THE SHARPEN® SYSTEM: Seamless Multi-Level Prevention

Evidence-Based Logic Model Validated Through Server-Side Engagement Data from 60+ Prevention Toolkit Implementations (2019-2026).

We created the Sharpen® System to disseminate evidence-based prevention at scale and we are finally able to look back at 7 years of data to tell our story.

Robyn Hussa Farrell, CEO and Co-Founder

Tim Farrell, COO and Co-Founder

Resiliency Technologies, Inc.

The Sharpen® System represents two decades of systematic digital therapeutic development grounded in public health frameworks and validated through community-based participatory research and implementation. This white paper presents the theoretical foundation of our social-ecological logic model alongside real-world engagement data from 60+ primary prevention toolkit implementations between 2019-2026, demonstrating sustained user engagement and seamless connection across all three prevention levels within a single integrated platform. We highlight a few to capture some of the detail - and diverse array of strategies.

We've Got the Data

Combined across 60+ organizational deployments, Sharpen® platforms have engaged 47,569+ users generating 2,850,546+ module views, 8,492,364+ total API requests, 148,388+ resource engagements, and 3,219,450+ user records representing 429,260+ estimated hours of meaningful engagement. Average time spent per session reached 7 minutes, and peer-focused documentary film content achieved a 92% completion rate.

Average engagement rates reached 56.84%, dramatically exceeding the 4-11% industry standard for digital therapeutics.

Across 30+ research studies utilizing the Sharpen® system, 96% of users report positive recommendations, and 85% show increased help-seeking and connection to treatment.

Most significantly, the platform seamlessly integrates primary, secondary, and tertiary prevention within a single user experience. What does that mean?

• Primary Prevention is Universal Education. We have over 700+ modules that are accessed through a self-discovery library. Users showed sustained engagement across mental health literacy topics and decreased stigma.

• Secondary Prevention is Early Intervention. When folks connect with screening, peer support connections, and risk-specific resources, we are able to increase the detection of disease or mental illness at an earlier stage. There were 20,382+ self-initiated clinical screener completions in our analysis.

• Tertiary Prevention is Crisis Response. We saw over 148,388+ connections with "Get Help Now" features, crisis resource clicks, and community service organizations, of these, 15,570+ were direct crisis resource engagements.

All of the above were activated from within a single platform. Sharpen® eliminates friction between prevention levels and addresses a critical gap in digital mental health. Users can transition from learning about mental health to connecting with services all in one place. Real-world data validates this approach through demonstrated help-seeking behavior activation across all toolkit implementations, including populations with documented barriers to traditional mental health services.

I. THE SHARPEN® LOGIC MODEL

A. Social-Ecological Framework and Seamless Prevention Architecture

The Sharpen® System operationalizes prevention through a five-level social-ecological model addressing protective factors across individual (personal resilience, mental health literacy), interpersonal (family education, peer support), organizational (provider training, institutional protocols), environmental (community connectivity, crisis integration), and global levels (population-level prevention, health disparity reduction).

Our integrated architecture enables users to seamlessly navigate from universal prevention education to selective interventions to clinical crisis support within a single digital environment. This design directly addresses documented barriers to help-seeking.

B. Tiered Prevention Integration

The Sharpen® system was designed to seamlessly integrate primary, secondary, and tertiary prevention within a single user experience:

• Universal Primary Prevention: Mental health literacy modules, stigma reduction content, peer documentary storytelling, resilience-building resources accessible to all users through intuitive 'Discover' navigation

• Selective/Indicated Secondary Prevention: real-time screening protocols, risk stratification, targeted content recommendations based on expressed interests or concerns, peer support community features ('Connect'), early intervention resources

• Clinical Tertiary Prevention: 'Get Help Now' crisis buttons, crisis resource databases with local/regional services, digital safety planning tools, EHR-integrated care coordination, immediate clinician alert protocols

• Real-world data demonstrates users actively utilize this full prevention spectrum, with more than 2 million modules viewed, 148,388+ documented resources accessed (including 15,570+ crisis resource activations, 20,382+ self-initiated clinical screener completions, and 112,436+ community and environmental protective factor connections).

C. Evidence-Based Components

Each module within the Sharpen system incorporates 15 core evidence-based components synthesized from protective factor frameworks, mental health literacy principles, suicide prevention best practices, stigma reduction methodologies, trauma-informed care principles, and CBT/DBT techniques.

