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Mental health, co-designed

Kooth partners with young people to create Soluna, a mental health resource for California youth.

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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
Young people in the United States are facing a mental health crisis. Depression, anxiety, and suicide rates are dramatically on the rise. Yet, there are significant barriers to finding support—like the stigma around seeking therapy and the high cost of care. To provide millions of young people with the vital and early help they need, the State of California invited Kooth, a global provider of behavioral health solutions for young people, to develop a digital mental health and wellbeing platform for 13-25 year-olds. Kooth partnered with IDEO to not just create an app for young people, but actually co-design it with them. Launched in January 2024, the app, called Soluna, encompasses behavioral health coaching, interactive tools and personalized content, and is now available for free for all youth in California.
Kooth works with young people in California to design Soluna, an app to enrich their mental health.
Kooth works to transform how young people enrich their mental health.
Kooth USA, LLC
North America
Kooth USA, LLC
Mental health, co-designed, family mental health, news experience, news consumption, Kooth USA, LLC, healthcare, health innovation, patient experience, public sector innovation, government services, civic innovation, technology innovation, digital products, AI, artificial intelligence, emerging technology, digital transformation, digital experience, digital product design, UX design, co-design, participatory design, community engagement, healthcare design, digital health, patient-centered care, design for children, family experience, youth experience, how to design a digital product, innovation, product design, transformation, government

A more comfortable Pap smear

Teal Health creates a system for at-home cervical cancer screening.

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Consumer Products & Retail

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. 

The functional, testable 3-D printed prototypes.

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.

A close-up of the handle and main interaction point of the wand. It enables the novel one-handed cell collection to happen. A sliding thumb wheel both deploys the swab and allows for the swab to rotate to harvest the targeted cervical cells. The thumb can then retract the swab back into the device to preserve the sample during extraction.

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.
Cervical cancer was once the number one cancer killer of women in the US—until the invention of the Pap smear in the 1940s. Over the last seven decades, the mortality rate from cervical cancer has dropped some 60 percent, thanks to better screening. But the procedure itself, which must be performed in a doctor’s office, is uncomfortable at best and inaccessible at worst, and the percentage of women in the US without an up-to-date screening has been increasing—from 14 percent in 2005 to 24 percent in 2019. Kara Egan, one of the cofounders behind Teal Health, wanted to change that. She had a vision for a medical device and health platform that would make it possible for women to collect their own cervical cancer screening sample from the comfort of their own homes. Teal came to IDEO for help designing an applicator and testing experience that would allow users of all body types to safely and accurately collect a sample at home and be inclusive for anyone with a cervix.
Teal Health creates a system for at-home cervical cancer screening, making it easier and more comfortable for women to get the care they need.
Teal Health creates a device for patients to safely collect their own samples at home.
Teal Health
North America
Teal Health
A more comfortable Pap smear, cervical cancer screening, at-home screening, Pap smear, Teal Health, healthcare, health innovation, patient experience, consumer products, retail, consumer experience, retail innovation, digital transformation, digital experience, digital product design, UX design, product design, industrial design, new product development, inclusive design, accessible design, equitable design, systems thinking, systems design, service ecosystem, healthcare design, digital health, patient-centered care, employee experience, workplace design, team collaboration, how to design a digital product, innovation, research, prototyping, product development, transformation

Amplifying a movement

Cities United rebrands to create safe, healthy, hopeful communities for Black men and boys.

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Public Sector

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
Cities United is on a mission to reduce gun violence and create safe, healthy, hopeful communities for young Black men and boys, their families, and their communities. The Louisville-based organization takes a holistic public health approach, working with mayors, leaders, community organizations, and young people nationwide to reduce homicides and shootings and redefine public safety in our country. Because it works with both leaders and young people, the organization needed a brand identity that could speak to a wide range of stakeholders. As Cities United was preparing to celebrate its 10th anniversary, the organization approached IDEO for help refreshing its brand, a critical tool to better express its movement to end the gun violence epidemic.
Cities United adopts a new verbal and visual identity to bring momentum to its movement to create safe, hopeful, healthy communities for young black men and boys.
Cities United rebrands to amplify its mission to end gun violence.
Cities United
North America
Cities United
Amplifying a movement, Cities United, public sector innovation, government services, civic innovation, brand strategy, brand design, brand identity, brand experience, product design, industrial design, new product development, creative leadership, leadership development, co-design, participatory design, community engagement, systems thinking, systems design, service ecosystem, healthcare design, digital health, patient-centered care, education innovation, student experience, future of education, design for children, family experience, youth experience, how to build a brand, innovation, strategy, product development, leadership, creativity, healthcare, education, government

Balancing work and sleep

Somni’s personalized sleep program helps workers maintain their health.

