2025 Annual Report

More than 43 million people in the United States are living with substance use disorder, and more than 23 million are in recovery. Both are happening every day in communities across the country.

A message from our founder, Justin Phillips

There are no simple solutions to the overdose and substance use crisis. But across Indiana, I see every day that people survive and families recover when the right support is in place.

Real change happens when people feel safe enough to say they are suffering and supported enough to ask for help before, during, and after a crisis. The stronger the community and support around someone, the more likely recovery becomes possible.

For more than a decade, Overdose Lifeline has built programs that address the many layers of substance use disorder and the overdose crisis through overdose prevention, family support, and education. In 2025, that work continued to grow in the same way it began, guided by real experiences, real needs, and real voices.

Across every program, the approach is the same: listen, respond, and build support where it is needed most. From celebrating five years of Camp Mariposa: Aaron’s Place to expanding community response through MACRO-B and CHARIOT and launching new tools like KATE, we continue building the kind of support that helps families stay connected, communities respond faster, and more people have a chance to recover.

This report shares the stories behind that progress: the people, partnerships, and programs helping communities respond with knowledge, compassion, and practical support.

Signature

5 Years of
Camp Mariposa: Aaron's Place

One in four children grow up in a home affected by substance use disorder. Without the right support, those experiences can shape mental health, relationships, and increase the likelihood of substance use challenges later in life.

Five years ago, when our founder Justin Phillips learned about Camp Mariposa, a national mentoring and prevention program for youth affected by a family member's substance use, she knew young people in Indiana needed that same support. Since opening, the program has supported 111 young people across Indiana , offering a safe space during some of the most uncertain moments in their lives.

Camp Mariposa gives youth something many have never had before: a place to process their experiences, connect with others who understand them, and simply be kids.

Visit Aaron's Place

“I guess I have really found my people.”

Camper

BEFORE CAMP

Camp Mariposa provides a consistent space where young people can build trust with adults who show up for them and connect with peers who understand their experiences.

Many campers arrive already navigating grief, family separation, and difficult changes at home:

95% have a parent impacted by substance use disorder
76% have experienced grief or loss
52% have experienced abuse or neglect
47% have been involved in foster or kinship care

AFTER CAMP

Despite these challenges, young people keep coming back. Seventy-five percent return year after year, building relationships with a community of 55 trained mentors who show up consistently to listen, support, and walk alongside them.

Evaluation data shows:

99% say there is at least one adult at camp they can go to for help
88% say they learned a lot from participating
65% report using healthy coping strategies to manage stress
96-100% report remaining substance-free in the previous six months

FAMILY CONNECTION

Over the past year, Camp Mariposa hosted ten family events that created space for families to learn together and talk openly about how substance use disorder has affected their lives. For many families, this was the first time they talked openly about it.

APEX: CONTINUING THE CONNECTION

As campers grow older, the need for connection and support continues.

In 2025, participation grew from 5 youth to 17, which represents more than 240% growth in under a year. 67% of those participants came from Camp Mariposa: Aaron's Place.

Support That Grows With Families

Heart Rock Justus Family Recovery Center provides a place where women and their children can stay together during recovery. Families reconnect, children rebuild trust, and mothers begin rebuilding their lives with their children beside them.

Visit Heart Rock

Over the past year:

51 women and 11 children were supported
10 women transitioned into independent or semi-independent housing
4 babies were born into recovery
6 families reunified

Our Annual Impact

Across Indiana, Overdose Lifeline is working with communities to expand prevention, increase access to naloxone, and strengthen support for families impacted by substance use disorder. This is what it looks like when solutions are shaped by the people closest to the work.

Hover or tap each square below for details.

Recovering Together

RECOVERING TOGETHER

Preventing Overdose and Saving Lives

PREVENTING OVERDOSE AND SAVING LIVES

Expanding Prevention Through Education

EXPANDING PREVENTION THROUGH EDUCATION

Training Facilitators Nationwide

TRAINING FACILITATORS NATIONWIDE

Youth Prevention Programs

YOUTH PREVENTION PROGRAMS

Family Support

FAMILY SUPPORT

Support After Loss

SUPPORT AFTER LOSS

Community Support Through Events

COMMUNITY SUPPORT THROUGH EVENTS

Volunteers Make It Possible

Saving lives takes a community. Volunteers make this work possible.

From packing naloxone kits to supporting events and outreach, volunteers help carry this work into communities every day. Their time helps make prevention possible, puts life-saving tools into more hands, and strengthens support for families across Indiana.

1,100+ volunteers supported Overdose Lifeline's work
66 volunteer events brought people together across Indiana
4,800+ volunteer hours helped expand prevention, harm reduction, and recovery support

Prevention that Starts with Community

Through MACRO-B and CHARIOT, Overdose Lifeline works with local partners to expand prevention education, increase access to naloxone, and share real-time alerts in communities most affected by overdose.

