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.
Therapeutic Mentoring for Rural Middle and Early High School Boys
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.
Student-Led Prevention on a Year-Round Rural Calendar
About 35 students in rural Graves County, KY plan and run a 12-month prevention calendar reaching four school systems, on a $90,200 state settlement award.
Youth Mentoring as Substance Use Prevention
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.
Police-Led Youth Drug Prevention Curriculum
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.
Project Upstream: Prevention and Community Navigation
Project Upstream reaches 500+ residents a year across 8 Greater Manchester, NH communities, pairing prevention with navigation before problems deepen.
Youth Success Center for Prevention and Family Stabilization
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: Youth Addiction Services
Rise Recovery uses a ~$247K state opioid CORE contract to expand a Bexar County, TX youth continuum of school-based recovery, treatment, and peer support. Its programs overall have served 1,538 participants this grant period.
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.
Friendly PEERsuasion at Girls Inc.
Girls Inc. of Central Alabama trains eighth-grade girls as peer leaders to carry substance misuse prevention to younger students, on a $75K annual award.