Emotional support cards · Children in hospital · Ages 4–6

Hospital Joy Toolkit

26 illustrated A–Z cards that give children words for what they feel in hospital — and give the adults beside them clear, gentle prompts for what to say and do.

First printed edition · October 2026 Independent professional review in progress

Hospital Joy Toolkit card set for children aged 4 to 6
What you receive

One set, one feeling at a time

Each set contains 26 illustrated A–Z cards, one for every letter of the alphabet, plus a title card.

Each card combines child-friendly illustrations and language with practical guidance for the adult. Together, they create opportunities for the child and adult to explore feelings, communicate and build emotional connection.

The cards include gentle prompts for what to say and do, explanations for adults, and simpler alternatives when the child feels overwhelmed or tired. The child is always free to choose whether to participate.

Printed in A6 format on 350gsm card with a matt finish and rounded corners.

The 26 feelings

  • AAfraid
  • BBored
  • CCalm
  • DDisappointed
  • EExcited
  • FFrustrated
  • GGrumpy
  • HHappy
  • IIn Pain
  • JJealous
  • KKind
  • LLonely
  • MMissing Home
  • NNervous
  • OOverwhelmed
  • PProud
  • QQuiet
  • RRestless
  • SSad
  • TTired
  • UUpset
  • VBrave
  • WWorried
  • XX-ray Feelings
  • YYuck!
  • ZZzz… Sleepless
How each card works

The same clear structure on every card

  1. Name it. A short opening that names the feeling and tells the child it is normal to feel this way.
  2. Say. Words the adult can use with the child.
  3. Do. Simple actions to try together.
  4. What this does. A brief explanation for the adult of why it helps.
  5. If that feels like too much right now. A smaller version for days when energy is low.
  6. Remember. A short closing line to hold on to.

Some cards also include an extra idea. The child always chooses — the cards are designed to be child-led, never imposed.

Who it is for

For the adults around a child in hospital

Health Play Specialists and play teams

A structured resource to use within child-led, developmentally appropriate play practice on the ward.

Parents and carers

Ready-made words and small actions for the moments when it is hard to know what to say.

Hospital charities and family support organisations

A printed resource that can be provided to wards and families.

Development and review

How the Toolkit was developed

  • Lived experience. Lada Barsukova, lived experience consultant, reviewed the cards for relevance to children's real hospital experience.
  • Health Play Specialists. Health Play Specialists reviewed the cards and gave feedback, which has been addressed in the current edition.
  • Independent professional review. The 4–6 set is currently under independent professional review. Results will be published here when the review is complete.

This resource does not replace clinical psychological support.

First edition

How to get the Toolkit

Individual orders

The Hospital Joy Toolkit is available to individuals for £25 per set.

Orders for organisations

Hospitals, charities, community organisations and other professional buyers receive reduced prices when ordering multiple sets.

SetsPrice
1 set£25
3 sets£60
5 sets£95
10 sets£175
Larger quantitiesOn request

Packaging included. Delivery charged at cost. Training and implementation support can be discussed separately.

Free physical samples are not provided. For professional evaluation, we can share a digital overview of the cards and supporting documentation on request.

Income from the Toolkit supports the social mission of Smile Optimistic Studio CIC.

Coming next

Further age groups

Sets for ages 7–10 and 11–15 are in development.

Questions

Frequently asked questions

What age is the Toolkit for?

The current set is designed for children aged 4–6. Sets for ages 7–10 and 11–15 are in development.

Who reads the cards?

The cards are designed for children and adults to explore together. Child-friendly illustrations and language are combined with practical prompts that help parents, carers and professionals support emotional expression, communication and connection. The child always chooses whether and how to take part.

Can Health Play Specialists use it on the ward?

Yes. The Toolkit is designed to be used within child-led, developmentally appropriate play practice.

Has the Toolkit been professionally reviewed?

Health Play Specialists contributed to its development and their feedback has been addressed. An independent professional review of the 4–6 set is in progress, and its outcome will be shared here.

Does it replace psychological support?

No. The Toolkit supports everyday conversations about feelings. It does not replace clinical psychological support.

Can we receive a free sample set?

Free physical samples are not provided. For professional evaluation, we can share a digital overview of the cards and supporting documentation.

Can we order for a whole ward or organisation?

Yes. See the organisation prices above; for more than 10 sets, please get in touch for a quote.

Can I get a set for my own child?

Yes. Individuals can order a set for £25.

I already have a set — where are the instructions?

See How to use the Hospital Joy Toolkit.