Content development spans 20 years of community-based participatory research generating 4,000+ peer documentary videos, 700+ therapeutic modules, and 50,000+ post-program surveys identifying the 160 most commonly asked mental health questions.

User time investment validates content quality and clinical utility: 2,850,546+ server-side module views from 47,569+ users across all deployments, with average session durations ranging from 5.6-17.0 minutes, demonstrate sustained attention substantially exceeding typical digital therapeutic interactions (often <2 minutes).

Notably, the platform contained no algorithmic recommendation functionality, therefore, all resource engagement represented organic, self-directed user navigation.  These figures are reflective of intentional help-seeking behavior.

II. EARLY PREVENTION TOOLKITS: VALIDATION THROUGH REAL-WORLD IMPLEMENTATION

A. Sharpen Family: Foster Care and Parenting Prevention (2019-2026)

Developed through collaboration with researchers in child advocacy, childhood trauma, foster care, parenting, and developmental psychology, Sharpen Family delivers 100+ customized psychoeducational modules addressing family mental health literacy needs.

Implementation Outcomes (6+ years):

• Total Engagement: 719,991+ server-side module views from 7,862+ authenticated users (6-year implementation)

• Quality Metrics: 51.46% engagement rate, 5:38 average session duration

SEAMLESS PREVENTION INTEGRATION:

• Primary (Education): Extensive 100+ module library engagement across mental health topics

• Secondary (Targeted Support): Topic-specific content access based on family needs

• Tertiary (Crisis Response): 52,277 total resource engagements including 10,069 crisis resource activations (988 Lifeline, Teen Crisis Line, safety planning tools) and 8,440 self-initiated clinical screener completions (depression, anxiety, ACEs, mood disorders)

B. Sharpen Warrior: Veterans and Military Family Prevention (2019-2025)

Developed over four years through extensive collaboration with veterans, military spouses, PTSD clinicians, and specialists in combat trauma, transitioning, and moral injury.

Implementation Outcomes (6 years):

• Total Engagement: 100,792+ server-side module views from 2,668+ authenticated users (6-year implementation)

• Deep Engagement: 358,237 resiliency points earned through sustained module completion

  
  

SEAMLESS PREVENTION INTEGRATION:

• Primary: Comprehensive PTSD, depression, anxiety education modules

• Secondary: Clinical screening completion for risk assessment and early detection

• Tertiary: 1,741 resource engagements including crisis line access and community support connections demonstrating help-seeking behavior activation

Implementation within veteran populations experiencing documented cultural stigma around help-seeking, demonstrates the platform's capacity to facilitate resource engagement (1,741 total extras activations) while users engage in education-focused content.

C. Sharpen College Toolkits: Campus Mental Health Prevention (2019-2026)

Implemented across four institutions addressing Title IX safety, mental health literacy, peer support, and wellness.

Implementation Outcomes (7+ years):

• Total Engagement: 778,758+ server-side module views from 14,557+ authenticated users (7-year implementation)

• Quality Metrics: 53.20% engagement rate, 6:19 average session duration

SEAMLESS PREVENTION INTEGRATION:

• Primary (Education): 7,630 'Discover' page views providing access to comprehensive module library

• Secondary (Peer Support): 1,188 'Connect' page views building campus community connections

• Tertiary: 42,396 total resource engagements including 896 crisis resource activations, 2,959 clinical screener completions, and 38,541 community and environmental protective factor connections

Seven-year sustained implementation validates scalability. The 778,758+ module views demonstrate deep primary prevention engagement, while 42,396 resource activations spanning crisis lines, clinical screeners, and community connections, show users fluidly navigating the full prevention spectrum from a unified platform experience.

D. VCOM Mindful Meds: Medical Student Resilience (2019-2026)

Addressing unique mental health challenges facing medical students through comprehensive curriculum, therapy literacy, peer connection, and professional development content.