Together, these programs help communities respond earlier and connect people to prevention tools and support where they are needed most.

MACRO-B program

MACRO-B

MACRO-B brings prevention education, outreach coordination, and local partnerships into neighborhoods most affected by overdose. In four Indianapolis ZIP codes, overdose deaths dropped 45% over three years through the MACRO-B Project.

In 2025:

  • 586 people trained in prevention education across 45 trainings
  • 80 community organizations engaged in coordinated outreach
  • 37 community interviews conducted to guide expansion planning
  • 52,397 naloxone kits, 26,449 fentanyl test strips, and 19,852 xylazine test strips distributed in priority communities
CHARIOT program

CHARIOT

CHARIOT shares real-time alerts about overdose risks and connects people to prevention resources across Marion County through a countywide text alert network and rapid-response outreach.

In 2025:

  • 460 residents enrolled in CHARIOT text alerts
  • 1,868 people reached through outreach events
  • 25 rapid-response pop-ups coordinated in priority areas
  • 1,322 naloxone kits distributed at community events

Prevention that Starts with Community

Through MACRO-B and CHARIOT, Overdose Lifeline works with local partners to expand prevention education, increase access to naloxone, and share real-time alerts in communities most affected by overdose.

Together, these programs help communities respond earlier and connect people to prevention tools and support where they are needed most.

MACRO-B

MACRO-B brings prevention education, outreach coordination, and local partnerships into neighborhoods most affected by overdose. In four Indianapolis ZIP codes, overdose deaths dropped 45% over three years through the MACRO-B Project.

In 2025:

  • 586 people trained in prevention education across 45 trainings
  • 80 community organizations engaged in coordinated outreach
  • 37 community interviews conducted to guide expansion planning
  • 52,397 naloxone kits, 26,449 fentanyl test strips, and 19,852 xylazine test strips distributed in priority communities

CHARIOT

CHARIOT shares real-time alerts about overdose risks and connects people to prevention resources across Marion County through a countywide text alert network and rapid-response outreach.

In 2025:

  • 460 residents enrolled in CHARIOT text alerts
  • 1,868 people reached through outreach events
  • 25 rapid-response pop-ups coordinated in priority areas
  • 1,322 naloxone kits distributed at community events

More than 300,000 people asked KATE

In 2025, Overdose Lifeline launched KATE, an anonymous overdose prevention chatbot. More than 300,000 people used KATE in its first year, including 250,000 Indiana residents in the first three months alone.

While KATE uses AI technology to respond in real time, her answers come from a repository built by subject matter experts and grounded in evidence-informed prevention information. KATE received a Shorty Award recognizing its role in expanding access to prevention information through anonymous, stigma-free technology.

Say Hello to KATE

Contributing to National Prevention Efforts

In 2025, Overdose Lifeline shared prevention strategies developed with Indiana communities at national conferences, including the Rx Summit, the American Public Health Association Annual Meeting, and the National Youth Prevention, Treatment, and Recovery Roundtable, reaching nearly 200 professionals working across healthcare, public health, and youth services systems.

Financials

INCOME

Hover or tap the icons on the pie chart below to see the details.

EXPENSES

  • EDUCATION
    • Facilitator Trainings: $190,450.00
    • CE Courses: $369,480.00
  • YOUTH PREVENTION
    • TINAD + PreVenture: $210,763.00
    • Community Outreach Education: $139,376.00
    • Marketing: $322,175.00
  • SUPPORT
    • Lifeline for Loss: $28,700.00
    • CRAFT Family Support: $190,840.00
    • Naloxone Kits: $4,527,690.00
    • Test Strips: $169,807.00
    • Aaron's Place: $350,402.00
    • Heart Rock Justus Family Recovery Center: $494,214.00
    • MACRO-B: $124,887.00
    • Peer Grief Support: $29,051.00
    • CHARIOT: $55,311.00
  • ADVOCACY
    • Community Events: $287,877.00
  • OPERATIONS
    • Administrative / Management / Staff: $878,474.00
    • Depreciation: $140,254.00

Thank You

Across Indiana, families are staying connected, communities are responding earlier, and more people are finding support when they need it most. The work ahead continues to grow, and so does the community making it possible. Thank you for being part of the prevention, support, and recovery happening every day.

A Decade of Impact: Healing Families, Saving Lives Our mission is simple, yet powerful: to bring hope to those impacted by addiction and ensure no one faces this battle alone. From grassroots advocacy to national recognition, our progress over the past decade has only been possible because of your support. 2025 Impact at a Glance…

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