Mental Health & Wellbeing


This section includes:

Workshop at the North West Dementia Action Alliance Learning Event: Living well with dementia

The North West Dementia Action Alliance hosted a learning event around building dementia friendly communities on March 26, 2015 at the Wigan DW stadium. As part of this day-long event, delegates were asked to explore ‘living well with dementia’, in the context of health and social care.

This workshop used Ketso to gather the thoughts and ideas of people living with dementia and their carers, together with people working in dementia care from a range of organisations.

The aims of the workshop were to find out participants’ thoughts on what is helpful and unhelpful for living well with dementia in health and social care, and to share ideas about what could be done better.

Download the results:

Feedback about Ketso from the event

35 people responded to an electronic survey about the conference. Of these, all but one answered that they ‘enjoyed the Ketso session’, with the one other response being ‘not sure’. Comments about Ketso included:

  • “Overall a very well organised event with an interesting agenda, well presented. At these types of events it is always good to get something from them, and I think circulating the findings from the Ketso exercise is really good. I can then use these findings to influence commissioners on our Dementia Delivery Board, on which I sit. Thank you!”
  • “Ketso was very thought provoking.”
  • “Our thanks to the organisers for a great event… Ketso worked well and prompted discussions but we were keen as a group to ensure there are clear outcomes and action as a result and not just discussions. We look forward to future events. Many thanks.”


Involvement Conference for Making Spaces (mental health, learning disabilities and dementia)

Ketso was used for an icebreaker for 250 services users, their carers and staff and the management team at Making Space's Involvement Conference in Wigan on November 13, 2014. Making Space is a national charity that provides "health and social care services for people with mental health conditions, learning disabilities, dementia and their Carers"

You can watch a brief video of highlights of the event here.

"Throughout the day we heard some fantastic insights from inspirational and engaging speakers such as paralympian Adrian Derbyshire, and representatives from Ketso who got us thinking about how we can increase involvement.

We came away from the day with a wealth of brilliant ideas on how to enhance volunteering, challenge stigma and much more."
Jackie Hill, Service User Involvement Manager, Making Spaces

Debbie Roberts recorded the outputs, and her panel on Ketso and the ideas produced is at the top of this page.

See Me: Engagement to develop Scotland's Strategy to end Stigma in Mental Health

Ketso was the key engagement tool for 200 participants in see me's 2-day conference to develop Scotland’s anti-stigma campaign for mental health. This exciting event brought together people with lived experience of mental health and mental healh services providers for a lively and engaging discussion. Ketso was used as the organisers wanted to "enable 200 voices to be heard all at the same time". Three workshops using Ketso explored:

  • Understanding stigma
  • Behaviour change
  • Developing actions

On the evening of the first day the see me and Ketso teams analysed ideas highlighted by participants as important, to develop a series of key themes. Delegates were able to vote which of these themes they felt were the most important for See Me to focus on the next morning, using hand-held clickers. They then developed project ideas and actions to achieve these ideas, in smaller teams using Ketso.

Judith Robertson, Programme Director of see me, said in an article about the event, "We worked with a very participatory process called Ketso which ensured everyone in the room had a say and we gathered a huge amount of knowledge and understanding of what people think works and doesn’t."

Evaluation of the event was very postive:

"The highest rated ’see me’ team objective for the event was that people were able to think, talk, network and plan for change (81% felt this was achieved).

The second most highly rated was that participants engaged in a shared planning process (77% achieved). Finally, 97% of delegates felt that they had the opportunity to participate, 96% able to contribute, 93% felt listened to and 76% felt that Ketso was helpful. The final comments reflected that delegates felt safe and respected in contrast to other mental health events they had attended.

Tweets from the event about Ketso included: "takes everyone out of their comfort zone, everyone gets a chance to speak"; "Lots of discussion and sharing of ideas in second #ketso session #seeme14"; and "Loving the creativity of #ketso stimulating conversation on ending stigma of #mentalhealth at #seeme14".

You can download the report from the event here.

You can read Joanne's blog '200 people, one great mission, and 30 Ketso felts to capture creativity’ here.