Implementation Outcomes (6+ years):

• Total Engagement: 111,849+ server-side module views from 2,929+ authenticated users (HIGHEST per-user module engagement ratio across all toolkits)

• Exceptional Quality: 60.57% engagement rate, 17:02 average session duration—highest across all toolkits

• Deep Learning: 9.65 pages per session indicating comprehensive content exploration

SEAMLESS PREVENTION INTEGRATION:

• Primary (Education): 9,401 mental health literacy curriculum views providing foundational knowledge

• Secondary (Therapy Literacy): 1,775 views on therapy education demystifying professional help

• Tertiary (Help-Seeking): 2,639 total resource engagements including 522 crisis resource activations, 161 clinical screener completions, and 1,956 community support connections bridging to professional services

Medical students experience depression at 2-5x the rate of peers with 50% reporting burnout. Six years of sustained engagement in this demanding, time-constrained population validates both content quality (17-minute average sessions) and seamless prevention integration (2,639 resource engagements including crisis lines, screeners, and community connections, despite documented professional stigma concerns).

III. CROSS-TOOLKIT SYNTHESIS

A. Sharpen Engagement Benchmarks

Combined Implementation Performance (2019-2026):

• Total Module Views: 2,850,546+ server-side API calls across all prevention toolkits

• Total Users: 47,569+ spanning diverse populations and contexts across 80+ organizational deployments (2019–2025)

• Total Time Investment: 429,260+ estimated hours of platform engagement (equivalent to 10,731+ full-time work weeks across 47,569+ users).

• Average Engagement Rate: 56.84% vs. 4-11% industry benchmark (5-14x higher)

• Session Duration Range: 5.6-17.0 minutes demonstrating sustained attention beyond typical digital therapeutic interactions

• Multi-Year Sustainability: 6-7 years continuous platform operation demonstrating reliability

B. Seamless Prevention Integration

The defining characteristic of Sharpen's architecture is the elimination of barriers between prevention levels. Unlike fragmented systems requiring users to navigate separate platforms, create multiple accounts, or graduate from education to screening to intervention, Sharpen integrates all prevention tiers within a single user experience.

C. Logic Model Validation Across Social-Ecological Levels

Individual Level (Personal Resilience, Mental Health Literacy):

719,991+ Family toolkit module views, 111,849+ VCOM module views, and 778,758+ College module views confirm individual-level protective factor building at scale. Server-side measurement captures the full scope of content engagement including SSO-authenticated users invisible to prior GA4 reporting, providing a more complete picture of individual knowledge acquisition across multi-year implementations.

Interpersonal Level (Family Education, Peer Support):

Platform resource features generated 148,388+ total activations spanning crisis lines, peer support connections, screeners, and connections with community organizations. The 112,436+ community resource engagements, including local mental health organizations, volunteer opportunities, peer mentoring programs, and social service agencies, demonstrate interpersonal and environmental protective factor activation at scale, directly validating the social-ecological model's interpersonal level.

Organizational Level (Provider Training, Institutional Protocols):

Seven-year college implementation across four institutions, six-year medical school partnership, five year partnership to train health workers on suicide prevention through state and federally-funded programs.

Environmental Level (Community Connectivity, Crisis Integration):

148,388+ documented resource activations from platform engagement—including 15,570+ direct crisis resource engagements and 20,382+ self-initiated clinical screener completions—demonstrate environmental-level protective factor activation.

All resource engagement was self-directed: the platform contained no recommendation engine, meaning every crisis line access, screener completion, and community connection was an intentional, organic user-initiated action.

IV. IMPLICATIONS FOR SCALED IMPLEMENTATION

The 6-7 year sustained engagement across 60+ organizational deployments, generating 2,850,546+ server-side module views from 47,569+ users across 60+ deployments and 148,388+ organic resource engagements, establishes compelling proof-of-concept for Sharpen's seamless multi-level prevention model.

V. CONCLUSION

The Sharpen System's social-ecological logic model has been validated through 2,850,546+ server-side module views, 47,569+ users across 60+ organizational deployments, and 148,388+ documented organic resource engagements including 15,570+ crisis resource activations, 20,382+ self-initiated clinical screener completions, and 112,436+ community service connections. This seamless integration of primary, secondary, and tertiary prevention within a single platform addresses the fundamental fragmentation challenge in digital mental health: users can learn about mental health and connect to crisis services without changing systems, creating new accounts, or recognizing they're 'in crisis.'

Combined early prevention toolkit data establishes that evidence-based design principles (community-driven content development, population-specific customization, brief modular architecture, peer documentary storytelling, accessible delivery, and integrated prevention architecture) translate to sustained user engagement dramatically exceeding digital therapeutic industry benchmarks (56.84% vs. 4-11%).

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