We wanted to develop a tool that would give a holistic picture of how a child or young person feels about their lives at home at school and in their communities. We took into account the significant developmental changes that occur from 3 to 17 years and the influence of environmental and personal factors surrounding the child or young person.

We asked our artist to reflect the age and stage of the child in developing a symbol set for:

• Early years
• Primary and
• Secondary

The symbols are organised into three topics:

My Body and Skills: In this section you explore how the child is growing and developing by focussing on the functions of the body as well as skills that are emerging.  You can gain an impression of how the child feels he or she is progressing physically, socially, cognitively and behaviourally.

What I do and my support: In this section you look at the child’s lived experience by asking about the activities they participate in, as well as how they feel about the support they receive.

My Wider world: The communities in which children grow up have a significant impact on the well-being of both children and families. In this section you look at the child’s wider world by exploring the impact of nursery or school as well as the support system available to them.

Talking Mats prompts you to cover the relevant topics for each age group you’re working with. You can help children and young people to see their personal strengths and abilities and take time to consider what their problem areas are.

The mind map below shows what is included in the Primary pack – What I do and my support.

If you want to read about how Talking Mats were used to help young people think about targets for their IEP read the 2012 research report.

If you would like the complete Consulting children and young people pack, covering Early years, Primary and Secondary then buy the silver resource which can be purchased either as an original or through a digital subscription.

By Dr Norman Alm, School of Computing, University of Dundee.

Have been thinking for some years – and having dialogues with Joan Murphy – about this : would it be possible to come up with a new type of AAC where both the non-speaking person and their communication partner(s) were equally in joint control of some sort of system? Imagine a touch screen which also could be controlled by switch input. A non-speaking person and their communication partner are both engaged with the screen and both equally making use of it to do … what ?
Don’t know at the moment, but there are several suggestions for ways to explore and develop this idea further. Talking Mats is one.

The purpose is to help the person with communication difficulties express their opinions, with the other participant being a facilitator. But notice what is not happening – a face-to-face interview. Instead both participants look away from each other and focus on the mutual task, manipulating the symbols on the mat to produce the communication. Much less stressful – and much more enjoyable and productive. Another example is the CIRCA system, which supports what is usually problematic communication between a person with dementia and a carer or relative. The support takes the form of touchscreen access to an engaging multimedia display of reminiscence material drawn from public archives. Again a potentially stressful and unproductive face-to-face encounter is converted into an enjoyable mutual activity that flows effortlessly. The design of each of these systems taps into something powerfully motivating. Talking Mats lets the person describe their emotional reactions to a subject, as manifested by the scale which organises the elements on display into a snapshot of that person’s individual feelings. CIRCA makes use of the one faculty still operative even in quite advanced dementia – the ability to recall long-term memories and enjoy sharing them.
Both these systems offer a structured communication encounter in which the structure has the effect of not restricting, but freeing up the communication. Crucially ( I would argue) both free the participants from the direct responsibility of keeping the interaction going and let them share that responsibility with a third agent.

One of the things I love about Talking Mats is that it can be used by all agencies. When thinking about the rationale behind GIRFEC the main focus is to encourage professionals to work together. It is so refreshing to have a resource that is recognised and used across the agencies.
It is not necessary to have written reports with names of assessments or measures that are a mystery to each other. Talking Mats uses visuals to capture feelings and views. The reporting of those views can be understood by children, parents and professionals.
In developing our new resource we listened and responded to a wide range of professionals. We have researched the Well-being indicators and have provided a tool to give an overview of the issues in the lives of children and young people.
Our vision is to provide a tool to listen to and capture children’s voices. We have a responsibility to be open and realistic about how we respond to what they tell us. Taking time to listen means we need to take time to respond.
We hope that Talking Mats will improve understanding throughout the whole GIRFEC team as we seek to get to the heart of what matters to the child.  Margo Mackay
(more…)

We are about to launch a digital version of Talking Mats which uses our brand new images, specially designed by a leading comic artist. We are currently in the testing phase to check how it is received by different client groups and professionals and to iron out any glitches.

We are planning to launch a free taster version first.

Following this there will be a Lite version with 2 full symbols sets ( £5.99) and then a subscription model with many more symbols sets and lots of additional functionality. It will also be available for Android.

The final version will be launched on 12th September.

If you would like to be kept informed of this exciting development please send an email to info@talkingmats.com

I want to go on holiday on my own!

At a recent training Jenn Hall who is a Personalisation Development Worker, told the story of her first use of Talking Mats. She used it with a woman that she has known for some time to discuss her views about her going on holiday. The lady is in her forties and has Downs Syndrome.  As she came to the people symbol she looked at it for ages and then placed it in the middle column explaining that she wanted to go on holiday on her own and visit her brother who lives in Spain without her parents. she had never been supported to do this and it was what she really wanted to do.  She also put the food in the middle column explaining that it was hard to understand the menus when she was abroad and that she wanted to learn a few basic words in Spanish. Jenn said that the Talking Mats really enabled the lady to express what she wanted not just go along with the status quo and for those around her to appreciate and understand her views . The Talking Mats has supported discussion with the family to enable this lady’s wish to come true . Hopefully she will have her first successful holiday with her brother visiting him all by herself.

