225 people gather each Friday at a south Louisville, KY church, where settlement funds cover the meal and the rides that bring newcomers back each week.

In Baltimore, MD, a street outreach team staffed entirely by people with lived and living experience holds weekly sites and moves in when overdoses cluster.

464 residents lived at The Fort in 2025, a peer-led campus in Bent County, CO where people can stay up to two years to rebuild IDs, income and housing.

In Gunnison County, CO, eight to 12 boys per cycle meet weekly with a therapist and are matched with paid mentors who have their own recovery experience.

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.

A $1.2 million capital purchase put an 11-bed women's recovery home in Wheat Ridge, CO under a 15-year contract that recaptures funds if the operator exits.

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.

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.