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Trust is earned.
So is the support behind it.

The people who hold the line every day deserve more than good intentions behind theirs.

Holding the Line builds individualized mental health infrastructure for public safety agencies and coordinates prioritized access to our Oregon First Responder Therapy Network, a group of local clinicians who work with first responders and are among the most reputable providers in their communities.

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What We Do

Mental health infrastructure,
built around your agency.

Holding the Line helps Oregon public safety agencies build practical, reliable mental health systems tailored to their personnel, culture, operational demands, and resources.

Our mission is to make it easier for first responders to access trusted mental health support quickly, confidentially, and without unnecessary barriers. We do this by coordinating access to local clinicians who understand public safety work and by helping agencies build systems that are structured, responsive, and realistic for their people.

We start by assessing and strengthening the supports already in place, identifying the real gaps, and designing individualized programs to close them. No two departments are the same, and we do not build them that way.

Clinical care is provided through the Oregon First Responder Therapy Network, a coordinated group of trusted Oregon clinicians who specialize in working with first responders. Holding the Line built and manages the network, coordinates referrals, and gives agencies prioritized access to highly competent clinicians who commit to clear response timelines. When your people need care, we connect them to the right provider quickly instead of leaving them to search for availability on their own.

The Two Anchors

Two programs anchor the work.
The assessment shapes both.

These are the two programs Holding the Line was built on, but neither is required. The assessment determines whether either program is the right fit for your agency and, if so, how it should be scaled, adapted, or reinforced based on your agency’s size, culture, budget, and identified gaps.

01
Pathway 1 — Agency-Activated

Post-Critical Incident
Mental Health Support

When an agency-defined critical incident occurs, a supervisor or other designated referrer submits a secure online referral to Holding the Line. From that point, HTL manages the process. The clinician network is activated, availability is confirmed, and each impacted individual is offered access to a licensed, first responder-competent clinician. Confidential. Outside the chain of command. No coordination required from agency leadership beyond submitting the referral.

  • Clinician availability confirmed within one business day from referral
  • Appointments offered to impacted personnel within one week of referral
  • Up to 2 individual, confidential post-incident sessions per involved member
  • Scheduled follow-up outreach approximately two months post-incident, or per agency agreement

Participation is voluntary unless mandated by agency policy or state law.

02
Pathway 2 — Personnel-Initiated

Oregon First Responder
Therapy Network

Confidential, year-round therapy access for all eligible personnel. Personnel select a clinician from our trusted network and request an appointment directly through the agency's secure HTL access link or app. The clinician contacts the individual to schedule.

  • 6–12 confidential sessions per contract year
  • No pre-authorization. No agency notification. No reason required.
  • Personnel choose a clinician and request an appointment directly through the agency's secure HTL access link or app.
  • Oregon-licensed, private practice clinicians who operate independently and understand first responders and the realities of the job
  • Remote and in-person sessions available, depending on clinician and location
  • Prioritized scheduling

When post-incident support indicates that ongoing care would be helpful, the transition from Pathway 1 into Pathway 2 is seamless. Same network. Same confidentiality. No new intake. No gap in access or care.

Most programs include an agency-personalized, confidential Holding The Line app.

Where included in the agency agreement, the app gives personnel 24/7 access to agency-specific mental health and support resources, along with a secure way to request an appointment with a therapist they select from the Oregon First Responder Therapy Network. Depending on the agency’s HTL agreement, personnel may also submit other personalized support service requests through the app.

Why It's Different

Where peer support leaves off,
clinical care picks up.

Defined Activation and Response Timelines

One referral. Defined timelines. No improvising under pressure.

After a critical incident, a supervisor or other designated referrer submits a secure referral. Holding the Line handles the coordination from there. Clinician availability is confirmed within one business day, appointments are offered to impacted individuals within one week, and follow-up contact occurs within two months. These timelines are built into the service model so agencies know what happens next.

Direct, Confidential Access

Personnel choose their clinician. The agency is never in the loop.

Personnel use a secure HTL app or link to review clinician credentials, select a provider, and request an appointment directly. The clinician schedules with the individual from there. Clinical information is never shared with HTL or the agency. No names. No clinical content. No exceptions.

Clinicians Trusted for This Work

Demonstrated competence, not just self-reported familiarity.

Every clinician was carefully selected for their clinical skills, professional experience and reputation, and ability to work effectively with law enforcement, fire, EMS, dispatch, and corrections.

Standing Infrastructure

Already built. Ready when you need it.

The clinician network, the activation protocols, and the technology are already in place before you need them. When an incident occurs, you activate a system that already exists. You do not improvise one under pressure. Leadership stays focused on the incident. HTL handles the clinical response.

"The people who protect the public deserve a standard of care as disciplined, responsive, and competent as they are expected to be themselves."

