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Since July 2021, the State of Oregon, counties and cities have reached agreement on national lawsuits against several companies for their role in the opioid crisis.
Through these agreements, over $24 million will be awarded to Clackamas County over the course of 18 years.
Investments to address the opioid crisis will require continued collaboration across systems with a focus on efforts highlighted in the National Settlement Agreement (PDF from the Attorney General).
Clackamas County's Opioid Settlement Framework will be led by the following guiding principles to ensure that the dollars will be used most effectively:
- Using evidence to guide investments
- Lifting up health equity
- Supporting collaboration
- Transparency and accountability
As of May 2025, funds have been received from:
- Distributor Settlement payments
(settlements between the State of Oregon and participating subdivisions and McKesson, Cardinal and AmerisourceBergen) - Janssen Settlement payments
- Mallinckrodt Settlement payments
- Teva & Allergan Settlement payments
- CVS, Walgreens, and Walmart Settlement payments
- Publicis Worldwide
(not subject to 55/45% split with subdivisions) - Additional restitution funds from Oregon Department of Justice
(not subject to 55/45% split with subdivisions) - Endo Health Solutions
- Kroger
- Additional payments are pending from settlements with Hikma Pharmaceuticals and Purdue Pharma.
These settlements will provide substantial funding to Oregon and local communities, including Clackamas County, to mitigate harms associated with the opioid and other drug crisis. This funding provides an opportunity to make strategic investments in evidence-based strategies that will strengthen our communities, prevent opioid use and stem the rising number of overdose deaths.
How the funds are being spent
Total opioid settlement funding committed for 2023-2026
The Clackamas County Board of County Commissioners (BCC) awarded $1,000,000 in opioid settlement funding through a community grants process in 2024 that supports the priorities of the BCC to address urgent needs related to substance use across the community and alignment with a recovery-oriented system of care (ROSC). A ROSC is a coordinated network of community-based services and supports that is person-centered and builds on the strengths and resilience of individuals, families and communities to achieve abstinence and improved health, wellness, and quality of life for those with or at risk of alcohol and drug problems
Additional funds have been allocated to County programs and services that address substance use prevention, early intervention, treatment, and recovery programs that support individuals with a substance use disorder (SUD) and/or are involved with the justice system.
Learn about three of the projects funded by opioid settlement funding in these videos:
Learn more about the projects supported by opioid settlement funding below:
Treatment
- Clackamas County Sheriff’s Office
$414,000 for jail opioid detox and medications for opioid use disorder - Coda, Inc.
$200,000 for opioid treatment expansion for justice-involved individuals - Clackamas County Specialty Courts
$200,000 for Adult Drug Court, Mental Health Court and Community Court - Clackamas County Health Centers
$390,000 for specialty behavioral health and primary care - Quest Center WISH program
$200,000 for non-opioid chronic pain treatments and support for pain management - Northwest Family Services
$200,000 for intensive outpatient treatment services for pregnant individuals
Total: $1.604 million
Prevention
- Northwest Family Services
$420,000 for PreventNet school-based prevention programming - Todos Juntos
$520,000 for rural community supports and school-based prevention
Learn more about Todos Juntos's work in this video - Clackamas County Public Health Division Safe Disposal of Medications Project
$50,000 for Deterra pouches
Total: $990,000
Warm Hand-Off Programs & Recovery Services
- Clackamas County Public Health Division Project Hope
$415,000 for case management and peer recovery supports for those with a substance use disorder - Clackamas County Juvenile Department
$546,000 for Restoring Individuals, Communities and Hope Diversion Program - Parrott Creek Child and Family Services
$200,000 for mobile treatment and recovery services in rural and under-served communities of Clackamas County - 4D Recovery
$100,000 for community-based outreach and recovery support
Learn more about 4D Recovery's work in this video
Total: $1.261 million
Implementation & Evaluation
- Clackamas County
$410,000 has been committed for planning and distribution of opioid settlement funding and ongoing evaluation of programs and services
Total: $410,000
Clackamas County Recovery Center
- Clackamas County Recovery Center
$750,000 for Clackamas County Recovery Center investments
Total: $410,000
Community Engagement
Community perspectives from nearly 60 local organizations serving Clackamas County were gathered to identify current service gaps and prioritize approved abatement strategies to inform settlement allocation decisions. Common themes of existing gaps in accessing services include workforce and transportation challenges, as well as a lack of culturally responsive services. Participants also identified the following:
Recovery Support
Current Gaps
- Overnight shelters, supportive and long-term housing and access to low-income
permanent housing that embraces an overdose prevention model - Childcare and transportation, particularly in rural communities
Priority Strategies
- Invest in additional housing supports that integrate MOUD and other supportive services
- Provide additional resources and assistance to help with basic needs (childcare; transportation)
Substance Use Prevention
Current Gaps
- Early childhood skills-building and education specific to fentanyl and overdose prevention.
- School-based interventions, including mentorship programs, comprehensive drug education, school
resource officers, drug/alcohol counselors and community parenting classes - Limited rural resources, lack of mental health interventions and few service providers accepting Oregon Health Plan coverage
Priority Strategies
- Expand school-based interventions to prevent opioid use
- Remove barriers to access for youth mental health services
- Provide additional evidence-based prevention programming (parental skills, child life skills, family communication, case management)
Overdose Prevention
Current Gaps
- Mobile overdose prevention services currently unable serve the entire county with a focus on culturally-specific and rural communities
Priority Strategies
- Provide additional community overdose prevention trainings and messaging to decrease stigma related to naloxone and MOUD.
- Expand mobile unit resources that offer or provide referrals to overdose prevention services available in all communities throughout the county
Linkage to Treatment
Current Gaps
- Limited availability among existing services, including medications for opioid use disorder (MOUD)
- Trauma-informed transitions from the hospital, emergency departments and urgent care settings.
- Education for health care providers on trauma informed care and reducing stigma
- Adequate and sustainable funding
Priority Strategies
- Increase access to emergency department interventions that include MOUD, peer support, discharge planning, and recovery case management or supportive services.
- Expansion of warm hand-off programs (Project Hope, Behavioral Health and First Responder co-response)
Evidence Based Treatment
Current Gaps
- Limited availability of community triage and stabilization centers that include peer support, detox, and referrals to services
- Methadone providers and same-day access to medications
- MOUD services for youth, rural communities, and sustainable programming in jails
- Services with immediate access to treatment, including high barriers for:
- Youth
- People with co-occurring SUD and mental illness
- People not criminal justice-involved
- Fathers with children
- People insured through OHP
Priority Strategies
- Increase inpatient/residential treatments and MOUD community resources in community (health systems, mobile units, justice settings)
- Provide additional access to evidence-based withdrawal management services
