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Director’s Cut:

Hope-Filled Approaches to Amplifying LGBTQ+ Youth Voices in Healthcare

24th annual

ACM Interaction Design and Children (IDC) Conference

June 23-26, 2025, Reykjavík University

William Nickley (he/him) Assistant Professor, Design, The Ohio State University

Elizabeth B.-N. Sanders (she/her) Associate Professor, Design, The Ohio State University

Lauren McInroy (she/her) Associate Professor, Social Work, The Ohio State University

Kah Min Ong (she/her) Graduate Research Assistant, Design, The Ohio State University

Camille Snyder (she/her) Lecturer, Design, The Ohio State University

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Workshop Website + Resources

go.osu.edu/IDC-directors-cut

WORKSHOP

⬅ FACILITATOR

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⬅ FACILITATOR

⬅ FACILITATOR

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…for a nice long break here!

Director’s Cut: Updated Agenda

WORKSHOP

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Reykjavik University

Monday, June 23, 2025

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1.1

WELCOME

VELKOMIN

Reykjavik University

Monday, June 23, 2025

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Ice Breaker

Who is your favorite queer artist, musician, or celebrity?

1.1

WELCOME

VELKOMIN

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Topic Keynote

1.2

20 min

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Here’s what we’ve been working on

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Sim overview

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“My name is Jasper.”

“Maybe they don’t care about me.”

“Is that okay with you?”

Front Matter

End Matter

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Why this matters to LGBTQ+ youth

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Why this matters to LGBTQ+ youth

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[Lady Gaga moment]

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and here’s how we’ve been working

with foundations in “intersectionality”

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Social identity

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Social identity

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Social identity

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Social identity

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Social identity

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Social identity in a situation

A few scenarios to imagine:

1. Entering a building
2. Enjoying a potluck
3. Using the restroom/toilet

Origins:

1. Navigating the law

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A few scenarios to imagine:

• Entering a building
• Enjoying a potluck
• Using the restroom/toilet

Origins:

• Navigating the law

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A few scenarios to imagine:

• Entering a building
• Enjoying a potluck
• Using the restroom/toilet

Origins:

• Navigating the law

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Social identity across situations

How does this translate into design?

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design for

designer

stakeholder

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designer

stakeholder

designer

designer

stakeholder

stakeholder

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design with

designer

stakeholder

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co-designer

co-designer

co-designer

co-designer

co-designer

co-designer

Affirmative co-design!

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Why this matters to LGBTQIA+ youth

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1. better access to healthcare
2. positive feelings
3. small change, life-changing impact

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• better access to healthcare
• positive feelings
• small change, life-changing impact

Such audacity!

Why this matters in design process

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Empathy isn’t enough on its own.

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Intersectionality isn’t a tool, it’s a fact.

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Design process must be accountable, co-designing seems right.

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Director’s Cut: Updated Agenda

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My

intersectional identity

1.3

10 min

page 3

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Share

the past

1.4

15 min

pages 4-5

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WORKSHOP

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Toolkit intro

2.1

10 min

page 6

Empathy isn’t enough on its own.

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Intersectionality isn’t a tool, it’s a fact.

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Design process must be accountable, co-designing seems right.

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How tho?

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How tho?

LGBTQ+ and youth

and healthcare folks

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How tho?

LGBTQ+ and youth

and healthcare folks

service population and impact population

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How tho?

service population and impact population

How to bring it up?

How to translate it?

LGBTQ+ and youth

and healthcare folks

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How tho?

service population and impact population

How to bring it up?

How to translate it?

How to contextualize the activity and the outputs?

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LGBTQ+ and youth

and healthcare folks

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Me, too!

Director’s Cut:

Hope-Filled Approaches to Amplifying LGBTQ+ Youth Voices in Healthcare

WORKSHOP

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Director’s Cut:

Hope-Filled Approaches to Amplifying LGBTQ+ Youth Voices in Healthcare

WORKSHOP

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• Apply Director’s Cut in their own co-design contexts, ensuring youth—especially those with marginalized identities—have adequate space to interpret and communicate the deeper layers behind their creative work.
• Facilitate Enactments & Reviews that capture both lived realities and hopeful future visions, bridging the gap between youth perspectives and adult facilitators or healthcare stakeholders.
• Integrate Hope & Belonging into co-design processes, inspired by Barack Obama’s notion of hope as a collective, societal blueprint for inclusion.
• Adapt Methodology beyond healthcare, recognizing that the structural approach of Director’s Cut is beneficial whenever intersectional identities warrant a more deliberate interpretive step in co-design.

