(Initiated 2019) The Oregon Health Authority (OHA) selected GenerationPMTO for a pilot training program with Options Counseling, a local community mental health agency that delivers services to families in several sites statewide. The second year of the implementation included training new practitioners in both Options Counseling and Deschutes County, further increasing the reach to families throughout Oregon. Both cohorts received some or all of their training during the global pandemic via virtual workshops. Practitioners balanced learning the evidence-based model virtually, delivering the model to families virtually, and managing high, pandemic-driven caseloads, while working toward certification. A 3rd cohort of practitioners is being trained in 2022 with Options Counseling, Deschutes County, Oregon Community Programs, and Lutheran Community Services Northwest. The project is also building infrastructure in the state with ISII’s training of new coaches and trainers.