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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
Somni was founded to help people improve their sleep. The company offers personalized, evidence-based sleep health programs alongside sleep coaching and sleep aids like melatonin, blue light blocking glasses, tea, and eye masks. In 2021, Somni wanted to expand its program to create a more human-centered experience for people with challenging sleep-work patterns. More than 15 million Americans have evening, night, rotating, or irregularly-scheduled shift work that disrupts their circadian rhythm. This can lead to metabolic, hormonal, and mental health problems, and even DNA damage. In 2021, Somni reached out to IDEO for help integrating genetic testing into their sleep program, and redesigning the digital user experience for employees and the employers who want to help them stay healthy.
Somni works to create a resource that helps employers support third shift workers.
Somni creates a personalized support system for third shift workers.
Somni
North America
Somni
Balancing work and sleep, tea, tea packaging, tea brand, pediatric obesity, obesity care, diabetes care, diabetes management, genetic testing, consumer genomics, sleep health, sleep analytics, DNA, genomics, personalized medicine, mental health, family mental health, Somni, healthcare, health innovation, patient experience, customer experience, user experience, experience design, service design, digital transformation, digital experience, digital product design, UX design, human centered design, design thinking, customer centricity, AI, artificial intelligence, innovation, product design, research, startup, transformation, creativity

Why You Should Get to Know Your Creative Alter Ego

How one designer's aha! moment helped him discover his bold signature style

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Having already used acrylics, oil paints, graphite, and finally moving on to digital art, there was not much left to experiment with to broaden my artistic arsenal.

Or so I thought.

It was 25th of September, 2016, when my artistic alter ego was born. During that period of my life, I was searching for a way forward, having just returned from university without a job. I spent most of my time ideating and planning my next move.

That afternoon, I sat down to take a break and illustrate my state of mind. I started what was meant to be a 20-minute drawing session with a 0.5mm fine liner. That pen, plus an old notebook that I had used back in university, became my weapon of creativity.

When I was done, I had a character that I named “the relentless dreamer”—a tiny figure with a peculiar helmet that shielded his wandering heart from reality as he knew it, granting him the ability to see far beyond the clutches of a life he deemed to be limited. This tiny figure reminds me that it is crucial to be idealistic, ambitious, and forever creative.

Drawing this character gave me an emotional release unlike anything I had experienced before through art. Though I was often plagued with a sense of anxiety around what my drawings would mean or stand for, this time, I felt weightless.

I began focusing on these black and white ink drawings, and the experience was cathartic. Each one entwined with the stories that brought them to life. Even though most of the figures I drew were imaginary, I was taking my life and experiences and expressing them through my illustration. I would envision part of the figure in my mind and let the rest appear.

The “Andolo Resilience” illustration is a representation of a community I worked in and greatly appreciated. The togetherness the community showed in times of difficulty was unlike anything I had witnessed.
"Energy” is a piece that was inspired by rhythm and power. It started off as a vision of face and a drum; the rest of the illustration has elements that represent strong, bold, and energetic movements.

My intention was for viewers to move their eyes constantly as they looked for meaning in the drawing or simply made out the shapes.

Some of my work is dark, some full of mystery—a mystery I hoped that others would try solve as they navigate the intricacies of the line work.

Amidst all the visual chaos, there was one constant: A human element. The figures would serve as my connection to the pieces, and I hoped they would resonate with the audience, too.

These days, you will probably find me seated in the corner of a cafe with a fine liner pen. To many, I am just an artist, ardently sketching away. But what I’m actually doing is getting a little dose of sanity, as I move the images in my mind onto the pages of my book.

And in that very moment, I am dreaming… relentlessly.

Want to see what other IDEOers are drawing and doodling? Take a peek inside more designers' notebooks.

Two years ago, after spending most of my life mimicking artwork that appealed to me, I assumed that I had reached my artistic peak. I had been drawing since 1999. I still enjoyed working on portraits and surrealist compositions, but creatively, I felt stuck. After starting university, my product design work proved to be quite fulfilling, but my personal work was feeling uninspired.

