1️⃣ Emotion / Feeling Cards
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Each card has word + picture:
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😢 Sad / Feeling low
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😡 Angry / Frustrated
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😨 Anxious / Worried
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😭 Overwhelmed / Upset
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🙂 Calm / Coping
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🤔 Confused / Not sure
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😷 Pain / Physical discomfort
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Use: Patient points to card to show current state.
2️⃣ Problem / Topic Cards
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Visual + word cards for common issues in mental health crisis:
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😴 Sleep problems
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🍽️ Eating / appetite
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💬 Trouble talking / expressing
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🏠 Home / family problems
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👥 Relationships / friends
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💊 Medication
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⚠️ Safety concerns / self-harm risk
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Use: Staff asks:
“Which of these is affecting you today?”
Patient points to pictures/cards.
3️⃣ Severity / Urgency Cards
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Can use colour coding:
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🟢 Green → Mild / OK to discuss
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🟡 Yellow → Moderate / needs attention
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🔴 Red → Severe / urgent
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Combine with Traffic Light Cards for structured, quick triage.
4️⃣ Benefits
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Quick and safe communication in time-limited sessions.
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Helps non-verbal or low literacy clients express needs.
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Reduces stress and frustration for clients and staff.
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Allows clinicians, counselors, and support workers to prioritise issues.
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Encourages person-centered care: patient chooses what to talk about.
5️⃣ Integration into Toolkit
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Can combine with existing Traffic Light + Emotion system.
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Visual boards / laminated cards can be placed in therapy rooms, GP offices, crisis centers.
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Easy Read booklet explains:
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How to use cards
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Reflection exercises
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Example scripts for staff (“Which of these describes how you feel?”)
Not everyone can operate them (motor skills, cognitive differences).
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Not everyone can process or read text quickly enough to use them in a crisis.
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Some people may feel anxious using technology in unfamiliar settings.
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Devices may not always be available in clinics, schools, or community settings.
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Time-limited appointments make it hard for someone to build up messages on a device.
Why a Picture + Word + Card system is better for inclusion
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Accessible to all abilities
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No tech needed; just visual cards and symbols.
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Works for people with limited literacy, low processing speed, non-verbal needs, or physical difficulties.
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Flexible & portable
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Can be used anywhere: group sessions, one-to-one therapy, GP visits, workshops.
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Instant communication
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Staff can immediately understand emotions, needs, or problems.
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Combines emotion + problem + urgency in one glance.
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Supports time-limited sessions
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Patient can point or hold a card instead of trying to explain everything verbally.
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Clinician can prioritize urgent issues using colour coding or traffic light cards.
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Encourages self-expression
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People can communicate without feeling pressured to talk.
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Reduces stress, frustration, and anxiety.
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