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HOPE Program

Holistic Outreach Promoting Engagement (HOPE)


In 2023, the City of Tacoma Fire Department established a team intended to respond to behavioral health crisis and effectively engage with people impacted by mental health, substance use, and co-occurring disorders.


HOPE stands for Holistic Outreach Promoting Engagement. Our program will support community members during behavioral health crisis scenarios, and the first responders, courts, jails, community providers, and hospitals supporting those same community members. The HOPE program is part of the City of Tacoma's broader alternative response initiative. 

HOPE Program Van

Hope Program Who to Call




To be Tacoma's response to behavioral health crisis.



Provide holistic, person-centered, recovery-oriented care to the community.



Instill HOPE, to first responders, the person experiencing a behavioral health crisis, their support system, and provide a collaborative and understanding approach to resources in the community.


Currently, the community cannot specifically request HOPE services; however, when in service, the HOPE field teams respond with traditional first responders (Fire/EMS/Law Enforcement) via tandem or secondary dispatch through the 911 system to behavioral health emergency calls. HOPE will utilize various modalities when supporting a person experiencing a behavioral health crisis. One will be motivational interviewing, as well as a solution-focused approach to determine the person’s goal or desired outcome and how much buy-in they have in relation to their goal/desired outcome. Motivational interviewing and a solution-focused approach are frequently utilized during community-based outreach and behavioral health crisis response. As this program will also staff medical personnel, people receiving services can also engage in short-term medication management, Medication Assisted Treatment, aka MAT services, and basic medical and wound care education. The HOPE program will provide crisis intervention, de-escalation, risk assessment, safety planning, mental health evaluation, connection to and coordination of ongoing stabilization services and resources, and case management.


For information or questions regarding the HOPE program, contact: Cassie Hallstone and Aleesia Morales at tfdhope@cityoftacoma.org or 253-591-5842, Option 2.

DISCLAIMER: The email and phone number immediately above are not monitored 24/7 and are not appropriate ways to report behavioral health crisis, behavioral health emergencies, or other 911-related needs for service. Requests for service or dispatch are not available through these channels.

If you or someone you know is experiencing a behavioral health emergency, such as being a danger to yourself or others, or grave disability, or another type of emergency, please contact 911.

If you or someone you know is experiencing a behavioral health crisis and needs support or telephonic behavioral health crisis intervention, please contact the National Suicide and Crisis Lifeline at 988 or the Pierce County Regional Crisis Line at 1-800-576-7764 or text 741-741.


Additional Community Resources/Services

Housing Services

For connection to housing resources with the city of Tacoma please contact 311. 


Associated Ministries Housing Assistance 253-682-3401

Pierce County Housing Authority 253-620-5400

Shared Housing Services 253-272-1532

Hen Program/Share and Care Housing 253-682-3401
Rebuilding Together South Sound 253-238-0977

Habitat for Humanity 253-627-5622


Homeless Mobile Response Teams/Assistance

Comprehensive Life Resources PATH team 253-396-5065

Greater Lakes PATH team 253-307-5413


Hotel Voucher Program

St. Vincent de Paul 253-426-1710


Outpatient Behavioral Health Services

Sea Mar Behavioral Health 253-396-1634

Comprehensive Life Resources 253-396-5800

Greater Lakes Mental Health 253-620-5800


Substance Use Disorder Services

Northwest Integrated Health 253-200-0300

Recovery Cafe 253-533-9361 


Other Services

DSHS Building - assistance with identification, food, and health benefits.

Valeo Vocation 253-301- 2134

Pierce County Court District Resource Center 253-798-7631.

Safe Parking - coalition to end homelessness

TFD CARES resources list