a mind of its own. I’m often surprised by what ends up on the page.

What are your favorite tools?

My go-to, everyday weapon is the Muji Gel Pen. It’s versatile—thin enough to write with and a great weight for small sketches. It’s got to be black and it’s got to be 0.5mm. No exceptions. I recently started using a Pentel Sign Pen to draw with, too. It’s super smooth and the nib feels quite dynamic. It also bleeds less than Sharpies, the ubiquitous IDEO design tool.

Welcome to the What's in My Moleskine series, a periodic peek inside the notebook of an IDEO designer. Fast Company recently did the same with IDEO's Joe Brown, who had a lot to say about the all-powerful Muji thread-bound A6 notebook.

In this installment we hear from Dave Russell, a communications designer based in our London studio.

I have to find out if I can pull off a successful translation.

I found my most recent skeuomorphic inspiration in Tokyo’s Nezu museum, one of the best traditional Japanese art museums in the country. Nezu was hosting an exhibit on sensu fans. Originally invented in China, sensu fans were popularized in Japan by artists and calligraphers, who used them as a medium for their work.

Taking in the fans, I immediately appreciated the fantastic woodblock artwork and beautiful brush strokes, but what really struck me was their construction and mechanics: the hand-held fans open with the flick of a wrist. I couldn’t get them out of my mind. How did they open and close so efficiently? How did the bamboo supports slide smoothly over one another? Did the creators consciously build them to open with a simple hand gesture? And what was the point of making them retractable in the first place?

I began to realize that the only way to satiate my curiosity was to make a digital re-creation of the sensu fan. Translating the fan’s physical systems to the digital world would test my skills as a designer and help me to understand its essential systems.

Observable systems

In any skeuomorphic project, the question I usually start with is: What elements capture the essence of the subject? Is it its purpose? Or is it characterized by its design, its construction, its movement, or its interaction? To find the answer, I need to look beyond the face of the object and break it down into the shapes, motions, and systems that define it.

The first app I ever created was a tribute to an electric razor from the late 70s designed by Dieter Rams. I can remember watching my father run that razor over his face every morning. Though I didn't know it at the time, it was the first well-designed product I ever came in contact with. I can still hear the click of the slide-up power button and the sound of the vibration that it made as it glided over my dad’s stubble. When I built an app version of the razor, I realized that the sound and the micro-movements were the two key aspects of the design that I had to translate to make a satisfying digital interpretation.

I used a combination of animation, vibration, and sound (tilting the phone toward your face makes the phone play a beard-cutting sound) to bring the razor to life. The result was a super-tangible app that made the device feel so much like a real razor that you could almost forget it was a phone. Unfortunately, Apple didn’t quite get it—they claimed it was “too useless” for the app store—but for me, it was a ticket back to my childhood.

Considering design

Far from useless, skeumorphic explorations make me a better designer. The challenge of breaking down a real-world object into a set of Photoshop layer styles is my idea of time well spent. I strive for efficiency: Whether it’s lines of code or the number of layer effects, minimization is the key to honing my design skills.

When I did a translation of my Braun AW-20 watch, I managed to perfectly capture the essence of the watch in 27 layers with one to three styles each. I plan on returning to it one day to bring it life in code.

Bringing it to life

When I began my skeumorphic translation of the sensu fan, I felt it was critical to capture the physics of the opening and closing motion. This meant that I wasn’t working with Photoshop layers, but with code. At IDEO, I tend to design with code as much as I do with Photoshop or Sketch. Having a good grasp on code allows me to think deeper about physical-to-digital translations, and real-world systems are better expressed and executed in certain programming languages than others. My first attempts at recreating the fan were standalone applications in openFrameworks—a set of C++ libraries packaged together for creative programming. I started playing with the Box2D add-on for openFrameworks, which was put together by my colleague Todd Vanderlin from our Cambridge office. While the add-on worked perfectly, the digital replication of the fan’s real-world physics just didn’t capture the magic of the construction and movement.