Holding the Line

More firefighters and law enforcement officers die by suicide than in the line of duty.

30%
of first responders develop behavioral health conditions over their careers
Ruderman Family Foundation
47%
of U.S. firefighters surveyed reported considering suicide during their career
FSU / Journal of Clinical Psychology
69%
higher suicide rate among police officers vs. civilians
FBI Law Enforcement Bulletin
80%
of first responders report experiencing traumatic events on the job
SAMHSA
92%
of firefighters cite stigma as a barrier to seeking help
USFA / FEMA
5x
PTSD and depression rate vs. civilians among public safety personnel
Ruderman Family Foundation

These aren't abstract numbers.

They're people already on your roster. HTL was built to reach them before the worst day forces the conversation.

About

Built from the inside. Not from a grant application, a clinical theory, or an office looking in.

This program came from working the same callouts and debriefs as the people it exists to support, and from sitting across from first responders in a therapy room and hearing what it actually cost them when the right support wasn't there. Built for the line and the leaders alongside them.

The Foundation

Bridging the gap
between need and access.

The cumulative weight of this work is predictable and well-documented, and it rarely announces itself. Disrupted sleep. Shortened patience. Emotional withdrawal. A gradual narrowing of life outside the job. These patterns emerge across agencies, across disciplines, and across career lengths. They are not signs of weakness. They are the product of sustained exposure to what this work demands.

When personnel do reach for professional support, they often encounter clinicians who are not prepared for what they bring into the room. Providers who don't understand the culture, the operational context, or what it actually means to carry a badge, a radio, or a turnout. Those experiences shut down help-seeking and reinforce the belief that no one outside the job can understand it.

Holding the Line exists to close that gap. Timely, confidential access to clinicians who understand first responder culture and the realities of the work, through a system that is already in place before you need it.

Clinical Governance

Nick Sundstrom, LCSW — Clinical Director

HTL's Clinical Director holds independent authority over all clinical standards, clinician oversight, ethical boundaries, and service delivery. The Clinical Director operates separately from HTL's administrative and contracting operations — by design.

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That is the standard Holding the Line is held to. Protocols that function. Trusted clinicians who understand public safety work. Confidentiality, maintained without exception.

For Command Staff

After the worst day, your people deserve a system, not a scramble.

After a critical incident, agencies and their current supports are often left building access in real time, during the period when it could matter most. Peer support and chaplain services serve a real and very important purpose, but they were not designed to deliver clinical care. We collaborate with existing supports so agencies have a clear, coordinated pathway to connect personnel with trusted clinical care when they need it.

Holding the Line provides a defined clinical response system with strict timelines, trusted local clinicians who specialize in providing care to public safety professionals, and complete separation from the chain of command. The result is a consistent and structured approach to care that supports your personnel and maintains operational continuity.

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Why This Matters

The cost of losing one person
dwarfs the cost of supporting them.

Agencies invest significantly in every officer, deputy, dispatcher, and firefighter they bring on. Recruitment. Testing. Background investigations. Academy. Field training or probation. By the time a new hire reaches full operational capacity, the investment commonly reaches $100,000 to $250,000 — and that doesn't account for lost institutional knowledge, reduced team cohesion, or the operational burden placed on remaining personnel during a vacancy.

Behavioral health challenges are one of the most common contributors to early separation, extended leave, and reduced performance. They are also among the most addressable — when timely, confidential access to the right clinical care is available.

HTL is structured to cost a fraction of a single replacement. Predictable. Budgetable. And built specifically for the people your agency has already invested in.

$100K–$250K
Estimated cost to recruit, hire, and train a single replacement officer or firefighter to full operational capacity
One Call
Activates HTL's full clinical response — clinician network mobilized, direct outreach to impacted personnel, appointments offered within one week
Zero Waitlist
HTL's contracted clinicians prioritize agency personnel — your people aren't searching on their own or waiting months for an opening
The Access Problem Nobody Talks About

When a firefighter, officer, or other public safety professional decides they want to talk to someone, that window can be short. If accessing care means searching for a therapist on their own, hoping to find someone with an opening, hoping that clinician is paneled with their insurance, and hoping they actually understand what it means to work this job, many won't follow through.

Most general practice therapists don't understand the job. Without that foundation, well-intentioned advice can actively conflict with the chain of command, the demands of the work, and the culture first responders live in every day. A bad clinical experience doesn't just fail to help. It confirms the belief that reaching out wasn't worth it, and the wrong clinical advice in this environment can do real damage.

Built to Scale

Multi-agency and large-scale
incident activation.

HTL’s activation protocol is designed to scale during multi-agency and large-scale incidents. The same clinician network, notification systems, and coordination protocols used for a single-agency activation extend to support cross-jurisdictional coordination when activated. When a critical incident crosses jurisdictional lines, the clinical response is coordinated accordingly. Agencies manage operations; HTL manages clinical mobilization, ensuring a structured and consistent response.