See Me Scotland has gone on to use Ketso in engagement with services users, carers, community groups across Scotland.

Growing a Movement for Change, 2015

Eleanor Ogilvie | Programme Manager - Communities, See Me Scotland

We used Ketso with 120 people at the Lanarkshire Recovery Network (LRN) event “Growing a Movement for Change”.  Members of the network had commented that they didn’t want another ‘talking shop’ and really wanted their voices heard.  See Me and LRN worked together to develop a session with Ketso where this could happen and the results were amazing.  Staff from Lanarkshire really got on board with the process and were so committed to learning about Ketso and how this could give them a solid tool to build more community engagement.  Introducing Ketso also had a great impact on the whole conference as each and every session was built on participation and engagement methods and the feedback from participants has been so positive.  The atmosphere on the day was so different from the last session and Ketso allowed everyone to have a voice, but more than that, allowed those voices to be heard.

The future of innovation in dementia in Liverpool

Following on partnership building work that we have been doing with North West Dementia Action Alliances, Ketso was asked to run a workshop at the final Regional Stakeholder Partnership meeting of Innovate Dementia. The focus of the workshop was how to carry on the great work developed by the partnership and how to take innovation in dementia forward, now that this European Union funded project is drawing to a close. Roughly 80 participants, with a high proportion of people with dementia and their carers, took part in this 1.5 hour long workshop using Ketso.

594 ideas around ‘the best thing about Innovate Dementia for me’, ‘what activities and projects we want to keep going’, ‘new ideas’ and ‘next steps’ were developed. A report on the key themes will follow shortly.
Innovate DementiaFeedback from the event was very positive, from both service users and providers. Comments included:

“This is the second time I have used Ketso and have found it to be a really valuable tool. It helps everyone in the group to have their say and is such a visual tool; it can be understood by all”
Isobel Godwin, Older People’s Housing team Leader, Liverpool Housing Trust

“A typical workshop doesn’t always generate ideas, you need freedom to think. Ketso helps you develop a theme and helps you sat what the issues are, and then you can more easily develop solutions.” Retired social care worker and participant

Self-directed support in mental health

Helena Scott, Executive Director, Action in Mind

 “As the leading local mental health charity working across Stirlingshire and Clackmannanshire, Action in Mind is committed to working with mental health service users, particularly when designing and planning new services, or reviewing existing support and making suggestions for improvements.  We are beginners to KETSO but wanted to try a different way of engaging with our service users, particularly bringing in people who had no previous experience of being consulted about services or who found it difficult to express themselves or lacked confidence.  

The focus of our workshop was the introduction of Self-directed Support, or personalisation as it often referred to.  Working in small tables with a facilitator (also a learner) encouraged conversation and ideas from everyone – what people liked was that they could follow the process comfortably and make a direct contribution by placing their leaves in areas that were important to them.  As a process, it worked well for us – service users, staff and volunteers.  Analysing the data – that’s a different challenge but equally good fun”.

Developing a bid for a project to address mental health stigma

Sefton Council for Voluntary Service (CVS) is an independent registered charity, which provides support and development services to voluntary community and faith sector groups in the Sefton metropolitan district.  Anne-Marie Morrison, Sefton CVS's Health Promotion Officer ran a workshop with Ketso to develop ideas for a ‘Time to Change’ funding bid to address stigma through social contact. The workshop was 1.5 hours long, with 12 participants.

The participants were a very diverse group of people, half mental health service users and half professionals from organisations in Sefton, all working together to develop ideas for this bid. Participants had a range of ability to communicate and levels of literacy. Anne-Marie commented: "The session was a great success and the feedback very good. Everybody agreed Ketso was a great leveller and enabled everyone to work well together. We now have lots of ideas and evidence for our funding bid. Ketso helped us to pull together the ideas and see patterns in them quickly and effectively".

