Points of interest…
- Portsmouth received a $776,653 grant funding police, school, and welfare social workers.
- Twenty-seven New Franklin School students are involved with DCYF for substance use.
- Mental health and substance abuse social workers earn a median $63,870 annually.
Portsmouth had two ways to spend opioid-response money: fund more enforcement or embed social workers where people first ask for help. The city chose the second, using a $776,653 two-year grant from New Hampshire DHHS to place social workers in police, school, and welfare departments. One number drove the choice: 20.1% of Portsmouth middle school students reported seriously considering suicide.
At New Franklin School, seven students have lost a family member to opioid addiction since 2021, and 14 are being raised by relatives because of parental substance use.
When opioid funding reaches schools and police departments, substance use social work becomes a core public-sector workforce need and a driver of social work job growth, not a niche specialty.
The Portsmouth Grant: A Local Model for Federal Funding
Portsmouth, New Hampshire, is a small city showing what happens when a $776,653 social work grant puts social workers directly inside police departments, schools, and welfare offices. The two-year grant from the New Hampshire Department of Health and Human Services funds new social work positions in the police and school departments while also supporting the Welfare Department's emergency housing, rent, shelter, and transportation assistance for individuals with opioid use disorder.1
Why the School Data Justified the Hiring
At New Franklin School, the need is not abstract. Since 2021, seven students have lost a family member to opioid addiction. Fourteen are being raised by relatives because of parental substance use, 27 have involvement with DCYF for substance use or mental health concerns, and 10 have witnessed domestic violence connected to substance use. These numbers, paired with a Youth Risk Behavior Survey finding that 20.1% of Portsmouth middle school students seriously considered suicide, made the case for school social worker mental health support.1
Police and Welfare Roles Filling Service Gaps
Police Capt. David Keaveny reported three apparent overdose deaths in the first 10 days of 2025, two directly caused by opioids.1 The new police social worker will focus on substance misuse prevention, treatment, recovery, and harm reduction, including direct outreach to the unhoused community. Norma Jean Laurent, deputy director of the Portsmouth Housing Authority, said the grant "addresses gaps in traditional welfare eligibility,"1 a critical point because many people with opioid use disorder fall outside standard assistance rules.
This local model shows how data-driven needs assessments justify addiction social work across nontraditional settings.
One grant created social work roles in police, school, and welfare departments, proving that a single funding stream can open three distinct front doors for care. This coordinated model is a replicable blueprint for other communities responding to opioid-related needs.
How Federal Grants Are Expanding the Opioid Workforce Nationwide
Federal opioid workforce funding is no longer confined to hospital-based clinical training; it now deliberately creates social work positions inside schools, police departments, and community agencies. Portsmouth's $776,653 award is one local expression of a much larger federal strategy.
HRSA's Workforce-Specific Mechanisms
The Health Resources and Services Administration runs two programs most relevant to social workers. The Behavioral Health Workforce Education and Training Program for Professionals explicitly lists accredited master's and doctoral social work programs among eligible applicants; its most recent cycle closed January 21, 2025. HRSA's Rural Communities Opioid Response Program, Northern Border Rural Workforce track, offered up to $400,000 per year for four years to entities in Maine, New Hampshire, New York, and Vermont, with an April 11, 2025 deadline. A related Overdose Response track offered $300,000 for one year, due March 10, 2025. Social work is not always named in every notice, but BHWET is unambiguous.
SAMHSA's State Opioid Response as a Pass-Through
The Substance Abuse and Mental Health Services Administration's State Opioid Response program is the largest funnel. In FY2024, SAMHSA awarded $1.48 billion to 59 states and territories, which then distribute subgrants to local agencies. Portsmouth's two-year award from the New Hampshire Department of Health and Human Services follows this exact state-administered pass-through model, funding school and police social workers plus housing assistance. States set their own local priorities, often funding embedded social worker positions in schools and law enforcement.
Local Examples That Mirror Portsmouth's Model
Comparable subgrants show how the model plays out elsewhere. Maryland directed $500,000 to Morgan State University's School of Social Work to support 46 BSW, MSW, and doctoral fellows in substance use settings. The University of New England received a $1.6 million, four-year HRSA award to train social work students for opioid response roles across northern New England. These investments blend federal dollars with local hiring priorities, just as Portsmouth uses state pass-through funds to embed social workers where crises first appear.