How It Works: Post-Critical Incident Activation

One referral. HTL coordinates the rest.

A designated referrer submits a secure online referral. From that point, Holding the Line handles everything on the clinical side, outside the chain of command.

1
Referral Submitted

A designated referrer submits a secure online referral, including impacted personnel contact information.

2
Network Activated

HTL reaches out to the clinician network. Availability and capacity confirmed within one business day.

3
Direct Outreach

HTL contacts each impacted individual directly by SMS and email with a confirmed list of available, first responder-competent clinicians and a secure link to request an appointment.

4
Appointments Offered

Personnel select their clinician through a secure link and schedule directly. Appointments are offered within one week of referral.

Clinical Independence

Why clinical independence
isn't just a policy — it's the structure.

All clinical services within HTL are governed by an independent Clinical Director, a licensed clinician with full authority over clinical standards, ethical boundaries, and service delivery. The Clinical Director operates separately from HTL's administrative and contracting functions. The two sides of this organization do not share clinical information.

HTL bills agencies using de-identified client numbers. HTL administration assigns those numbers but has no access to clinical content, session notes, or anything discussed in a session. The clinician holds all clinical information independently. No names, no clinical content, and no session details are ever shared with HTL administration or agency leadership.

Agency & HTL Admin
Contracting
Activation referrals
Aggregate reporting
Billing (de-identified)
No clinical access
Firewall
Clinical Side
Clinical Director governance
Clinician network
Session content
Clinical records
Clinical standards
Ethical boundaries

This separation is not a promise. It is an organizational design decision — built into how HTL operates, not added as a disclaimer afterward.

Next Step

Build the infrastructure
before you need it.

Every agency is different. The fastest way to find out what the right build looks like for yours is a direct conversation.

Talk to HTL
For Personnel

Confidential therapy access.
No authorization. No agency notification.

Depending on your agency's Holding the Line agreement, you may have confidential access to our list of trusted Oregon private practice clinicians who understand and specialize in providing mental health services to public safety professionals. This support is available after a critical incident, during a difficult season, or simply when you want to talk with someone outside your agency. When included in your agency’s HTL contract, this is also a covered benefit for you

If you've been doing this job for a few years and you've never once had a week that followed you home, you probably don't need this. Most people do. Reaching out here doesn't mean something is wrong with you. It means you're paying attention.

How to Access

Your sessions.
Your business.

If your agency's program includes confidential therapy access, your contract sets a number of sessions per year, commonly 6 to 12. Use them for anything: stress, sleep, relationships, burnout, or follow-up from a past incident. No reason required. 100% confidential.

1

Open your agency's HTL access link or app

Your agency provided a link or QR code. Open it on any device, anytime.

2

Browse clinicians and choose one

View credentials, bios, and areas of focus. Pick the clinician that feels right for you.

3

Request an appointment

Your selected clinician receives an immediate notification and reaches out directly to schedule.

4

Attend your session

Sessions are delivered via secure video from wherever works for you. In-person sessions may also be available depending on clinician and location. Private. Confidential. On your terms.

Confidential means confidential.

  • Your agency will not be told whether you scheduled, attended, or what you discussed.
  • Your clinician is an independent private practice provider. They do not work for your agency or for HTL.
  • HTL does not receive or store your clinical records. Your clinician maintains their own records under HIPAA.
  • No opinions about fitness, suitability, or job performance will ever be provided to your agency without your formal written consent to do so.
  • HTL bills your agency using de-identified numbers only. Your name is never attached to any billing or reporting.

If you were involved in a critical incident

If your agency activated HTL following an incident, you may have received a text or email with a secure link to view available clinicians who can meet with you this week. There is no obligation to use it. If you didn't schedule or would prefer to connect later, you can reach out to HTL at any time. Access remains available throughout your employment with an agency contracted with HTL.

Crisis Resources

HTL is not a crisis service. If you are in crisis right now:
988 — Suicide & Crisis Lifeline (call or text)
741741 — Crisis Text Line (text HOME)
911 — Emergency

Contact

Start the conversation.

No pitch deck. No pressure. Schedule a 30-minute call with the HTL team. We'll tell you in plain terms what this costs, what it covers, and what a critical incident activation actually looks like.

(541) 241-6413

Call or text — we respond within one business day

Holding the Line

LocationBend, Oregon

What to expect

  • Response within one business day
  • 30-minute call: what it costs, what it covers, and what a critical incident activation actually looks like
  • Clinical Director, Nick Sundstrom, LCSW, is available to answer clinical governance and questions directly
  • No obligation. No sales pitch.

Send a message

Message received. We'll be in touch within one business day.