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why you should get to know your creative alter ego, product design, photography, visual design, creativity, creative confidence

Build Your Creative Confidence: Speed Dating

Creativity thrives amidst free-flowing social discourse. To get a roomful of strangers to innovate, you may want to begin by breaking down some social barriers.

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Creativity Challenge # 6: Warm up a group

Creativity thrives amidst free-flowing social discourse. To get a roomful of strangers to innovate, you may want to begin by breaking down some social barriers. When this exercise is done right, the room will be abuzz with chatter and laughter, and participants will be more open to what comes next.

Tool: Speed Dating
Participants: Pairs in groups of any size
Time: 15-20 minutes total, 3 minutes per round
Supplies: Paper printed with a set of questions for each participant. Several different sets of questions will be needed to accommodate the entire group.

Instructions

Step 1: Give each person a list of open-ended questions. Several different sets of questions should be spread throughout tables in the room so that people aren’t continually being asked the same questions.

Examples of possible questions:

  • How would your closest family members describe you?
  • If you had a million Euros to spend in a way that benefits humanity, what would you do?
  • What do you wish your parents had told you?
  • What was a live performance or show you really loved, and why?

Step 2: Ask each person in the room to pair up with someone they don’t know very well or have never met. This may involve getting up and moving seats.

Step 3: Have one person in each pair ask a question from the list. Allow three minutes for the other person to answer.

Step 4: Have each pair switch roles and repeat, asking a different question on the list

Step 5: Tell everyone to find a new partner and repeat the process for a couple more rounds.

Tips from the field

You want to keep people moving to create a well-orchestrated round-robin. Be proactive about timekeeping. Assign someone to be a facilitator or timekeeper. To add a little fun, use a buzzer or gong to announce that time is up.

Depending on the nature of the working session that will follow the Speed Dating exercise, you can tailor some of the open-ended questions to be inspirational and loosely related to your topic. For example, if the objective of the meeting is to discuss the future of workspace for the organization, one of the prompts may be, “Describe an inspiring space you have worked in.”

Give a little thought to the type of questions you use. Meaning-of-life questions and superlative questions (the most, the best, the worst) can cause people to stall out or draw a blank. The whole purpose is interaction. So if your question stumps your partner for even a handful of seconds, it’s not quite right. Try the questions out on someone before you use them in a group setting.

If your group might be uncomfortable with an activity that includes the word “dating” in the title, call it Speed Meeting—which we have found works with Nobel laureates.

This post was taken from Chapter 7 of Creative Confidence. Purchase the book for more on how to use creativity to solve problems, or view more from this series of creative exercises on the IDEO blog.

Everyone is creative. This belief runs through everything we do at IDEO, and in 2013, it led my brother David and me to write a book that would help others—even those who don’t think of themselves as “creative types”—to unleash their creative potential. Creative Confidence has inspired thousands of people to adopt a creative mindset and apply it to the diverse real-world challenges they face. In this series, we’ll share some exercises from the book that can help you approach your challenges from a new perspective.


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build your creative confidence speed dating, build your creative confidence, speed dating, innovation, creativity, creative confidence, how do we innovate

3 Ways Design Can Help Tackle 2019's Big Challenges

IDEO leaders share forecasts on prospective trends in design and tech

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1. Design for human capabilities

We are in an uncomfortable place at the moment. Technology has connected us all more than ever, but we are feeling less substantive connection with one another. Human interaction has been reduced to lowest common denominators. Unhappy people click more. Now technology is starting to displace us. In the next few years, deep learning-based AI will take over human activities, from driving to medical diagnosis. The discomfort is increasing as society faces mass redundancy, increased inequality and a crisis of meaning. We can all feel it coming. Design can help.

The amazing thing about good design is that it looks at ambiguity and disruption and sees fertile ground. There is huge opportunity when we focus on things that humans are uniquely equipped to do—empathy, creativity, care, love.

If we do it right, we can conceive and shape new roles for humans in a layer on top of the efficiencies that machines can achieve. We can use those uniquely human traits to re-find and enhance community and depth in our relationships with each other. We can go from Artificial Intelligence to Augmented Intelligence.

—David Webster, Partner, IDEO Palo Alto

2. Design for emotional wellness

The uncertain state of the world is having clear consequences for individual health. You see it in the headlines everyday: Kids paralyzed by anxiety. Suicides by gun. Addiction to opioids. We live in the most technologically connected times, yet our rates of loneliness are increasing. If you dig deep, the common root is an absence of emotional and mental well-being.