What Social Workers Actually Do in Opioid Prevention and Treatment
What social workers do in the opioid crisis depends on the setting, but the core work is consistent: they identify risk, connect people to treatment, and coordinate the housing, benefits, and family supports that make recovery possible. In Portsmouth, New Hampshire, a two-year grant is funding social workers in schools, police, and welfare settings, offering a concrete look at these roles.
In Schools, Crisis Counseling and Family Referrals
School social workers respond when opioid loss reaches the classroom. At New Franklin School, seven students have lost a family member to opioid addiction since 2021, and 14 are being raised by relatives because of parental substance use. Social workers provide crisis counseling after overdose deaths, screen for suicide risk (20.1% of Portsmouth middle schoolers reported seriously considering suicide), engage families, and refer students to grief and kinship care supports. In one middle school counseling session, four girls realized they had each lost their mother to an overdose, a moment that shows how social workers create space for shared, age-appropriate processing.
In Police Departments, Co-Response and Harm Reduction
Portsmouth's new police social worker will focus on substance misuse prevention, treatment, recovery, and harm reduction, working directly with the unhoused community. In the first 10 days of 2025, the city saw three apparent overdose deaths, two directly caused by opioids. A social worker co-responds to substance-related calls, applies social worker safety and de-escalation techniques, diverts people from arrest when appropriate, and connects them to services instead of the justice system alone.
In Clinical and Community Settings, MOUD and Case Management
Beyond schools and police, the social work role in healthcare includes coordinating medications for opioid use disorder (MOUD), including methadone and buprenorphine appointments, and managing cases for housing, rent, emergency shelter, transportation, and benefits. The Portsmouth grant also supports the Welfare Department in filling these gaps for people with opioid use disorder, which is exactly the kind of cross-system case management that social workers are trained to do.
Related Articles
A 2024 JAMA Network Open study of an emergency department peer support program found a 45% increase in the probability that patients started medication for opioid use disorder within 60 days of an overdose. This kind of coordinated follow-up is central to social work.
Education, Certifications, and Career Paths in Substance Use Social Work
Substance use social work has moved from a niche specialty to a funded frontline role as opioid settlement dollars and state and federal grants embed social workers in schools, housing authorities, and police departments. Portsmouth's recent grant-funded police and school social worker positions signal the settings where addictions training is now expected.
The MSW Foundation
A CSWE-accredited MSW curriculum prepares social workers for substance use roles through coursework in assessment, trauma, motivational interviewing, and policy, with electives in addictions or co-occurring disorders. Clinical licensure (LCSW) requires post-MSW supervised hours that are separate from CADC requirements, and clinical social work licensure in every jurisdiction that offers it requires supervised experience after the MSW.
CADC Requirements Vary Widely
The Certified Alcohol and Drug Counselor (CADC) credential is board-specific. Missouri's master's degree pathway requires 1,000 work hours, 300 supervised practicum hours, 180 education hours, and the IC&RC ADC exam.1 Nevada drops work experience to 1,500 hours for master's holders with 12 semester units in addictions.2 New Jersey accepts a high school diploma or GED but requires 3,000 supervised experience hours plus 270 training hours. Pennsylvania requires a bachelor's and 4,000 hours for a relevant degree, or 6,000 for a non-relevant degree.3 So an MSW plus addictions coursework can shorten the path in some states, but it does not waive it everywhere.
Complementary Credentials and Online MSW Programs
- CADC-I: an entry-level credential in states like California, often built from 3,000 supervised hours.4 - LADC: licensed alcohol and drug counselor, a master's-level license in some states. - CCM: Certified Case Manager, useful for MOUD care coordination and housing navigation. Many CSWE-accredited online MSW programs offer substance use or opioid-focused concentrations, with field placements in opioid treatment programs, MOUD clinics, harm reduction sites, drug courts, and co-response teams. Confirm placement support for your state before enrolling.