Feedback from participants included:

  • “Good mixture of service users and professionals. So far, so good!”
  • “There was more input from service users.”
  • “10 out of 10 for session, thanks you”

Ketso in work with patients and grief counselling

A psychiatrist in Merseyside is using Ketso with patients to explore risks and their responses to them. Other members of her team are working directly with recovering drug users to help them in their recovery process. One of the aspects that they find particularly useful with Ketso is the fact that patients can work at their own pace, adding ideas to the Ketso as and when they feel able to.

In Scotland, Ketso has been used in alcohol reduction programmes with a cross-section of community members, gathering ideas and developing connections between them for action. Feedback from these workshops has been positive.

Anne, the founder of Jigsaw4U, bought a Ketso 24 and uses it for grief counselling with children and families. Both children and parents participate in this workshop. The felt workspaces are used as ‘Worry Trees’  with Ketso centerpiece used to represent the child/family’s life.  Branches are used to explore what has changed in life since the source of their grief occurred.  What are the concerns? Fears? Losses? What are the hopes? Possibilities? Positive things?

The benefit of using Ketso in this exercise is being able to move the leaves around, e.g. to transfer a loss to a hope. 
Using Ketso in this way is seen as non-threatening and gentle, allowing children to feel safe while they are exploring their feelings.

The felts are used one to one or in family work or in groups of families.  It works equally well in all of these settings.

The simplicity of Ketso makes in a valuable concept and tool for Anne and Jigsaw4U.  Anne says using it opens doors, and helps to get beyond language, culture and gender barriers.  Some children have expressed themselves through pictures on the leaves.  The use of Ketso in this way has encouraged discussion and sharing between children and parents.

Merseyside's Decade of Health and Wellbeing

In Jan. 2011, eighteen members of the Creative Leadership Forum of the Merseyside NHS Trust  have used Ketso to explore ways to increase wellbeing, as part of their launch of the Decade of Health and Wellbeing.

The Five Ways to Wellbeing developed by the New Economics Foundation were used as the basis for the discussion.  The half hour discussion allowed some interesting connection to be made, such as the need to lobby for cultural partners during this time of budget cuts, due to their important role in enchaining wellbeing, and the need to create new partnerships . Nature and the value of time in open space was a common theme. there was a lot of discussion around exercise and the need to walk and move around more, as well as the need for healthy nutritious food. Giving in creative ways and volunteering was discussed, as was the value of developing coaching skills and more mentoring opportunities to increase connections between people. The idea of abolishing boring meetings was also brought up.

A 'next step' that was placed next to the future possibility 'Treasure your wellbeing project' was  'Reflect on use of Ketso in my role'. 

You can download the full set of results here.

Creativity in Mental Health Care

Ketso was used in a Mersey Care Conference, focused on Contemporary Mental Health Care in May 2011. Ketso was used to gather inputs from 150 participants in 'Cafe Conversations', with the aims of generating conversations, encouraging creative thinking and making connections. The following is a quote from the researcher who helped plan the event and who analysed the results.

“The challenge we faced was how to generate a collective view across approximately 150 people, whilst still ensuring that the individual voice was heard from all participants. Moreover, the event included people from a range of sectors with different cultural norms and ways of working. The advantage of Ketso was to give each participant the opportunity to record their own thoughts and ideas and also to hear and discuss other views in an approach that was easily accessible for all, regardless of sectoral differences.

The inquiry that we followed concerned creativity in healthcare, and Ketso enabled us to approach this in a way that was in itself creative and consequently allowed innovative and free thinking ideas to emerge. Attendees particularly enjoyed the opportunity to view and reflect on other groups' views and the beauty of Ketso is that there is no 'right or wrong' answer or way of responding, which seemed to generate a supportive and positive environment. Moreover, when it came to the generation of themes from the responses, the practical nature of the materials meant that responses across groups could be easily grouped. The only challenge at the end of the event was that although the hundreds of responses generated demonstrated the success of the method, cleaning the hundreds of 'leaves' created was a task in itself!” 

Justine Karpusheff of Baseline Research

You can download the full report here (pdf file).

*Note - please see our video on cleaning the kit for tips on making the cleaning easier or these FAQs on caring for your kit.