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Currently available commercially for implementation within healthcare organizations to support healthcare worker mental health, peer support, and workforce wellness needs
From hospital to community who may benefit from mental health information and access to peer support.
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Healthcare workers continue to experience high rates of stress, burnout, trauma, and moral injury, which were intensified during and after the COVID-19 pandemic.
Despite this need, many workers face barriers to accessing timely mental health support, including stigma, shiftwork, limited availability of services, and lack of culturally safe, accessible, and confidential resources.
Organizations also often lack scalable systems to provide peer support and early intervention.
Existing supports may not adequately address digital accessibility, organizational integration, or the need for flexible, on-demand mental health resources tailored specifically to healthcare workers.
Beyond Silence was built on over a decade of research at McMaster University and guided by the Consolidated Framework for Implementation Research (CFIR) to ensure evidence-informed implementation across diverse healthcare settings.
The initiative emphasized equity, accessibility, bilingual support, organizational customization, and sustainability.
Findings demonstrated that successful implementation requires leadership buy-in, dedicated organizational resources, proactive communication, and strategies to improve mental health literacy and engagement over time.
Resources associated with the app include an evidence-based implementation guides, promotional materials, and peer support training frameworks to support future scaling and long-term impact across Canadian healthcare systems.
Beyond Silence is a co-designed e-mental health and peer support platform developed by and for healthcare workers.
The mobile app provides private, on-demand access to mental health resources, wellness tools, and trained peer supporters through text and call-based support.
Implemented across eight healthcare organizations representing more than 30,000 employees, the initiative combined app-based support with peer support training, organizational implementation strategies, and ongoing evaluation.
Over 120 healthcare workers across Canada were trained as peer supporters, with demonstrated improvements in peer support competencies and engagement in ongoing communities of practice.
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