Opioid Settlement Case Studies: Real Programs, Budgets & Outcomes
This library documents how communities across the country are using opioid settlement and abatement funds to expand prevention, treatment, recovery, and overdose prevention services. Each case study profiles a single program in a single jurisdiction and details its funding, partners, design, and outcomes, from same-day buprenorphine care in Burlington, Vermont, to a rural walk-in recovery center in Walker County, Alabama.
Use the filters to sort by program type, population served, community type, and state, then open any profile to review the budget, results, and lessons learned. Each model is presented as a reference point rather than a prescription, so you can adapt the elements that fit your community's needs and capacity.
First Responder Confidential Support Program
Rhode Island police officers and their families made 10 to 12 confidential helpline calls a week within two months of launch, on $200K over two years.
LIGHT Program for Justice-Involved Adults
In Selma, AL, Rise and Recover's LIGHT program cut the wait for a substance use assessment from six weeks to 72 hours, for $150K.
AIM Team: After-Hours Peer Response
Hamilton County, OH's AIM Team answered 328 overnight crisis calls in 2025 and drove 215 people directly to treatment after hours, on a $500K settlement budget.
Multidisciplinary Homeless Response Team
Lawrence, KS cut unsheltered homelessness from 200+ to under 20 with a six-person peer-led street outreach team, catalyzed by a $200K opioid settlement award.