It means, that they are not coping very well. They are overwhelmed with the situation. They do their best, to make it all work, to hold it together, but they feel, like they cannot do it much longer without getting help.

It means, that we are afraid of something, doesnt mather what, so we are holding it together until somebody (church) help us

The less ambiguous explanations which I happened to draw from the net are following: ****************** - hold it together = keep it together = get it together. Also used as its acronym kit, keep it together is a self-motivational phrase to use when things are getting chaotic and you are starting to freak. It is meant to be said repeatedly and very quickly, almost as one word, "Keep it together, keepittogether, keepittogether...." - To become fit or organized; to organize one's thinking; to become relaxed and rational. Get yourself or put a situation under control. - To make a decision or take positive action in your life. *********** So, the meaning of the saying is, that we are just organizing our thinking in a rational manner and trying not to freak. It is a hard responsibility and not all people can bear it. And people do need kind tales for getting calm down.

Kat's explanation is excellent, but, ... "like they cannot do it much longer without getting help" I suspect "like" should be "as if". I think this part is speculation, perhaps appropriate, but not actually implied. . I guess one could be just holding it together indefinitely. . Actually the piece is just persuasive language and means that someone wants customers. Or, perhaps that's just me :) <-- persuasive trick. :)