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.
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.
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.
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.
Participation is voluntary unless mandated by agency policy or state law.
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.
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.
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.
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.
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.
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.
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."
More firefighters and law enforcement officers die by suicide than in the line of duty.
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.
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 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.
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.
That is the standard Holding the Line is held to. Protocols that function. Trusted clinicians who understand public safety work. Confidentiality, maintained without exception.
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.
Request InformationAgencies 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.
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.
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.
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.
A designated referrer submits a secure online referral, including impacted personnel contact information.
HTL reaches out to the clinician network. Availability and capacity confirmed within one business day.
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.
Personnel select their clinician through a secure link and schedule directly. Appointments are offered within one week of referral.
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.
This separation is not a promise. It is an organizational design decision — built into how HTL operates, not added as a disclaimer afterward.
Every agency is different. The fastest way to find out what the right build looks like for yours is a direct conversation.
Talk to HTLDepending 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.
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.
Your agency provided a link or QR code. Open it on any device, anytime.
View credentials, bios, and areas of focus. Pick the clinician that feels right for you.
Your selected clinician receives an immediate notification and reaches out directly to schedule.
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.
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.
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
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) 241-6413Call or text — we respond within one business day
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