Mental health support for senior care and home care teams
Caregiving is emotionally heavy, physically demanding, and chronically underpaid, which makes supporting caregivers' mental health the single most direct lever on retention, care quality, and survey outcomes. Spill is mental health support for senior care and home care teams, delivered as on-demand counseling every caregiver can book around shifts, from any phone.
Book by text from any phone
Grief-specific support, same-day
Packages from $250 a month
Proudly supporting care teams
Grief with no time to grieve
Staffing ratios that make good care feel impossible, residents' deaths as a routine part of the job, and caregivers working alone in clients' homes with no colleague to decompress with. Isolation makes burnout invisible until an aide simply stops showing up.
Turnover that runs the building
A Health Affairs study of payroll records from more than 15,000 US nursing homes found median annual nursing staff turnover of 94%, with mean turnover of 128%. (Gandhi, Yu & Grabowski, 2021)
Underpaid, in demand
America's 5 million direct care workers earn median annual pay of just under $26,000, and the sector faces an estimated 9.7 million job openings from 2024 to 2034. (PHI, 2025)
Still below pre-pandemic staffing
Nursing homes are the only US health care sector still below pre-pandemic staffing levels, and 91% of providers say recruiting new staff remains difficult. (AHCA Long Term Care Workforce Report, 2026)
The most direct lever on retention and care quality
From skilled nursing and assisted living to home care and hospice, Spill reduces the burnout driving call-outs and churn, cutting agency spend and stabilizing the care teams surveyors and families actually notice.
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Reaches a workforce with no desk
Phone-first counseling with no portal logins and no office hours: a therapist between visits, matching how home care actually operates.
Structured space for grief
Caregivers lose people they've cared for, again and again. Regular space to process loss, not just after crisis events, keeps experienced staff in the field.
Cuts agency spend
Less burnout means fewer call-outs and less churn, stabilizing the tenured teams that drive the care reputation that fills rooms.
All-in-one on-demand counseling for your team
Unlimited counseling sessions
Sessions with licensed therapists experienced in grief and loss, bookable by text from any phone with same-day availability that fits around shifts and home visits. Available to the whole team, including part-time and hourly staff.
Self-guided wellbeing resources
Self-guided resources on grief, burnout and financial stress written by licensed therapists, plus training that helps supervisors and care team leads spot struggling staff early. The employer funds it; each person's use stays private.
Expert guidance and training
Practical, therapist-led training workshops designed to empower staff to spot mental health presentations within nurseries, schools and universities and know how to appropriately respond. Teachers can also check in with a Spill safeguarding clinician for advice at any time.
On demand counseling, without the hoops
No referrals, no copays, no session caps. Here's how Spill compares to
booking therapy through insurance or a traditional EAP.
Spill
Insurance & Traditional EAPs
Getting a session
✅ Same day, a few clicks in Slack or Teams
✖️ Find an in-network provider, then wait weeks
Cost to employee
✅ Free
✖️ Copays and deductibles
Session Limit
✅ Unlimited
✖️ Depends on the plan
Choice of therapist
✅ Choose a specialist
✖️ Whoever is in network
Privacy
✅ Fully confidential
✖️ Claims on the insurance record
Contract
✅ 30 day rolling
✖️ 1 year+
Your team is safe in our hands
Instant access
Support in just a few clicks. No waiting lists, callbacks or application forms
High quality care
We only hire the top 5% of registered counsellors who meet our high standards
Full privacy
Therapy sessions are fully confidential, we never see or record any conversations
The highest-rated support in its category
Spill supports over 30,000 employees and is rated 4.9/5 on Trustpilot by the people who actually use it. But don't just take our word for it.
Spill is fantastic
Having Spill is such a privilege and it's such a fantastic tool. It's excellent whether you need real help now or just need some advice.
Brilliant therapists
My company subscribe to Spill as an employee benefit. I had two courses of 6 sessions throughout an extremely hard time for me.
It’s changed my life
My therapy sessions have genuinely transformed my life, how I manage my relationships and communicate. I cannot thank my company enough.
High quality counselling
Honestly cannot recommend Spill enough. Having access to high quality therapy through your workplace is extremely helpful.
Rated 4.9/5 based on over 100 reviews. Showing our 4 and 5 star reviews.
See Spill in action
Book a free 30 minute demo to hear more Spill’s features and get a tailored quote for your team