Trevino has served in the role of Chief Clinical Officer for a mental health and recovery board as well as serving as a board member for his local mental health and recovery board for a five year period. He was the Assistant Chief Clinical Officer at Twin Valley Behavioral Healthcare (TVBH) - Dayton for six years and served in the roles of Assistant Chief Clinical Officer and Chief Clinical Officer, Director of Clinical Services at TVBH - Columbus for four years. He was named Assistant Medical Director for the Ohio Department of Mental Health and Addiction Services in October 2015 and Medical Director in August 2018.
Trevino is certified by the American Board of Psychiatry and Neurology in General Psychiatry (lifetime certification) and Addiction Psychiatry (recertified in 2014). He is a Distinguished Fellow of the American Psychiatric Association and a Clinical Assistant Professor in the Department of Psychiatry and Behavioral Health at The Ohio State University Wexner Medical Center.