It’s a big mistake to hand out opioid settlement money without a clearly defined strategy.
Members of an outreach team walk during a clearing of a homeless encampment on May 8, 2024, in the Kensington neighborhood of Philadelphia. The city is beginning a long-anticipated clearing of the high drug and crime area. An opioid crisis has plagued the area for years. and the resultant settlement. Many states are struggling to use the settlement funds effectively, and some are already repeating the waste, fraud and abuse involving Big Tobacco settlement funds in the 1990s.
States are struggling to balance speed with efficacy. State and local leaders are facing pressure from individuals and families, community members, companies , potential grant recipients and the media for money to be dispersed quickly. But few states have a strategic plan or the capabilities in place to ensure transparency, effective oversight and performance measurement to ensure dollars are spent on the right things.
Despite the pressure to spend and urgency of this mission, it’s a big mistake to hand out money without a clearly defined strategy, based on user research in communities to understand needs and root causes, and measurable outcomes. Executing the strategy will require an implementation plan across ansuch as treatment, education, prevention, law enforcement and criminal justice, employment, housing, harm reduction and other social services.
The opioid crisis continues to metastasize across the country, ravaging communities and destroying families. States can balance speed with efficacy by taking a more strategic, results-driven and iterative approach, while building a culture of collaboration and transparency from the start.lives in Washington and worked with the Barack Obama and Donald Trump administrations. She lost her sister Jenny to the opioid crisis in 2017.
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