Currently in the USA, there is increased interest in collaborative caregiving between mental health professionals and faith leaders. The "shepherding model" of pastoral care as reflected in Psalm 23 has deep religious roots across all major faiths: it is historic, scriptural, practical, and reflective of the activities of clergy and faith leaders. Many of the activities in Psalm 23 are also central to the role and function of psychological first aid (PFA). This commentary/study highlights similarities between Psalm 23 and PFA as a potential enhancement of the continuity of care delivered by both clergy and mental health professionals.