Lexington Names 24 Groups to Share $3 Million in Opioid Grants
Lexington's Department of Social Services on Friday named 24 organizations to receive $3,029,681 in opioid abatement grants, the first round of awards under a city program that opened to applications in July. The recipients range from a bereavement program for children and a legal aid project for families in recovery to mobile street outreach teams, recovery housing and a multilingual public education campaign.
The recommended awards go to the Urban County Council for review and a vote at its Oct. 27 work session, according to WKYT. The money is distributed as a mix of one-year and two-year grants, paid from Lexington's share of the national opioid settlements.
How the program was built
The city set aside roughly $3 million for the Community-Based Initiatives program, administered through its Substance Use Disorder Intervention office. Nonprofits with 501(c)(3) status and a physical presence in Fayette County could apply for micro grants of up to $75,000 running from December 2026 through December 2027, or macro grants between $75,001 and $250,000 running through December 2028. The request for proposals went out July 2, and submissions closed Aug. 7.
The design pushed money toward organizations already in contact with people who use drugs, rather than toward new city-run programs. That shows in the list: Goodwill's Another Way Lexington project pairs low-barrier street outreach with treatment referrals for unhoused and unemployed residents; the Lexington Rescue Mission's mobile outreach targets people actively using opioids; Mountain Comprehensive Care Center will run mobile case management and mental health care for high-risk adults.
Where the money goes
Several awards address the parts of recovery that clinical treatment does not cover. Legal Aid of the Bluegrass won funding for Project Renew, which provides civil legal services to families affected by substance use — the eviction, custody and benefits problems that often undo early recovery. Jubilee Jobs pairs employment placement with recovery support. Catholic Charities' Recovery Stability Assistance Program offers practical and financial aid to people leaving incarceration.
Housing and family stability account for a cluster of grants. Shepherd's House will operate short-term crisis access recovery housing for justice-involved men, Chrysalis House will expand trauma-informed care for pregnant and parenting women, and KVC Behavioral Healthcare's EMBARK program provides family-centered stabilization for mothers navigating substance use disorder. The Kentucky Center for Grieving Children and Families will expand support for children bereaved by a relative's drug use — a prevention investment aimed at the next generation.
Youth prevention appears repeatedly. Arbor Youth's behavioral health program targets unhoused people aged 16 to 24; the Lexington Leadership Foundation expands mentoring for children affected by parental incarceration and substance use; the Child Care Council of Kentucky trains caregivers; Girl Scouts of Kentucky's Wilderness Road runs resilience programming; and Junior Achievement of the Bluegrass introduces primary-prevention curricula.
The city also funded communication work: Lexington Community Radio will produce a multilingual campaign to reduce stigma and raise awareness of available services, and Lexington Children's Theatre will stage performances built on lived experience with the opioid crisis.
Why cities are funding outreach instead of beds
The pattern matches what opioid settlement money has been buying in other cities this year: smaller awards to community organizations, weighted toward outreach, housing, employment and family support rather than inpatient beds. The reasoning is partly logistical — residential construction takes years and one-time settlement dollars rarely cover ongoing staffing — and partly empirical, since the period right after discharge is when people are most likely to relapse.
Kentucky has run a parallel process at the state level. The Kentucky Opioid Abatement Advisory Commission distributed $34 million to 100 organizations in the spring, a much larger pool than any single city controls. Lexington's program is separate, funded from the city's own allocation, and its awards are small enough that several recipients will use them to keep existing staff rather than launch anything new.
What the council decides
The Oct. 27 work session is where the list becomes final. Until then the awards are recommendations from the Department of Social Services, and the council can adjust them. The list is still the clearest signal yet of how Lexington intends to spend its settlement share: not on a single flagship facility, but spread across two dozen organizations that already work with people in crisis.
For residents looking for help, the practical effect arrives in December, when the one-year grants begin. People seeking treatment now can find medication-assisted treatment providers and recovery housing options through the site's treatment directory, independent of where the settlement dollars land.
Sources
Editorial Board
Editorial review using SAMHSA, CDC, CMS, and state agency sources
The NWVCIL editorial team reviews and updates treatment-center information using public data from SAMHSA, CDC, CMS, and state behavioral-health agencies. We cross-check facility records, state coverage rules, and clinical-practice updates so the directory reflects current evidence and policy.
Related Articles

Alaska's Kachemak Bay Recovery Connection Awarded National Grant to Expand Rural Addiction Services
Foundation for Opioid Response Efforts awards grant to Kachemak Bay Recovery Connection as part of $3.7 million nationwide investment in community-based addiction treatment infrastructure.

NYC Invests $12 Million to Build 500-Person Peer Recovery Workforce
Mayor Mamdani directs opioid settlement funds to create 500 peer specialist positions, expanding community-based addiction treatment and outreach across all five boroughs.

Tulsa Channels Opioid Settlement Funds Into Housing-First Recovery Community
Eden Village uses $140,000 in opioid settlement grants to provide permanent supportive housing and peer counseling for chronically homeless individuals recovering from addiction.