What Ohio’s $1 billion opioid settlement can be spent on

The OneOhio opioid settlement is harm reduction friendly agreement…even if the board controlling most money is not. It’s important to remember that Ohio’s opioid settlement agreement is OK; it’s bungled execution of the agreement that has turned the OneOhio into a shipwreck. Read the list of intended uses yourself to understand why politicians trying to turn the settlement into a secret slush fund is so tragic.

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Ohio sets new record for weeks with 100+ overdose deaths

The pace of overdose death in Ohio continues at a horrific level, far worse than even three years ago. Drug use is not the cause of Ohio’s overdose death epidemic. The drug war is the cause. Harm Reduction Ohio explains our state’s self-inflicted tragedy and what can be done to stop the overdose epidemic.

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OneOhio Opioid Settlement Board’s Latest Accomplishment: An Even Whiter Shade of Pale

The OneOhio opioid settlement board added more White board members and started hiring staff. Everyone is White. Well, not everyone. Black residents make up 14% of Ohio’s population and 20% of opioid deaths. They just don’t matter to OneOhio, which claims it can operate secretly like a private club. Except this isn’t 1952. Segregation and racial discrimination is not acceptable. The shipwreck that is the OneOhio opioid settlement continues its race to the bottom.

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OneOhio opioid settlement board to approve secrecy policy on Wednesday

The OneOhio opioid settlement board plans vote Wednesday to approve a policy of operating in secrecy. OneOhio will oversee spending 55% of Ohio’s $1 billion opioid settlement. Even though the settlement agreement signed by the governor and attorney general said OneOhio would comply with open meetings and public records law, OneOhio now says it won’t because…well, just cuz.

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The state of Ohio launches new site to order naloxone

The state of Ohio launched a centralized web site for individuals, organizations, businesses and first responders who want to order naloxone, the overdose-reversing drug. The site is called NaloxoneOhio. Harm Reduction Ohio, the state’s largest naloxone distributor, supports a centralized ordering site but won’t participate because it has no capacity to handle additional orders.

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Naloxone Kits Provided by State Government, First Six Months of 2022

Harm Reduction Ohio received 12,400 naloxone kits from the state pharmacy in the first half of 2022. That was 15.1% of the 82,000 kits provided by state government to 148 naloxone providers in the first six months of 2022. We provide a complete list of who got what. See how you local efforts did.

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What naloxone price cuts mean for preventing overdose deaths

A revolution in naloxone distribution may be near. Big drops in the cost of naloxone will let the state to redirect millions of dollars to improving how naloxone is delivered and overdoses are prevented. We discuss what generic naloxone nasal spray means for the future of naloxone distribution in Ohio.

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Nitazene opioids in Ohio’s Drug Supply: How big a problem?

Nitazenes, a class of opioids created in the 1950s, have become more common in Ohio. However, the drugs, which come mostly from Eastern Europe, remain relatively rare and have not caused a noticeable change in overdose death. In Ohio, fentanyl and its analogs remain the overwhelming drivers of overdose death, especially among people who use cocaine and meth.

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Black residents share of opioid deaths soars to record level in Ohio

Black residents account for 20% of opioid overdose deaths so far in 2022. That’s far above the share of our state’s population (14%) made up of Black residents and a big increase from 2014 when Black residents made up 8% of opioid overdoses. We , as a state, need to adjust our response to the overdose crisis to reflect this enormous change in demographics.

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VIDEOS: Harm Reduction Ohio Public Policy Series

Harm Reduction Ohio’s October Public Policy Series.

Recordings now availableĀ 


  • October 25, 2021 – Ohio Opioid Settlements: How To Spend $1 Billion
  • October 18, 2021 – Worse Than Ever: Overdose Death in Ohio
  • October 11, 2021 – Ohio Drug Courts: Through Participants’ Eyes
  • October 4, 2021 – Kinship Care: What Ohio Children Need

Ohio Opioid Settlements: How To Spend $1 Billion Wisely

October 25, 2021

Host: Dennis Cauchon, President, Harm Reduction Ohio


  • Christine Minhee, Soros Justice Fellow; founder, opioidsettlementtracker.com
  • Scott and Wes Weidle, impact family members; co-authors, Little Lost Boy: A Dose of Reality
  • Mark Hurst, former medical director, Ohio Department of Health

Worse Than Ever: Overdose Death in Ohio

October 18, 2021

Host: Dan Brook, MD/PhD Student, Ohio State University

Prayer: Bishop Marcia Dinkins


  • Shae Dalrymple, Communications Director, Harm Reduction Ohio
  • Jaime Iten, Epidemiologist, Ohio Department of Health
  • Orman Hall, Former Director,, Governor’s Cabinet Opiate Action Team

Ohio Drug Courts: Through Participants’ Eyes

October 11, 2021

Host: Molly N. True, Board Member, Harm Reduction Ohio


  • Allie Mikolanis, Public Policy Fellow, Harm Reduction Ohio
  • Gary Daniels, Chief Lobbyist, ACLU of Ohio
  • Sarah Blake, Drug Court Participant

Kinship Care: What Ohio Children Need

October 4, 2021

Host: AmandaLynn Reese, Director, Outreach and Engagement, Harm Reduction Ohio


  • Sarah Palazzo, Public Health Fellow, Harm Reduction Ohio
  • Dawn Pullin, Director, Behavorial Health and Addiction, Northeast Ohio Black Health Coalition
  • Brenda Cameron Ryan, Founder/Director, Keys to Serenity

VIDEO: Sam Snodgrass, PhD, “The Struggle for Survival: Opioids, Addiction, and the Brain”

Watch the keynote talk at Harm Reduction Ohio’s annual conference.

This hourlong video presents Sam Snodgrass’s keynote talk at Harm Reduction Ohio’s annual conferenceĀ  in April. It deserves your time and attention.

Sam holds a doctorate in biopsychology and had a research fellowship from the National Institute on Drug Abuse. He lost it all from an addiction to opioids. Several parents who lost a child to overdose told us they did not fully understand what happed and what their child was going through until they heard’s Sam’s talk at the Harm Reduction Coalition’s conference in New Orleans or elsewhere.

Sam Snodgrass, PhD

Sam’s talk his three major parts, each one fascinating in its own right:

  • His personal journey from successful academic at medical school to a homeless opioid addict who’d lost everything.
  • The neuroscience behind opioids and addiction.
  • Why harm reduction is crucial to reducing overdose deaths and other destructive consequences of current drug policies.


Special thanks to Mary Stafford, a mother who lost a son to overdose and did not understand what happened until hearing Sam’s talk. She hired a professional video crew to record Sam’s talk at HRO’s conference. The recording was made for Broken No More, a family organization that hopes “more enlightened drug policies may help stem the tide of addiction and overdose.”

A big thanks to Sam, Mary and Laura Cash, a board member of both Harm Reduction Ohio and Broken No More.

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