Title: Consider It!

Target Audience: Providers of Social Services and Social Workers

Transformative Goals:  

By the end of the play session, the players should:

• Have a greater awareness and understanding of the 5 Social Determinants of Health
•  Have a greater awareness of the types factors involved in these determinants (access to healthy food options, transportation, quality schools, job opportunities, etc.)
•  Gain empathy for clients whose health and well-being are being impacted by these social determinants.

Influences: 

• Poor Not Guilty: Use of real-world scenarios and outcomes, the informational slides with statistics and information
• Dwell: We like the use of personas and real-world circumstances to create empathy as well as recognizing the different needs  of the individuals. We also liked the hub design for the board.
• Ready: We liked the use of the game to facilitate conversations about situations in which there are no easy answers. We also liked the idea of prioritizing things that are important to do vs things that are easy/ actionable. We feel a similar rating system could transfer well to our game.
• Trivial Pursuit: We think color coding the Social Determinants of Health will make the categories more memorable and we can make connections with various factors and the determinants to which they pertain. We are also entertaining the idea of having to collect one piece of pie from each domain once that area has been experienced (perhaps answering a question?). We are also considering using a trivial pursuit type board for our game play.

Gameplay:

Overview: Players will move around the board by rolling a die. The various spaces will increase or decrease the hearts which represent overall well being. The player is aiming for optimal well- being.

Physical Components:

Game board

Die

Individual game piece (possibly Trivial Pursuit type “pie”)

Persona cards

SDoH Chance Cards

Consider This discussion cards

How to Play:

1. Each player receives a client profile with specific  factors that impact social determinants of health ( do they have jobs, health issues, insurance, etc.)
2. Profiles each have different heart values based on their factors ( employment, health access,) Everyone starts with the same total amount of hearts, they are just distributed differently amongst the categories.
3. There are 3 types of spaces on the board:
   1. Chance: Situations (A grocery store with fresh produce comes to your neighborhood or your car has been broken down) that can raise or lower your heart level in different domains. Like “Ready,” more difficult situations will be worth more hearts. The impact of the situation can also be influenced by your character’s persona card. A character with a job or insurance would be less negatively impacted having a medical issue that needs treatment, for example. A persona with a car would be less negatively impacted by a local hospital closing.
   2. Hearts: A chance to earn hearts and apply them to the appropriate domain (taking a computer class at the local library or planting vegetables in a neighborhood garden)
   3. Consider This: Read a fun fact about determinants, players will stop, set a timer and discuss a specific issue brought up on the card.Each player who participates in the discussion earns a heart.
4. Players move by rolling a die and moving that number of spaces.

What does “winning” look like?

We are currently torn between collecting a certain number of hearts overall OR collecting a pie piece like trivial pursuit when you have “mastered” each social determinant by answering a question or listing 5 factors that could contribute to that social determinant.

Post Play Discussion

• Journey map the personae that you have just played
• Facilitate discussion questions based on experiences in the game