Director’s Cut:

Hope-Filled Approaches to Amplifying LGBTQ+ Youth Voices in Healthcare

WORKSHOP

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Director’s Cut:

Hope-Filled Approaches to Amplifying LGBTQ+ Youth Voices in Healthcare

WORKSHOP

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Director’s cut

2.3

15 min

Story enactment

2.2

20 min

pages 7-11

Choose a topic,

Build a scene about the past or how it is today

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Coffee Break

30 min

See you back at 11am!

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…for a nice long break here!

Director’s Cut: Updated Agenda

WORKSHOP

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Director’s cut

2.5

15 min

Story enactment

2.4

20 min

pages 12-15

Choose a topic,

Build a scene about the future or how it could become tomorrow

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Quick Break

10 min

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Film festival!

3.1

25 min

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Debrief, Q&A

3.2

15 min

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Workshop

in a quote

3.3

5 min

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Director’s Cut:

Hope-Filled Approaches to Amplifying LGBTQ+ Youth Voices in Healthcare

24th annual

ACM Interaction Design and Children (IDC) Conference

June 23-26, 2025, Reykjavík University

William Nickley (he/him) Assistant Professor, Design, The Ohio State University

Elizabeth B.-N. Sanders (she/her) Associate Professor, Design, The Ohio State University

Lauren McInroy (she/her) Associate Professor, Social Work, The Ohio State University

Kah Min Ong (she/her) Graduate Research Assistant, Design, The Ohio State University

Camille Snyder (she/her) Lecturer, Design, The Ohio State University

​

Workshop Website + Resources

go.osu.edu/IDC-directors-cut

WORKSHOP

⬅ FACILITATOR

​

​

⬅ FACILITATOR

⬅ FACILITATOR

appendix

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Background from workshop proposal

Background

Co-design engages participants in shaping solutions through their lived experiences (Sanders & Stappers, 2008). Yet, many co-design processes lack robust methods for youth—particularly those who identify as trans, queer, or otherwise marginalized within healthcare contexts—to fully convey the depth and nuance behind their contributions (Russell & Fish, 2016; Schaub, Stander, & Montgomery, 2022). Existing work has explored co-design in healthcare (Ní Shé & Harrison, 2021) and with young populations (Vella-Brodrick et al., 2023), but there remains a pronounced gap when it comes to queer-identified youth, especially in healthcare settings. These youths’ intersectional identities compound health disparities, from experiences of stigma and discrimination to fear of non-affirming care (Russell & Fish, 2016).

Within our ongoing research, we recognized that standard co-design activities—even those incorporating inclusive methods—often did not allow ample time for LGBTQ+ youth to fully unpack the meaning of what they created. We thus developed Director’s Cut to add a reflective, storytelling component that ensures critical insights around identity, oppression, and aspiration do not get lost in the hustle of workshops. While Director’s Cut emerged to address needs of LGBTQ+ youth in healthcare co-design, the method is transferable to any context in which participants’ intersectional identities may not fully align with those facilitating the sessions.

Grounded in Barack Obama’s conception of hope as a collective, societal aspiration (Obama, 2008), this workshop aims to:

• Introduce Director’s Cut as a structured approach for capturing participants’ perspectives and future visions during two different co-design activities.
• Equip participants with participatory tools that honor marginalized youths’ lived realities and spark collaborative change.
• Foster dialogue on how hope can drive co-design that prioritizes belonging and equity for all.

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Citations & additional resources

Crenshaw, K. (1989). Demarginalizing the intersection of race and sex: A black feminist critique of antidiscrimination doctrine, feminist theory and antiracist politics. University Chicago Legal Forum, 139–167. https://chicagounbound.uchicago.edu/cgi/viewcontent.cgi?article=1052&context=uclf

Crenshaw, K. (1990). Mapping the margins: Intersectionality, identity politics, and violence against women of color. Stanford Law Review, 43, 1241. https://heinonline.org/HOL/P?h=hein.journals/stflr43&i=1257

Obama, B. (2008). The Audacity of Hope: Thoughts on Reclaiming the American Dream. Three Rivers Press.

