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. It’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

We know this is easier said than done, especially for large teams spread across multiple locations. Over the years, IDEO has helped organizations around the globe develop the capacity to innovate, and that work has allowed us to gather data on the behaviors that have the greatest impact on a team’s ability to develop a successful solution.

Here are four insights into the ways today’s businesses innovate—and what you can learn from what they’ve learned.

1. Quick and dirty prototyping isn’t just for software

Though many executives dismiss MVP-style prototyping as a software-only approach, we've found it's actually more effective in other industries.

In fact, rough, low-fidelity prototyping is significantly more impactful when used in industries where it's currently least applied—particularly for companies with long development cycles and long product lifecycles.

When we looked at data from our research, we found that organizations with long development cycles and long product lifecycles saw their chance of successful launches increase by 109% compared to their more nimble counterparts.

Why? And how? Let’s consider a car company: For those teams, the cost and risk of investing in poorly thought-out ideas is much, much higher. Building a high-fidelity vehicle prototype can cost millions of dollars using traditional methods. Instead, low fidelity mock-ups (in this case, using foam core and tape to create a simulated car dashboard) can uncover critical flaws that can save millions of dollars and years of effort.

2. Don’t let your team become blinded by purpose

Purpose statements are incredibly valuable. We’ve seen that organizations without a sense of purpose find it difficult to innovate: They struggle to choose which opportunities to pursue, and they have a more difficult time getting employees excited about developing those ideas. Our data shows that organizations with a strong purpose are 12% more likely to launch new solutions successfully.

But purpose can have a downside. Our research has shown that it lowers the ability to listen objectively to the results of customer experimentation.

What does that mean? A benefit of a strong purpose is that it simplifies decision-making. However, at its extreme, this approach can lead to less flexible thinking, leaving organizations a little less likely to truly hear what a stakeholder or customer is telling them.

Does this mean you should crumple up your purpose statement and toss it in the trash? No, not at all. Purpose is fundamental to innovation: It energizes employees, speeds up decision-making, and leads to more productive collaboration. But beware the line where purpose turns into dogma and diminishes your team’s ability to truly listen to customers and interpret data.

3. Move fast—but not too fast

With the rise of lean startups, companies are feeling the pressure to get moving. But getting started without a plan and a clear idea of your objectives can end up being a drain on resources.

What’s the cost? First, skipping the steps of getting to know your customer and market causes teams to fail 180% more often. Also, organizations that evaluate multiple ways to solve a problem are much more likely to succeed—more than 42% more likely—and, on average, get to market faster.

We’ve seen two significant reasons for this: First, testing multiple ideas in parallel keeps the team’s mind flexible; and second, customers involved in research and testing during development provide more useful feedback when they are presented with multiple ideas.

If your guess is right from the start, great—you've saved a lot of time. But many startup or venture teams don’t have the right idea at the start. Teams that spend the time getting to know their customer early, then testing multiple ideas can take months off of the overall duration of their initiative.

4. Don’t underestimate the power of culture

When you're working to solve complicated problems, it’s natural to rely on process. Process feels tangible, comfortable. Nail that "innovation formula," and success will come.

But process isn’t—and can’t be—everything. Sure, certain methods are helpful for testing assumptions and getting to the right ideas, but it’s people—their spirit, their judgment, and their energy—that ultimately lead to the development of great ideas.

Organizations whose employees consistently state that they understand how to drive ideas forward and feel that they're making significant strides toward their organization’s goals are 16% more likely to have a successful launch.

One of the qualities we’ve measured is whether an organization’s team members describe their culture positively. Do they see their interactions with those in other organizational functions as productive and supportive? The teams who score each other in the top 5% are 30% less likely to fail than those under the 50th percentile.

Methodology and approach matter, but lean too hard on just those elements while neglecting culture and people will quickly lose their passion and energy, and resort to a paint-by-numbers approach that yields unspectacular results.

Countless more insights like these have yet to be uncovered, but one thing is already clear: Innovation leaders can’t fall back into old, stagnant patterns, but instead must continually find new edges for their teams to push.

Illustrations by Beena Mistry

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Creative solutions don’t happen by accident. They aren’t enacted by lone geniuses—they come from diverse teams that work well together and optimize the right methods and behaviors.

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I’m grateful for Chicago’s trains—even amid the crush of people jammed into the morning’s rush hour commute and the thought-clouding clatter and clank that pervades every metal car. It’s a marvel that these hulking workhorses of public transport coordinate at all, and are generally safe, on time, and comfortable. And yet I often notice fellow train-goers challenged, like myself, by something basic: What do we do with our stuff? In my time as a commuter, I’ve seen myriad workarounds. Legs became walls propping up clothes and bags; thighs became resting ports for big headphones. And then there was the man who transformed his suitcase handle into a coat rack. Human ingenuity: It’s one more thing I’m grateful for during my commute.

Human-centered design requires us to observe human behavior with beginner's eyes, so that we can spot the innate ways people interact with the world around them. We call these intuitive and unconscious reactions Thoughtless Acts, and IDEO designers collect photos of them to inspire their work.

Tim Brown, CEO of IDEO, shows how the techniques and strategies of design belong at every level of business.