Jobs to Target
Social workers should know these titles: substance use social worker, chemical dependency counselor, MOUD care coordinator, school social worker for opioid-affected families, and police or co-response social worker. Each role uses assessment, crisis intervention, and cross-system collaboration, but the daily work shifts from counseling and case management to system navigation and harm reduction outreach.
Social Worker Salaries by State: Where the Pay Is Highest
These 2024 Bureau of Labor Statistics figures cover three matched social work occupation groups: child, family, and school social workers; healthcare social workers; and social workers, all other. They are not specific to opioid or substance use roles. The highest median salaries appear in Washington, Massachusetts, California, Georgia, and South Carolina, while the lowest medians are concentrated in Colorado, New Hampshire, Minnesota, Vermont, and New York child, family, and school social worker categories.
| State | Occupation | Total Employment | 25th Percentile | Median Annual Salary | 75th Percentile |
|---|---|---|---|---|---|
| Washington | Social Workers, All Other | 870 | 70410 | 96550 | 112320 |
| Massachusetts | Social Workers, All Other | 590 | 72880 | 94000 | 112650 |
| California | Healthcare Social Workers | 19680 | 67880 | 92970 | 122200 |
| Georgia | Social Workers, All Other | 1180 | 59810 | 92750 | 110930 |
| District of Columbia | Healthcare Social Workers | 490 | 77790 | 92600 | 105750 |
| South Carolina | Social Workers, All Other | 500 | 71390 | 91940 | 106870 |
| Delaware | Social Workers, All Other | 140 | 63400 | 91710 | 106580 |
| Mississippi | Social Workers, All Other | 280 | 52770 | 89860 | 98550 |
| Texas | Social Workers, All Other | 2700 | 53200 | 89520 | 113840 |
| South Dakota | Social Workers, All Other | 140 | 77000 | 89320 | 96870 |
| Alabama | Social Workers, All Other | 450 | 77050 | 89170 | 101130 |
| Iowa | Social Workers, All Other | 250 | 72550 | 88000 | 100820 |
| Virginia | Social Workers, All Other | 1000 | 54960 | 86690 | 105810 |
| Oregon | Healthcare Social Workers | 2050 | 66650 | 85150 | 102390 |
| Hawaii | Healthcare Social Workers | 680 | 58270 | 84640 | 95520 |
| Connecticut | Healthcare Social Workers | 2010 | 73200 | 81900 | 97140 |
| New Jersey | Healthcare Social Workers | 4390 | 66100 | 81710 | 100200 |
| Indiana | Social Workers, All Other | 510 | 62150 | 80410 | 94310 |
| Rhode Island | Healthcare Social Workers | 570 | 63450 | 79460 | 91510 |
| Minnesota | Social Workers, All Other | 7240 | 65810 | 79220 | 92800 |
| Connecticut | Child, Family, and School Social Workers | 5360 | 63730 | 78940 | 98060 |
| District of Columbia | Child, Family, and School Social Workers | 2800 | 59280 | 78920 | 95820 |
| Vermont | Healthcare Social Workers | 300 | 65340 | 78390 | 92780 |
| New Jersey | Child, Family, and School Social Workers | 6410 | 59590 | 78150 | 98920 |
| New Hampshire | Healthcare Social Workers | 530 | 69710 | 78000 | 89790 |
| Alaska | Healthcare Social Workers | 290 | 60200 | 77990 | 88440 |
| Maryland | Social Workers, All Other | 1240 | 56740 | 77900 | 109120 |
| North Dakota | Social Workers, All Other | 140 | 61960 | 77380 | 92750 |
| Nevada | Healthcare Social Workers | 1070 | 61150 | 76280 | 89990 |
| Washington | Healthcare Social Workers | 4970 | 58330 | 75670 | 95170 |
| Maine | Healthcare Social Workers | 590 | 63750 | 72520 | 77780 |
| Utah | Healthcare Social Workers | 1930 | 57930 | 72370 | 89690 |
| Minnesota | Healthcare Social Workers | 2530 | 60830 | 72330 | 84490 |
| Washington | Child, Family, and School Social Workers | 10570 | 58250 | 72290 | 84180 |
| Maryland | Child, Family, and School Social Workers | 5030 | 52350 | 70840 | 93810 |
| California | Child, Family, and School Social Workers | 55220 | 54890 | 69250 | 88190 |
| Massachusetts | Child, Family, and School Social Workers | 9830 | 55510 | 67880 | 87150 |
| Rhode Island | Child, Family, and School Social Workers | 2320 | 50770 | 67150 | 83910 |
