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…)

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 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 following article has just been published:

Murphy, J., & Oliver, T.M. (2013) The use of Talking Mats to support people with dementia and their carers to make decisions together.  Health & Social Care in the Community Health and Social Care in the Community 21(2), 171–180

A resource which has been developed form our research is Talking Mats (bronze) Dementia and Social Care  Click here

For further information please contact info@talkingmats.com This email address is being protected from spambots. You need JavaScript enabled to view it.

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

Involving young people in making decisions that affect their education can be both challenging and time consuming. Margo Mackay has just completed a research project, funded by NHS Forth Valley, which examined whether using the International Classification of Functioning, Disability and Health – Children and Youth Version (ICF-CY) can be usefully combined with Talking Mats to provide a practical framework for decision making and target setting. It tested whether:

1. combining Talking Mats and the ICF-CY framework was acceptable to secondary pupils with complex needs, and
2. using the information obtained from them is helpful in setting targets for their Individual Education Plans

The project found that Talking Mats, when combined with ICF-CY, is a powerful tool with the potential to greatly enhance the nature of partnerships between pupils, parents and professionals.

Getting it right for every child is a national programme to improve outcomes for all children and young people in Scotland. It threads through all existing policy, practice, strategy and legislation. New Scottish Government legislation will be introduced to parliament in 2013 which will embrace the key principles of the GIRFEC approach to all of children’s services.

Yesterday (3rd September 2012) Leanne Turner and I attended an excellent conference at Stirling University where a wide range of people explored key aspects of implementing the GIRFEC approach. (Leeanne is Employee Development Officer: Child Protection with Edinburgh Council and one of our accredited trainers)

Talking Mats and GIRFEC: Leeanne and I ran 2 seminars which described how we have worked together to develop symbol sets based on the GIRFEC model to be used with the Talking Mats Framework. We illustrated the seminar with some moving case examples of how Talking Mats has been used to get the views of children at risk. We also discussed plans for future Talking Mats developments and training.

To read one of Leeanne’s case studies click here

We have also had an article published in the Times Educational Supplement (Scotland) about talking Mats being used to help young people set their own targets – click here to download it

At our recent accredited training Anne Lafferty form the Advocacy Project Glasgow described how she used Talking Mats in a group setting. She had been asked to work with a group of adults with mental health difficulties who lived together in a house but found it a challenge to relate to each other. She decided to use Talking Mats with a data projector plus lots of paper and glue . The topic was what activities they were interested in participating in and what Anne did was project each symbol one at a time onto the screen and then everyone placed their own  symbol onto their own paper Mat. She said this worked really well, the image of the symbol projected onto the wall held the groups attention but everyone had their chance to express and then share their views. Apparently the staff were amazed and really pleased about how well the tenants participated, stayed and listened to each other. Thought it worth sharing this easy and creative way to use Talking Mats in a group setting – thanks for the idea Anne