1. © 2010 Concept Systems, Inc.1 Concept Mapping Methodology: An Example

2. © 2010 Concept Systems, Inc. 1. Preparing for Concept Mapping 2 Work cited here conducted under contract with the Office on Womens Health, NIH. Focus Prompt: A specific issue that is relevant to the mental health of women and girls is..." Goals: Identify the current state issues that affect mental health Guide program development, gap identification, and evaluation planning Goals: Identify the current state issues that affect mental health Guide program development, gap identification, and evaluation planning

3. © 2010 Concept Systems, Inc. 2. Generating Ideas 3 The psychological effects of sex hormones across the life-span. (33) Lack of parity for mental health care coverage. (102) Body image issues- (breast size, hair color/texture, nose, other physical features vs external valuation of "beauty"). (9) Negative images of girls and women, particularly among minority women, in television, magazines, and film-related media. (43) The psychological effects of sex hormones across the life-span. (33) Lack of parity for mental health care coverage. (102) Body image issues- (breast size, hair color/texture, nose, other physical features vs external valuation of "beauty"). (9) Negative images of girls and women, particularly among minority women, in television, magazines, and film-related media. (43)

4. © 2010 Concept Systems, Inc. 3. Structuring the Ideas 4 Rate the ideas Importance Action Potential Rate the ideas Importance Action Potential Sort the ideas

5. © 2010 Concept Systems, Inc. 4. Concept Mapping Analysis The Raw Materials: – Statements – Sort Input from each participant The Tools – Aggregation of Sort Data – Similarity Matrix – Multidimensional Scaling – Cluster analysis – Anchoring/Bridging Analysis 5

6. © 2010 Concept Systems, Inc. 5. Interpreting the Maps Some Reports: Point Maps Cluster Maps Rating Maps Pattern Matches G0-Zones 6

7. © 2010 Concept Systems, Inc. Point Map. This initial map shows all the elements in relation to one another. 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31 32 33 34 35 36 37 38 39 40 41 42 43 44 45 46 47 48 49 50 51 52 53 54 55 56 57 58 59 60 61 62 63 64 65 66 67 68 69 70 71 72 73 74 75 76 77 78 79 80 81 82 83 84 85 86 87 88 89 90 91 92 93 94 95 96 97 98 99 100 101 102 103 104 105 106 107 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31 32 33 34 35 36 37 38 39 40 41 42 43 44 45 46 47 48 49 50 51 52 53 54 55 56 57 58 59 60 61 62 63 64 65 66 67 68 69 70 71 72 73 74 75 76 77 78 79 80 81 82 83 84 85 86 87 88 89 90 91 92 93 94 95 96 97 98 99

8. © 2010 Concept Systems, Inc.8 Each point represents one of the brainstormed ideas.

9. © 2010 Concept Systems, Inc.9 Conceptually similar ideas are in close proximity. Recognition of enduring effects of depression. (72) The behavioral role of depression and stress in contributing to obesity in women. (76) Co morbidity of mental disorders (depression, mood disorders, substance abuse including smoking, eating disorders, harming oneself and suicide). (79)

10. © 2010 Concept Systems, Inc.10 Conceptually different ideas are further apart.

11. © 2010 Concept Systems, Inc.11 Cluster Map. The detailed ideas are organized into groups… …so that many concepts can be considered in a shared structure

12. © 2010 Concept Systems, Inc. Social Stress Factors Adjustment to physical illness and declining ability. (98) Internal barriers to mental health care such as shame and guilt. (101) Increased risk of victimization for women with severe mental disorders receiving inadequate treatment. (3) Body image issues- (breast size, hair color/texture, nose, other physical features vs. external valuation of "beauty"). (9) The extent to which lower socioeconomic status and/or immigrant status relates to mental health. (41) Negative images of girls and women, particularly among minority women, in television, magazines, and film-related media. (43) Lack of encouragement and opportunity at the elementary, middle and high school levels for career opportunities that girls can aspire to. (61) The discrimination and lack of social acceptance that those with mental disorders face. (65) Social devaluation of the nurturer/ maternal role. (70) The support to pursue personal development and engagement in fulfilling societal roles (to include major leadership roles). (71) 3 9 41 43 6165 70 71 86 95 98 101 3 9 41 43 6165 70 71 86 95 98 101 Media pressures on adolescent sexuality. (86) Care giving and nurturing for spouse and family including aging parents or those with special needs. (95)

13. © 2010 Concept Systems, Inc.13 The emerging structure… …contains all the details and provides a conceptual framework. Access & Insurance Identification & Treatment Issues Medical System Issues Sex/Gender Differences Social Stress Factors Violence & Abuse Protective Factors & Resilience Mood & Anxiety Disorders

14. © 2010 Concept Systems, Inc. Ratings Map 14 Cluster Legend Layer Value 1 3.39 to 3.54 2 3.54 to 3.70 3 3.70 to 3.85 4 3.85 to 4.00 5 4.00 to 4.16 Access & Insurance Identification & Treatment Issues Medical System Issues Sex/Gender Differences Social Stress Factors Violence & Abuse Protective Factors & Resilience Mood & Anxiety Disorders Importance

15. © 2010 Concept Systems, Inc. Pattern Match. Comparing Importance and Action Potential 15 Importance n = 73 Action Potential n = 49 r =.73 4.16 3.39 3.42 2.89 Social Stress Factors Sex/Gender Differences Mood & Anxiety Disorders Identification & Treatment Issues Violence & Abuse Protective Factors & Resilience Medical System Issues Access & Insurance Social Stress Factors Sex/Gender Differences Mood & Anxiety Disorders Medical System Issues Identification & Treatment Issues Protective Factors & Resilience Violence & Abuse Access & Insurance

16. © 2010 Concept Systems, Inc. Go-Zone. Cluster: Social Stress Factors Body image issues- (breast size, hair color/texture, nose, other physical features vs external valuation of "beauty"). (9) Social devaluation of the nurturer/ maternal role. (70) The support to pursue personal development and engagement in fulfilling societal roles (to include major leadership roles). (71) Media pressures on adolescent sexuality. (86) Negative images of girls and women, particularly among minority women, in television, magazines, and film-related media. (43) Lack of encouragement and opportunity at the elementary, middle and high school levels for career opportunities that girls can aspire to. (61) Care giving and nurturing for spouse and family including aging parents or those with special needs. (95) Increased risk of victimization for women with severe mental disorders receiving inadequate treatment. (3) The extent to which lower socioeconomic status and/or immigrant status relates to mental health. (41) The discrimination and lack of social acceptance that those with mental disorders face. (65) Internal barriers to mental health care such as shame and guilt. (101) 3.392.684.67 2.35 3.94 Importance Action Potential 2.89 3 9 41 43 61 65 70 71 86 95 98 101 Adjustment to physical illness and declining ability. (98)

17. © 2010 Concept Systems, Inc. 6. Utilization Using maps and reports to achieve the goals of your project – Creating frameworks for strategic plans, evaluation designs, etc. – Using ratings to track progress over time 17