I’m not talking about the well-being that’s branded through luxury experiences, like wellness retreats. I’m talking about what Maslow missed at the very bottom of his hierarchy: that sense of inner well-being that is absolutely necessary for our survival as humans.

What’s exciting about our moment now is that science has surfaced the myriad ways we can cultivate emotional and mental well-being—all of which are new channels for design.

Designing ways to get better sleep is also a way of designing for resilience to stress and better ability to manage our emotions. Tackling loneliness and designing for meaningful social connection is also a way of designing for a stronger immune system and brain protection. (Conversely, enabling chronic loneliness is as bad as smoking 15 cigarettes a day.) Designing ways to help people find their sense of purpose and meaning in life is an incredibly powerful way to design for healthier mind and bodies.

More and more, designers will realize their superpowers. Doctors and nurses are key players in facilitating wellness, but let's not forget that designers can be healers, too.

—Ann Kim, Portfolio Director, IDEO Cambridge

[This portion was also featured in Fast Company.]

3. Design for circularity

While it's easy these days to lament the state of the environment and the need for change, there's some hope to be found in the increased momentum towards a more circular economy. Collaborations between industry and design have yielded smart, feasible ideas for redirecting waste streams and reconnecting key stakeholders.

Businesses are investigating new product and packaging design that enables materials to be used again and again; they're asking how to leverage logistics in more efficient ways; and they're conceiving of new ownership models that could extend the lifecycle of the products they make.

The next questions on the horizon revolve around the economic systems that need to be in place to support these circular innovations. For example, we can design buildings so that they can be deconstructed—a circular engineering idea—but the cost of labor makes that reality prohibitive. In 2019, it's time for more applied circularity, leveraging emerging technology, organizational design, human insights, and social networks to create the conditions for the circular economy to take hold.

—Lauren Yarmuth, Portfolio Director, IDEO New York

With 2018 fading into the distance, we're looking with hopeful eyes toward what the next year may bring. Our ongoing projects and client work help us hold up a mirror to reflect on what’s been happening and make informed predictions about what’s to come. Here are a few forecasts from IDEO leaders on prospective trends in design and tech.

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3 ways design can help tackle 2019's big challenges, leadership

Don’t Wait for a Crisis to Change Your Business

Strange as it sounds, the main challenge for some people today is that their business isn’t in crisis

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If you know what we’re talking about, you could well be one of the world’s frustrated changemakers. You can see that change is essential, but you’re struggling to light the spark because your business’s indicators are all annoyingly positive. If this is you, what can you do? Should you hope for—or, even, engineer—a crisis?

This was one of the questions a group of business transformation leaders took on recently, at our Make Change Happen event in Munich, Germany.

“It would be a lie to say that a good crisis or a good disruption doesn’t help,” said Roman Lentz, Chief Digital Transformation Officer at global building materials firm Heidelberg Cement. “Because if you honestly look at organizations that change the fastest, they’re the ones with their backs most strongly against the wall… And frankly, that’s my challenge, because we’re not in crisis. We’re producing healthy margins. We’re not seeing cement being disrupted any time soon.”

Sandra Schiller, Head of Product Management for Valves and Automation at Georg Fischer Piping Systems, agreed. A crisis, Schiller noted, “can force through faster changes.”

But this doesn’t mean you should wait for a crisis, as London’s black taxis discovered, a few years too late.

“Black taxis were untouchable,” said Ben Terrett, CEO of Public Digital, a firm that partners with IDEO and specializes in digital transformation. “So untouchable that some of their services and ways of operating were protected by regulation. They have special parking spaces in London, special streets only they can go down… certain roads only they can pick up from.”

But then wave after wave of digital disruption flooded in as they sat behind the wheel, watching their dominion ebb away. First, GPS meant that the traditional cab drivers’ knowledge of London’s labyrinthine streets was no longer the golden ticket it had once been.

Then Uber arrived, and its bookable, predictable, low-cost rides started to eat into the black taxi business. So how did London’s cabbies respond?

“Their defense has ended up being reputation,” said Terrett. “That’s basically their only defense: ‘But we’re the black cabs!’”

Turns out customers weren’t as attached to the reputation of London’s cabs as cabbies were—and they couldn’t compete with the convenience and cost-cutting of on-demand services. Now the London Taxi Drivers Association (LTDA) wants to sue Uber for the earnings its 25,000 members lost in the first five years they were operating in the city. The LTDA estimates that cabbies lost £10,000 each per year, and has been taking legal advice to sue for £1.25 billion.

