The Harm Reduction and BRidges to Care, or the HRBR (pronounced “harbor”), Clinic is a collaboration between OHSU and the Oregon Health Authority. It is funded through a grant from the federal Substance Abuse and Mental Health Services Administration, OHSU, and Health Share of Oregon. HRBR opened on October 28, 2019. HRBR is a bridge clinic model meaning: we stabilize patients and continue to treat their substance use disorder(s) short term while working to connect them to long-term community addiction care (e.g. primary care, specialty addiction care, etc.). 

Our mission is to provide evidence-based, low barrier, on-demand access to medications for addiction treatment to people who are interested in cutting back or stopping their drug or alcohol use.  We approach addiction treatment with a harm reduction lens, therefore, patients are not required to commit to abstinence from all substances in order to receive care within the clinic. Our team consists of physicians, advance practice providers, a social worker, care transistions coordinators, patient access specialists, and certified recovery mentors/peer support specialists. 

We accept any and no insurance.  Patients without insurance will be referred to OHSU Patient Financial Assistance to screen for insurance and financial assistance eligibility.

Services

Urgent access to medication/treatment for the following substance use disorders (SUDs):

• Alcohol use disorder (AUD)
• Opioid use disorder
• Nicotine use disorder
• Kratom use disorder
• Methamphetamine use disorder
• Limited behavior health support for SUDs/MOUD
• Peer support services
• HIV and Hepatitis C screening
• Hepatitis C treatment

Note: We do not treat acute alcohol withdrawal or benzodiazepine withdrawal in HRBR. In general, HRBR does not provide individuals with buprenorphine for chronic pain. HRBR is able to care for patients 15 years of age and older. If you have specific questions about what services we do or do not provide in HRBR, please contact the clinic at (503) 494-2100.