Because the stand-alone nature of openFrameworks limited the reach of the project, I moved on to exploring more accessible web technologies like CSS3 and JavaScript. I had to compromise slightly on the real-world look of the fan, but the final expression really embodies the movement and interaction that fascinated me when I encountered the Sensu fans at the museum. What’s more, users can manipulate jQuery parameters to change the fan's size, color, and decoration—a digital version of what traditional Japanese artists have done with the fans throughout history.

By creating these translations and exploring the life of the subject, I end up discovering something deeper about the object's design and meaning in the world. Likewise, by creating these challenges, I end up discovering something about myself and my skills as well.

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A few times a year, I’ll come across something—maybe an object or system; maybe just an idea—and I’m overwhelmed with a burning urge to translate it into code and design. It’s a practice usually referred to as skeuomorphism, and once a project captures my imagination, there's no going back.

But when IDEO worked with the USGBC to come up with a new LEED certification plaque, it became clear that software design would be a fundamental part of LEED’s future: The idea was to replace the static plaque with a continually updated digital display. Initially, LEED only looked at a building’s performance at the time of certification. The USGBC has long been working on ways to evaluate what happens after certification, and a recertification program has been in place since 2004. The new plaque was conceived to go even further, monitoring a building’s sustainability in real time on a dynamic digital graph.

That sounds (and looks) pretty simple and intuitive, but to make it work, we had to bust down some interesting technical walls, in a way that nicely encompassed the breadth of IDEO's capabilities, from design research, business development, industrial design, shop building, and interaction design to the software I helped create with an incredible team.

I came on board after the actual visual design had been finished. A small IDEO team had already completed a concept video, unveiled at the 2013 Greenbuild conference, for a plaque that calculates a building’s ongoing performance in five categories: energy, waste, water, transportation, and human experience. For each of the five ratings, there is a curving pathway that gets longer as the score improves.

The team came up with this “racetrack” design to show real sustainability data in a way that encourages positive behavior change. Familiar graphics like charts and graphs tend to make people focus on the negative, whereas we wanted people to focus on progress. No matter how long the strip on the racetrack is, you can see that you’re on your way, even if you still have a ways to go. We weren’t sure we could achieve the requisite combination of elegance and functionality in the time allotted. But it was a good challenge, and that in itself was compelling.

The animation has a big purpose: Showing the building’s use of energy, waste, and water makes people more aware and more conscientious of their own use. I think that’s really positive. The plaque also shows how occupants travel to and from the building, as well as how comfortable and happy they feel when they’re inside, which are new ideas for what it means for a building to be “green.” I wouldn’t have thought, when LEED was introduced in 2000, that a software developer could have a meaningful impact on sustainable architecture, but the fact that I could really speaks to the opportunities that will be open to us in the future.

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Many folks helped to contribute to this post. Huge thanks to Scot Horst, Gretchen Sweeney, Jennifer Easton, Kim Cullen, Gerry Harris, Steve Bishop, Beau Trincia, Mark Harrison, John Stoddard, Alastair Warren, and Building Robotics.

I've always had a layman's interest in architecture and in LEED, the U.S. Green Building Council’s certification program for sustainable buildings. I’m a software developer, so designing buildings is well outside my area of expertise.

Nature Cards are a collection of cards featuring strategies from the natural world that inspire us with a new mindset as we approach design challenges. Use them to frame your design challenge, evolve your business strategy, brainstorm, teach, or simply to think creatively and holistically with nature in mind.

As human-centered designers and innovators, our work has always been inspired by observing people’s natural behavior in its physical, social, and cultural context. As we address increasingly complex and systemic challenges, recently some of us at IDEO have been exploring how human-centered design might broaden its lens to include observation of the natural world in which humans are an integral part. With the help of experts in biology and the life sciences, we are learning about the principles of successful strategies in living systems. This knowledge is inspiring new thinking about how and what we can create for a thriving future.

Download the complete set of Nature Cards here.

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.