Ní Shé, É., & Harrison, R. (2021). Mitigating unintended consequences of co-design in health care. Health Expectations, 24(5), 1551–1556.

Russell, S. T., & Fish, J. N. (2016). Mental Health in Lesbian, Gay, Bisexual, and Transgender (LGBT) Youth. Annual Review of Clinical Psychology, 12, 465–487.

Sanders, E. B.-N., & Stappers, P. J. (2008). Co-creation and the new landscapes of design. CoDesign, 4(1), 5–18.

Sanders, E. B. N., & Stappers, P. J. (2012). Convivial toolbox: Generative research for the front end of design. Bis.

Schaub, J., Stander, W. J., & Montgomery, P. (2022). LGBTQ+ Young People’s Health and Well-being Experiences in Out-of-home Social Care: A scoping review. Children and Youth Services Review, 143, 106682.

Vella-Brodrick, D., Patrick, K., Jacques-Hamilton, R., Ng, A., Chin, T. C., O’Connor, M., … Hattie, J. (2023). Youth experiences of co-designing a well-being intervention: reflections, learnings and recommendations. Oxford Review of Education, 49(6), 838–857.

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Director’s Cut IDC 2025 Workshop Page - go.osu.edu/IDC-directors-cut

CoDe Rainbow Simulation Page - coderainbow.training

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DGDW Presentation “Toward affirmative co-design” - go.osu.edu/dgdw22

DRS 2022 workshop “Affirmation Excursion” - go.osu.edu/drs2022-workshop

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CDC LGBTQ Youth Resources Page - www.cdc.gov/lgbthealth/youth-resources.htm → access via Wayback Machine: https://web.archive.org/web/20220601195522/https://www.cdc.gov/lgbthealth/youth-resources.htm

Nationwide Children's THRIVE Program - www.nationwidechildrens.org/thrive → access via Wayback Machine: https://web.archive.org/web/20220626125410/https://www.nationwidechildrens.org/specialties/thrive-program

Kaleidoscope Youth Center - www.kycohio.org

The Trevor Project - www.thetrevorproject.org

TransOhio - www.transohio.org

Trans Youth Family Alliance - www.imatyfa.org

PFLAG - www.community.pflag.org

Hudson's FTM Resource Guide - www.ftmguide.org

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dimensions of identity

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Identity Factor Definitions (literally used in our survey; participants ranked them by perceived importance)

Please review the following identity factor definitions before continuing. You'll use these definitions for all of the following ranking/rating activities.

race (Black, white, etc.) - this is a grouping of people based on shared physical or social qualities into categories generally viewed as distinct by society (e.g. Black, White)

biological sex (assigned at birth) - this is a physical attribute typically assigned to a person at birth by a doctor (e.g. assigned female at birth, assigned male at birth, intersex)

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gender (transgender, non-binary, etc.) - this is the personal sense of one's own gender, which may or may not match a person's assigned sex at birth (e.g. female, male, transgender); this is affected by how a person feels and how they appear to others (i.e. gender expression).

sexual orientation (who you’re attracted to) - this is the way a person experiences and expresses themselves sexually and/or romantically (e.g. homosexual, heterosexual, bisexual, asexual).

class (money, education, etc.) - this includes things like a person's wealth, occupation, income, education, and status (e.g. upper class, middle class, lower class, working class).

(dis)ability (mental & physical condition) - this includes physical or mental impairments or medical conditions that mean a person cannot use a part of their body completely or easily, or that they cannot learn easily. However this does not necessarily detract from their other abilities.

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body type (size, age, etc.) - this includes size (i.e. height, weight), shape, and age

community (religion, neighborhood, etc.) - this includes a person's religion, culture, family, school, and people in their geographic location (e.g. neighborhood)

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society (nationality, citizenship, etc.) - this includes a person's nationality (country they live in) and citizenship (legal status in a country).