Talking Mats has been working with Survivor Scotland.  They are the organisation that oversees the National Strategy for Survivors of childhood abuse in Scotland. They have focused their work on a whole range of people but recognise the incidence of abuse within Learning disability is very high and that people with a learning disability often don’t have the resources or skills to tell their story and get the support they require. Survivor Scotland are anxious to address this and develop appropriate resources for this group of people.

.In our current project with Survivor Scotland  we have developed 3 sets of Talking Mats that would allow conversations to be had with people with a learning disability. These sets were developed from a previous project that had been conducted in NHS Fife;‘the 6D Cards’ and with the input of staff experienced and skilled in working with survivors of abuse. The sets cover general issues but within those issues, patterns of concern may emerge that would allow people to discuss concerns further.

We then ran 3 training courses. These courses gave participants space to think about disclosure, encouraged them to become trauma aware and built their confidence in supporting and dealing with disclosure. Specific training in Talking Mats was also provided. The training was run jointly with Kingdom abuse Survivors Project, Survivor Scotland and ourselves and was funded by the Scottish Government

The 3 courses have now finished and 40 people have been trained in the resource. They came from all over Scotland from the Western Isles to the Borders and represented a range of professions working with people with a learning disability and with an interest in preventing abuse in learning disabilities: therapists, nurses, social workers, consultants, advocates  They will use this resource in their practice  and it will be evaluated later in the summer

Grandma Murphy’s thoughts

Last Monday I was visiting my mum-in-law who is 95 and has severe dementia. She wasn’t great when I arrived and the staff said she was very tired. It was hard to understand what she was saying and she seemed very frail. For something to do, I showed her some of the new Talking Mats images on my iPad and she perked up and smiled at several of them.

I then took a risk and suggested she might like to use them to tell me what she thinks about herself. I was amazed as she looked carefully at each image, thought about it, made a comment and indicated where she wanted to put it on the ‘mat’. For the first time in ages with me she seemed to be in the present and not in some confused place in her mind

Here are some of her comments:

Getting around – she said she was glad she has a wheel chair to help

Hearing – she said she thought her hearing had got better ( I later discovered she had just got a new hearing aid that morning!)

Feet – sometimes her feet are sore underneath (the staff are going to get the chiropodist to have a look)

Talking – she said it depends who she’s talking to!

Money – said she could always do with more!

The 3 things she was not happy about were – needing help from others, taking her medication and her teeth. (The staff confirmed that she hates taking her medication and have referred her to the dentist).

She loved the pictures and took loads of time thinking about each one and really studied the whole mat at the end.

Her granddaughter Susan said: ‘I thought it was amazing to get a sense of what Grandma is thinking.  This may be silly but I actually felt really moved by it!  It’s so hard to get any sense out of Grandma these days so it was really fascinating to get an insight into her thoughts.’

Talking Mats role in child protection

Here are 3 stories of how Talking Mats has been helpful to staff from Edinburgh Council – Child Protection Team.

Use with parents

N. works with chaotic drug using parents and said “TMs was a turning point – like gold dust – it helped parents identify important issues”.

Involving child in access decisions

A young girl completed two mats the first one about going to mum’s and the second one about going to dad’s. The social worker was then able to explain to the parents how the child felt and TMs allowed the parents to discuss positive ways to unify care. The visual impact of having two differing viewpoints is very powerful.

Use of Talking Mats in children’s panels

L. has trained many Children’s Panel members in Edinburgh and some are now asking social workers if they have used a TM. Using the actual mat rather than a photo was considered to be more beneficial. “it is like the child is present in the room”. An example was given of a young child bringing in her mats about cats. She showed the panel member her mat and it acted as evidence to show the panel that the girl is now able to separate from her mother. Her mother had suffered abuse as a child and she had become over-protective of her daughter. TM increased the child’s participation.

If anyone has used Talking Mats in Child Protection we would love to hear from you.

The Talking Mats Team have been funded by the Scottish Government to adapt the CARE Measure to make it accessible for children and to examine if the Paediatric CARE Measure (PCM) can be used to gain the views of children or parents attending AHP services. It is a patient-centred measure of relational empathy. It measures patients’ experiences of the interpersonal aspects of clinical encounters. It is recommended that the PCM is used by all Paediatric Allied Health Professions as standard practice. This should be supported by AHP Child Health Leads and will inform the self-assessment component of recommendation 5.6 in the AHP National Delivery Plan and will be integral in the development of the AHP Children’s Services Plan (Recommendation 4.1).

For information about the research project which was carried out to establish the feasibility, reliability and validity of the PCM please click on the following links:

Paediatric CARE Measure – Phase 2 Final Report

Paediatric CARE measure – Phase 2 Summary

For copies of the AHP guidance, PCM forms and information sheets please click below

Paediatric CARE Measure