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 settlement category, service type, population served, community type, state, and annual funding, 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.
Fort Lyon: Recovery Housing for Coloradans on a Former Army Post and VA Campus
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.
Membership Recovery Café Where Every Employee Is a Peer
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.
Monarch Sober Living Homes: Women's Recovery Housing
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.
Practical Needs First at a Peer-Run Recovery Hub
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 two-year, $250,000 settlement award.
Same-Day Buprenorphine Care for Justice-Involved Adults
A walk-in clinic in Burlington, VT reached 170 new patients in year two, more than triple its target, on $150,000 a year to each of the two partner agencies.
Campus Naloxone Training and Peer Recovery Model
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.
Tiered Housing Support for People Leaving Treatment
836 people leaving treatment moved into sober living homes across 20 Kansas counties through Mirror, Inc.'s weekly move-in assistance, all on a $280K award from 2024 to early 2026.
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 over two years.
Pathways to Progress: Residential Recovery Expansion
In Champaign-Urbana, IL, a single renovation expanded entry-level recovery capacity 40% and reserved 10 of 26 beds for opioid-impacted adults, on a $580,000 settlement grant.
Multidisciplinary Homeless Response Team
Lawrence, KS reduced unsheltered homelessness from more than 200 people in 2023 to under 20 by early 2026, with a six-person peer-led street outreach team supported in 2025 by a $200K opioid settlement award.