Dr. Chris Farentinos shares the experience of collaborating with Legacy Health, one of the largest health care systems (hospitals and outpatient clinics) in Oregon to secure a grant and implement SBIRT using a co-location model. Implementation steps, dos and don’ts and specific metrics and strategies to sustain implementation over time are discussed.

Learning Objectives:

  • How to set up a collaborative project between a substance use disorder treatment agency and primary care
  • What are the fundamental steps for implementing SBIRT in primary care?
  • What are the fundamental metrics and strategies to monitor and sustain SBIRT implementation?


Chris Farentinos, MD, MPH, CADC II, NCDC II, was recently been hired by Legacy Health to be the Director for Behavioral Health Services. Legacy is a non for profit health system that includes six hospitals and over 50 clinics in Portland, OR. Chris also works as an independent consultant for health care organizations.Chris Farentinos received her MD in 1988 followed with psychiatric training at the Rio de Janeiro Federal University. In 1997, Chris became a co-owner of ChangePoint Inc., an outpatient addictions clinic in Portland, OR. She was a member of National Institute for Drug Abuse Clinical Trials Network from 1999 through 2008. Chris was also a key participant in two Motivational Interviewing randomized clinical trials under National Institute for Drug Addiction. She has published several scientific papers in the US and Brazil. Chris has taught workshops in Oregon and nationally on patient centered behavioral health interventions and motivational interviewing. Chris received her MPH from Portland State University in 2006. Chris Farentinos worked from 2008-2013 as Chief Operating Officer for De Paul Treatment Centers, an addictions and mental health treatment agency in Portland, OR and was the project manager for Behavioral Health Integration in a partnership with Legacy Health.