It didn’t have to come to this.

“What’s interesting is that people have been trying to help them—by building services on top of their service,” said James Higgs, Executive Director for Digital Transformation at IDEO London.

In 2011, the year before Uber launched in London—Hailo, now MyTaxi, tried to bring the predictability of a booking app to the black cabs.

“Taxi drivers didn’t even want that,” Higgs said. “They would charge you an outrageous minimum fare… they even resisted companies trying to help them deliver a better service!”

We don’t want to pick on London’s iconic cabs and their drivers. They’re not even employees of a centralized company that one could point a finger at—they’re self-employed. But we think there are lessons here for us all.

“The black cabs are a good analogy for a lot of businesses,” said Terrett. “I can see lots of industrial-era companies who, when digital organizations go after their market, their defense is ‘well, we’re us, we’re the number one brand in this market.’ That’s no longer a good enough defense.”

Here are three key takeaways for businesses looking to inoculate themselves for potential disruption:

1. Don’t wait for a crisis

Just as you shouldn’t wish for a crisis to happen, so you shouldn’t wait for a crisis to happen before you change.

“It’s really nice if you start in a safe environment in order to secure your future business,” says Georg Fischer’s Schiller. “It’s not about securing your business tomorrow, it’s about the business for the next few years. And as we are a 200-year-old company, we really would like to be around for another 200 years: And so we have to start working now.”

2. There’s an Uber for your industry, too

The leaders of large industrial companies like Heidelberg Cement and Georg Fischer are investing in digital transformation programs now—because, while there may be no Uber for cement or pipes or any of their other product lines yet, there’s probably an entrepreneur somewhere pitching an idea that sounds something like that to an investor right now.

And because, however unlikely it might seem to some today, it’s certain that digital transformation—defined by Tom Loosemore, a partner at Public Digital, as “applying the culture, practices, processes, and technologies of the internet era to respond to people’s raised expectations”—is going to disrupt every industry, including the one you work in.

3. Digital is your friend

Instead of thinking of digital disruption as a threat—you’re better off picturing it as a friend.

OK, so it’s a friend who needs a lot of hand holding at first. But as long as you’re prepared to invest the time and approach it from a human-centered point of view, digital transformation will make many things a whole lot better. It will increase your productivity, your pace of innovation, your rate of learning, and your customers’ expectations—and it’ll help you deliver on them.

When Georg Fischer’s design teams, for instance, began creating digital prototypes, so they learned new, more flexible, agile ways of working. And they started producing a new, digitally-enabled ‘smart part’ that alerts machine operators to problems in the system, so their customers now have more control over operations.

So, don’t sit by the curbside, your legacy engine idling, as you wait—hope even—for a crisis to come. Instead of clinging to what is, use digital to prepare for what might be. Welcome change in now, from a position of safety, and maybe you can secure your business’s long-term future—and save a cool £1.25 billion.

Strange as it sounds, the main challenge for some people today is that their business isn’t in crisis. No blockchain or platform or AI startup is threatening to disrupt their market—yet.

AI & Emerging Tech
don't wait for a crisis to change your business, ai, emerging technology, artificial intelligence, ai strategy, business model innovation, new business ideas, building a new business, startup, entrepreneurship, blockchain, web3

Lindsey Turner

I’m passionate about building brands, products, and experiences that help organizations show up with meaning and momentum.

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Leader
Leaders

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.

My tween twins teach me more about technology and gen-alpha than the last decade of trend reports.
Making things that matter
Consumer Products & Retail
Media & Entertainment
AI & Emerging Tech

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

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Leader
Leaders
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.

The greatest project to which I’ve ever contributed is raising my two daughters with my husband.
Uncovering unmet needs
Consumer Products & Retail
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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.

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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 love a good crit.
An inclusive, hands-on approach
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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.

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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.

I have a thing for antique maps.
Developing China-led innovation and capabilities'
Consumer Products & Retail
Food
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Industrial & Manufacturing
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Building a personal AI for the messiness of life: Sida Li

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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.

Health
AI & Emerging Tech
Technology
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Designing GenAI for the emotional side of money: Johannes Seemann

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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.

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AI & Emerging Tech
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Financial Services
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The curious leader's edge in uncertainty: Scott Shigeoka

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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.

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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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