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.

More than 6,000 people walked into a Lee County, KY recovery center since 2022, and the model now runs across seven rural counties on $865K in settlement awards.

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.

117 women in Las Vegas got counseling, peer support, and care coordination through pregnancy and two years postpartum, not six weeks, on $594K in settlement funds.

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

124 employers across 25 Colorado counties signed on to a recovery-friendly certification, built on a $500,000 opioid settlement infrastructure award.

Danville and Pittsylvania County, VA run a five-phase treatment court on $209,000 a year, using the court, probation and clinic capacity they already had.

Six settlement-funded peers work inside Maryland's public defender offices, moving clients from jail into vetted treatment under attorney-client privilege.

227 justice-involved people in New Hampshire got peer support in 2025 from staff who had lived recovery and incarceration, on $287K a year in settlement funds.

80% of participants in a rural northwest Kansas jail class were still in recovery a year later, on $500,000 in opioid settlement awards across two cycles.

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.

In Hot Springs, AR, a peer specialist and a police investigator visit overdose survivors together, reaching people in the hours when they are most open to help.

Peer mentors in Walker County, AL logged 2,498 service visits in 2025 at a walk-in recovery center that runs on a $150K settlement award, no appointment needed.

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

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.

Carter's Crew reached 5,000+ Arkansas youth in 2024 and is converting a 27,000-square-foot former school into a one-stop prevention and recovery hub for families.

Rise Recovery has served 1,538 participants this grant period across a Bexar County, TX youth continuum of school-based recovery, treatment, and peer support.

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

Recidivism sits near 18% for Sevier County, AR's sheriff-led RSAT program, against a roughly 42% state average, on about $372K a year in settlement funds.

82% of ER patients linked to follow-up care in the first year, and 7 Virginia health systems are adopting the model through a free toolkit built on a $150K award.