By Hans Morefield, CEO CHESS Health

Throughout the late ’90s, prescription opioids became widely distributed as pharmaceutical companies assured doctors of their safety and that patients would not get addicted. As their highly addictive nature became exposed, these medications were increasingly prescribed, and addiction to them skyrocketed. Now, these pharmaceutical companies, along with the drug distributors who delivered millions of pills to small towns, are being held accountable for their role in exacerbating a nationwide health crisis.

For decades, Purdue Pharma has marketed and manufactured OxyContin and other addictive opioids (Mann, 2020). Playing a central role in creating the opioid addiction crisis, the pharmaceutical giant has agreed to plead guilty to three felony charges of criminal wrongdoing.

While a federal judge has approved the $8.3 billion settlement, Purdue Pharma filed for bankruptcy last year, meaning it will likely be some time before recipients will receive a payout.

A global consulting firm for corporations and governments, McKinsey & Co., has agreed to pay $573 million for their role in the opioid crisis (Forsythe, 2021). In documents and emails uncovered through an investigation, McKinsey worked closely with Purdue Pharma to drive sales of OxyContin during the worsening opioid crisis.

The recipients of payouts from the McKinsey and Purdue settlements will primarily be able to use their discretion in deciding what the funds are going to support1. However, it is anticipated that the funding will be used for mental health and substance abuse programs. Experts recommended spending to target evidence-based recovery programs, prevention, treatment, and medications for opioid addictions.

Treating Opioid Addiction Amidst a Pandemic

The announcements regarding these settlements come during the COVID-19 pandemic, which has fueled the fire started by opioid manufacturers. Opioid use drastically increased in the opening months of 2020, after being on a downward trend the year before. With the pandemic having a massive impact on mental health in America, by November, nearly 50% of people experienced clinical anxiety and depression, up from 11% in 20194.

Legislation has been introduced to combat this opioid and mental health crisis, setting $4.25 billion aside for mental health as part of a massive $900 billion stimulus package to aid in COVID-19 relief. This is the largest carve-out that mental health organizations have received in any one bill in history and is supported by increasing awareness of the pandemic’s impact on mental health.

These funds will make it easier for mental health provider organizations to implement technological solutions to better deliver care in the absence of in-person meetings and scale to meet the growing need. Connecting with others has been a mainstay in recovery programs, and technology can facilitate this while social distancing is in play. Investments in technology also support increasing Peer Engagement Specialists’ reach who need modern communication methods to remain connected to clients.

While telehealth is an accessible, inexpensive option for care delivery, it is inefficient at screening patients before meetings or facilitating effective group communication when privacy is challenging. It is one aspect of a complete digital care system supporting transitions of care in managing substance use disorders.

Perhaps something good may come of this tragedy as the combination of federal and private funds may very well expand access to care and help scale recovery through technology-based support for those who need it most.



  1. Faraci, A. (2020, November 10). Here’s how to Use $50 billion IN OPIOID settlement money to help people. Retrieved February 06, 2021, from
  2. Forsythe, M., & Bogdanich, W. (2021, February 04). McKinsey settles For $573 million over role IN opioid crisis. Retrieved February 06, 2021, from
  3. Mann, B. (2020, November 18). Federal judge Approves Landmark $8.3 Billion Purdue Pharma OPIOID SETTLEMENT. Retrieved February 06, 2021, from
  4. Wan, W. (2020, December 22). Pandemic relief Bill DELIVERS $4.25 billion for mental health services. Retrieved February 06, 2021, from