design research, strategy, project management, facilitation, storytelling, modeling complexity

Co-designing a Dementia-Friendly Illinois and Chicago Departments of Public Health

Problem Space

Dementia is a Public Health Disease that is largely unrecognized.

“This (Dementia Care) is something new that we are not really tracking right now, but we should.” —Director of Behavioral Health at Chicago Dept. of Public Health

“Whenever you get a non-communicable disease that is very common in your society; you have to think of it in the scale of a Public Health ecosystem.” —Dr. Raj C. Shah, Geriatrician

How Might We…
Involve the Public Health Department in the Dementia Care Ecosystem?

Understanding context through diverse methods

  • Primary Research

    11 in-depth interviews (45-60 min), that were recorded, transcribed and coded, conducted with social workers, public health department officials, physicians - neurologists, geriatricians, family medicine experts, and observed a support group for caregivers

  • Secondary Research

    Scientific papers, Reports, Articles, Popular knowledge gathered from trusted sources including Alzheimer’s Association, World Health Organization, Illinois Department of Public Health, Dementia Friends America

  • Co-Design Workshops

    2 workshops (90 min) facilitated with participants from interviews and medical students. Participants collaborated to support the transition towards a more dementia-friendly public health department.

We probed experts on the current strengths of the DPH to understand what is done well and gauge impactful intervention areas.

  • Frequent organizers of awareness campaigns

  • Influencers of public policy

  • Public health experts

  • Data collection efficiency

  • Frequent strategic plans

  • Established Partnership with experts

  • Own physical clinics

  • Ability to regulate nursing homes

  • Good at organizing and presenting information

  • Trusted by the public

Defining the Focus

After analyzing and synthesizing on IDPH opportunity areas and reviewing the 2023 IDPH state plan, we zoned in on the following core area for intervention:

How might public health departments increase public awareness & education around Alzheimer’s & dementia?

Analysis & Synthesis
We ultimately used coding and clustering design exercise to analyze our research, codify patterns, and find themes to identify opportunities.

We designed and facilitated two workshops that engaged a diverse group of stakeholders on the education & awareness topic. The workshop was organized across three distinctive segments that took stakeholders through the design process:

1/ DISCOVER

Acknowledgment and appreciation for the current capabilities of the Department of Public Health (DPH).

2/ DREAM

Ideation of predefined priorities for the DPH in conducting impactful work towards AD&D stakeholders.

3/ DESIGN

Workshop participants voted on top ideas to develop into concepts, leading to a total of four early concepts. Selection of promising ideas and explore them further by identifying opportunities and criteria to bring them to like and make them feasible.

Delivery

The most impactful education and awareness approaches combine both a strategic focus and a tactical collaboration with affected communities.

POTENTIAL ROADMAP: IDEAS TO ACTION

Implementing a concept that’s been designed with (instead of for) the community secures local buy in and a more efficient use of resources.

Based on the education & awareness ideas prioritized, a series of co-design workshops can be facilitated with relevant community stakeholders, such as people living with dementia and their caregivers.

These workshops would lead to the design, testing, and implementation of concepts at a local scale, ensuring greater cultural awareness and sustainability.

Collaborators

Institute of Design team (project leads): Julia Rochlin, Rodrigo Dyer, Alexandria Rengifo

Rush Team (support): Santosh Basapur, Lily Peterson, Xinrui Xu

Sponsor: Dr. Raj C. Shah, Center for Community Health Equity

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Cards On The Table — Facilitating open conversations between young people and clinicians

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Ribeiro Toolkit — A toolkit for mapping and visualizing narratives