Clackamas County is in line for a long-term cash infusion to fight the opioid crisis, with more than $24 million scheduled to arrive over the next 18 years from national settlement payouts, according to county officials. A portion of that money is already hitting the streets. In a 2024 community grants round, the county sent $1 million to local groups that are expanding treatment, prevention and recovery services. One standout award: Parrott Creek Child and Family Services received $200,000 to launch a mobile treatment unit that will bring services to rural and under-resourced corners of the county.
County grants and where the money is going
According to Clackamas County, the Board of County Commissioners signed off on $1 million in 2024 grants to five organizations: CODA, Northwest Family Services, Todos Juntos, Parrott Creek and 4D Recovery. The money is aimed at expanding methadone access, outpatient care, school-based prevention and recovery outreach.
The county also reports that additional settlement dollars are committed to county-run efforts, including jail opioid detox, specialty behavioral health services and investments in a Clackamas County Recovery Center. County staff say the spending plan followed a community engagement process that drew input from nearly 60 local organizations.
Local need behind the spending
The grants are arriving against a backdrop of rising overdose deaths. Clackamas County recorded 97 confirmed drug overdose deaths in 2022, a number officials say highlights gaps in rural treatment and prevention. KPTV covered the county’s June 2024 vote and reported commissioners emphasizing that more services are needed outside of Portland.
Statewide settlement background
The local funding traces back to a series of national legal agreements that began rolling out in July 2021. In a July 21, 2021 statement, the Oregon Department of Justice said that a global settlement with Janssen and three major distributors "could provide over $320 million to Oregon over 18 years." Since then, the state has negotiated additional deals and started steering money toward prevention, treatment and recovery programs across Oregon.
How Oregon is deploying its share
State health officials have approved targeted investments that include $13 million for mobile methadone units and clinics, intended to expand medication-assisted treatment in underserved regions, OPB reported in July 2024. Those statewide decisions help shape regional priorities and support counties like Clackamas in funding warm handoff programs and jail-based medications for opioid use disorder.
Oversight and community engagement
Oregon has created an Opioid Settlement Prevention, Treatment and Recovery Board and a Local Opioid Settlement Learning Collaborative to coordinate spending and share best practices, according to the state's Alcohol and Drug Policy Commission. Clackamas County’s public materials state that it will use guiding principles of equity, evidence and transparency when distributing future settlement payments.
Officials expect additional settlement payments to arrive as more agreements are finalized, and county leaders say early projects should begin to show up soon through mobile units, school prevention work and expanded recovery outreach. Clackamas County highlighted the grants and Parrott Creek’s mobile service in a Facebook reel on Feb. 19, 2026. The reel is posted on Clackamas County’s Facebook.
