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 budget range, 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.
Eastern Ohio Correction Center: MAT & Aftercare
Eastern Ohio Correction Center used a $199,721 opioid settlement award to fund injectable MAT and a dedicated aftercare specialist for residents from nine Appalachian Ohio counties.
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.