| North Dakota | Child, Family, and School Social Workers | 780 | 58840 | 66900 | 77480 |
| Hawaii | Child, Family, and School Social Workers | 1080 | 58550 | 66450 | 77100 |
| New York | Child, Family, and School Social Workers | 27220 | 57950 | 65430 | 82980 |
| Vermont | Child, Family, and School Social Workers | 540 | 58760 | 65370 | 71720 |
| Minnesota | Child, Family, and School Social Workers | 6430 | 54230 | 65010 | 79450 |
| New Hampshire | Child, Family, and School Social Workers | 1130 | 45790 | 64630 | 76880 |
| Colorado | Child, Family, and School Social Workers | 7840 | 53930 | 63560 | 80440 |
Opioid Crisis Social Work Job Outlook and Salaries
Approximate 2024 BLS data show mental health and substance abuse social workers earning a median annual wage of $63,870, with total employment of about 114,680 as of May 2023. Federal opioid workforce grants, including the Portsmouth model, are expanding these roles: BLS projects mental health and substance abuse social worker jobs to grow 9.7 percent from 2024 to 2034, while substance abuse, behavioral disorder, and mental health counselors are projected to grow 17 percent and add roughly 48,300 openings per year. The table below lists broader social work occupation wages from the same national dataset.
| Occupation | Total Employment | Mean Annual Wage | 25th Percentile | Median Annual Wage | 75th Percentile |
|---|---|---|---|---|---|
| Social Workers, All Other | 64,940 | $74,680 | $52,010 | $69,480 | $95,390 |
| Counselors, Social Workers, and Other Community and Social Service Specialists | 2,477,920 | $62,980 | $45,750 | $57,480 | $75,090 |
| Social Workers | 759,740 | $67,050 | $48,680 | $61,330 | $78,500 |
| Child, Family, and School Social Workers | 382,960 | $62,920 | $47,480 | $58,570 | $74,060 |
| Healthcare Social Workers | 185,940 | $72,030 | $55,360 | $68,090 | $83,410 |
How to Find and Apply for Opioid-Focused Social Work Grants
A $776,653 local grant may look like a one-off, but it points to a predictable grant pipeline. Most opioid workforce grants go to organizations, not individual social workers, so the search strategy matters as much as the application itself.
Where to search
Start with Grants.gov for federal notices. SAMHSA posts opioid response and workforce funding opportunities there, often with forecasted dates. HRSA Bureau of Health Workforce (BHW) programs fund MSW stipends, placements, and loan repayment in MSW behavioral health careers, including substance use settings. State opioid response (SOR) portals, usually run by state health or human services departments, list sub-awards that fund social workers in police, school, and community agencies.
Application components
Typical applications require: - A needs assessment with local data, grounded in social work research and practice, such as Youth Risk Behavior Survey results, overdose counts, or school-based loss data. - Letters of support from police, school, welfare, or housing partners. - A cross-system collaboration plan covering prevention, treatment, recovery, and harm reduction. - Clear outcome metrics that tie social work tasks to reduced overdoses or improved referrals.
Work through an agency
Because workforce grants usually go to organizations, social workers should partner with a nonprofit, school district, police department, or health center rather than apply alone. MSW students and new graduates can be written into proposals as funded interns or new hires if the host agency is the lead applicant. Ask field placement supervisors which grants they are pursuing.
Eligibility checks
Some HRSA BHW programs support MSW students through stipends or loan repayment in exchange for service in high-need substance use settings. State SOR grants may fund CADC-track social workers, MOUD care coordinators, or school social worker jobs and police social worker positions. Read the eligibility section carefully and match your credential path to the exact allowable role before investing time in a full application.










