Rural counties in Ohio, such as Noble County, are grappling with the opioid epidemic that has deeply affected their communities. Allen Fraley, a commissioner from Noble County, describes the pervasive impact of this crisis on daily life, affecting social gatherings and family structures. Although lawsuits against opioid manufacturers have provided Noble County with over $100,000 in recent years, this sum is insufficient for extensive infrastructure projects seen in larger cities like Cleveland or Cincinnati. Nonetheless, Fraley views this financial influx as a unique chance to address the damage caused by opioids. With approximately $2 billion allocated to Ohio over 18 years, smaller communities must devise innovative ways to maximize limited funds.

According to Kristen Pendergrass of Shatterproof, a national nonprofit organization collaborating with John Hopkins University, smaller communities can make significant strides without substantial financial outlays. She advocates strengthening existing local programs rather than initiating new ones. Conducting thorough community needs assessments is another recommended approach, as seen in Knox County where focus groups comprising schools, law enforcement, and healthcare providers ensure settlement money targets genuine issues. Lisa Lloyd, who led Knox County’s advisory board, emphasized envisioning ideal scenarios for jails, schools, and the broader community before allocating funds.

In some cases, collaboration proves essential due to limited resources. Lima, under Mayor Sharetta Smith, partnered with Allen County to manage opioid settlement funds effectively. This pooling of resources ensures both entities receive over a million dollars collectively over two decades, earmarked for mutually beneficial programming. Commissioner Beth Siebert of Allen County highlighted the importance of sustainability, noting these funds are one-time allocations unsuitable for long-term program establishment.

Pendergrass suggests impactful measures need not involve large expenditures. Simple initiatives, like purchasing fentanyl testing strips or creating care packages for those in recovery, can significantly ease stress and prevent relapse. In Noble County, funds have been directed toward enhancing school prevention programs and improving court systems, with remaining amounts reserved for future major projects. Fraley acknowledges the challenge but underscores the resourcefulness inherent in rural areas, striving to achieve meaningful outcomes despite limited means.

As Ohio's smaller towns navigate the complexities of opioid funding, their strategies reflect resilience and ingenuity. By leveraging existing strengths and fostering collaboration, these communities aim to transform modest financial contributions into lasting solutions. Their efforts exemplify how thoughtful planning and cooperation can drive progress even in the face of adversity.