250+ people take opioid use disorder medication in Santa Barbara County, CA's two jails, a third of all in custody, and leave with a follow-up appointment.

10,166 Kentuckians came through a peer-led recovery café in Lexington since 2024, where every staff member is in recovery and members join a weekly circle.

97 people were on medication in the Chesterfield County, VA jail, delivered by a six-person team held separate from the therapeutic community already running.

Yolo County, CA maps its substance use gaps with providers before it spends, then ties every dollar of a $397,500 settlement budget to a documented need.

10 to 12 pregnant clients at a time get prenatal care, addiction medicine and peer support from one team in Reno, Nevada, on $445K a year in settlement funds.

37 people in a northwest Virginia regional jail keep their opioid medication from the day they are booked, with counseling, peer support and groups inside.

Three Colorado counties pool settlement dollars from 19 local governments under one council, backed by the first fiscal-agency relationship policy among Colorado's regional councils.

117 women in Las Vegas received counseling, peer support, and care coordination through pregnancy and two years postpartum in 2025, supported by upward of $1 million in settlement funds since July 2023.

622 people were referred to detox, treatment and sober living in one year by peers at a Jonesboro, AR drop-in center built on a $250,000 settlement award.

A $199,929 grant surveyed about 1,480 Sedgwick County physicians, residents, and students on what blocks addiction care, built the training they named, and opened Wichita's first addiction fellowship.

99% of referred children have an adverse experience. Big Brothers Big Sisters of South Texas is using a $95,000 state settlement award to expand a proven mentoring model into College Station, TX.

Santa Clara County, CA puts every internal request for its $89M in opioid settlement funds through a grant-style review, tracked in one shared system.

Sacramento County, CA asked residents where to spend, ran its own gap analysis, and funded ten programs through a competitive bid. Its third-year settlement payment was $1.86M.

Pulaski County, AR shares one overdose team with five small police agencies, pairing a source investigator with a peer, on a $369,824 settlement award.

27 of 28 Virginia Beach school resource officers now teach the LEAD drug prevention curriculum in local classrooms, funded entirely by a $140K settlement award.

Montgomery County, MD built settlement spending to last: a dedicated division, three competitive grant cycles, and funding substantiated for at least 18 years.

Project Upstream reaches 500+ residents a year across 8 Greater Manchester, NH communities, pairing prevention with navigation before problems deepen.

Sojourn Counseling uses Alabama settlement funds to treat combat and childhood trauma in veterans with EMDR and neurofeedback, at no cost to them.

In Wake County, NC, Healing Transitions sends peer and EMS responders to overdose survivors within 24 to 72 hours, when re-engagement is most likely.

In two years, the University of Central Arkansas trained 874 people in overdose response through the ARORP naloxone hero program and served 294 through peer recovery on a $202K settlement award.