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.

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

Project Upstream reaches 500+ residents a year across 8 Greater Manchester, NH communities, pairing prevention with navigation before problems deepen.

Sojourn Counseling uses Alabama settlement funds to treat combat and childhood trauma in veterans with EMDR and neurofeedback, at no cost to them.

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.

The Shoulder runs an Alabama continuum that carries justice-involved adults from residential treatment into recovery and job placement, with workforce training and agency-run housing in development.

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 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.

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.

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. Seven Virginia health systems are adopting the model, and a $150K settlement award funds the free toolkit and statewide webinars.

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.

Rhode Island police officers and their families made 10 to 12 confidential helpline calls a week within two months of launch, on $200K over two years.

In Selma, AL, Rise and Recover's LIGHT program set a 72-hour target for substance use assessments, down from waits of six weeks or more, for $150K.

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.

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.

7 of 13 rural Arkansas coalitions won federal Drug-Free Communities grants totaling about $4.3 million, built on a $325,000 opioid settlement investment.

UAB's weekly Birmingham clinic gives pregnant women with substance use disorder prenatal care, medication, treatment, and peer support in one visit, on $342K a year.

Macomb County, MI spent a year mapping gaps before funding a countywide opioid settlement portfolio, and initial data show a 12% drop in six-month recidivism for jail MAT participants.

One dedicated peer specialist doubled job success for people in recovery in Louisville, KY, from 15% to over 30%, on a $255K settlement award.