The myth of innovation is that brilliant ideas leap fully formed from the minds of geniuses. The reality is that most innovations come from a process of rigorous examination through which great ideas are identified and developed before being realized as new offerings and capabilities.

In this revised and updated edition of Change By Design, Tim Brown reintroduces design thinking, the collaborative process by which the designer’s sensibilities and methods are employed to match people’s needs with what is technically feasible and a viable business strategy. In short, design thinking converts need into demand. It’s a human-centered approach to problem-solving that helps people and organizations become more innovative and creative.

Change by Design is not a book by designers for designers; it is a book for creative leaders seeking to infuse design thinking into every level of an organization, product, or service to drive new alternatives for business and society.

Purchase

Know someone who might love this book? Purchase Change By Design here.

Our checklist made all the difference when the Wellcome Trust tasked us with designing a way to cut down on unnecessary antibiotics use in middle-income countries. The world’s antibiotic misuse has staggering implications: By 2050, antimicrobial resistance is expected to kill 10 million people every year. That’s more people than we lose annually to cancer.

What became known as Project Marvelous took us to Kenya and India, where we encountered patients who self-diagnose and prescribe for themselves and their friends, community health workers with very little training, and pharmacies that dole out antibiotics without a prescription in order to make a sale.

As far as complex systems challenges go, it was an extreme one, but after testing several rounds of concepts rooted in behavior change, we found an intervention with real potential. Smart Prescriptions, as we called it, was an endpoint that varied drastically from where we began. The original hypothesis was that the intervention should be designed for pharmacists. But after following the checklist, we found we had to start with doctors.

Here are the five steps we followed to address this complex systems challenge:

1. Define your ecosystem

We can’t claim to have reached an understanding of the whole ecosystem by a longshot—the sheer number of stakeholders involved is what makes it such a complex problem. So at the outset, we defined our ecosystem, drawing a line at pharmaceutical companies, which seemed beyond the scope of the design challenge Wellcome had set. We then set out to interview antibiotic users, doctors, and pharmacists. In doing so, we realized there was a category we had overlooked: India’s tens of thousands of registered medical practitioners (RMPs). They typically aren’t licensed to prescribe antibiotics but have studied Ayurvedic medicine. Being willing to pivot and expand (or contract) the ecosystem is key: We began interviewing RMPs after realizing the huge impact their population has on antibiotics consumption.

2. Adopt a beginner’s mindset

In interviews, we positioned ourselves as people who didn’t know much about the topic. We were there to learn about them as people—their motivations, their struggles, their day-to-day. We listened. We made sure our questions were free of judgement and left our assumptions at the door. What we came to understand is that a primary motivator for doctors is to succeed as a business. They depend on patients coming back.

This insight made it through to the final design. Smart Prescriptions is, at its core, a tool to improve the doctor-patient relationship. Features like automated advice for patients and medication reminders increase the personal interactions doctors have with patients. The antibiotics recommendation is a Trojan horse, tucked inside the features doctors were really clamoring for.

3. Lead with empathy

Continually put yourself in your user’s shoes and make sure you’re seeing the situation from their perspective. We quickly came to understand, for instance, that many people working in pharmacies aren’t actually pharmacists, and that their financial motivations eclipse any duty of care. They dole out antibiotics without a prescription because refraining from doing so means sacrificing a sale and possibly losing a customer to a rival. Rather than slapping a “bad” behavior label on this, we accepted it as their reality and used it as a design constraint.

4. Consider your language

Systems challenges are often as sensitive as they are complex (consider homelessness or mental illness). As designers we are outsiders, so in designing Smart Prescriptions, we needed to make sure doctors were upheld as the experts. We weren’t creating a diagnostic tool, but rather an intervention that offers a recommendation based on their diagnosis. The tool doesn’t actually change the way they prescribe, it just offers guidance. It’s tough to remember every antibiotics guideline, especially as they update. The language that was used was consciously designed to be light and supportive of their expertise.

5. Generate unlimited ideas, then co-create

Don’t fall in love with your first good idea. Every assumption we made was challenged in our first trip, which ended up being more exploratory than we expected. We made a point to talk to every stakeholder and actor about our sacrificial concepts—early ideas we put in front of people to spark reactions. We gauged whether they had a positive or negative response, then iterated accordingly. After the discovery phase, we came up with seven concepts to test with participants and gauged their reactions. Smart Prescriptions was the clear standout, generating the most interest and excitement. We refined the concept back home, then returned to India and Kenya to gather more feedback. This allowed us to design something that spoke to doctors’ primary motivation, and to add features that the doctors felt would make it even more useful.

Unlike pilots, we don’t have the benefit of a known destination. Our checklist doesn’t just guarantee a smoother ride, it plays a major role in mapping the route itself. When the ecosystem is unfamiliar and the complexity is vast, it is a must.

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Every time we board an airplane, we assume our pilots aren’t going on instinct alone. They’ve worked their way through a checklist—fuel levels reviewed, the flap setting confirmed—to ensure the plane is ready for takeoff. They may be pros, but they’re human, and the complexity of the job makes it easy to forget a step.

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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.