Quick answer
Christian County recorded 12 overdose deaths in 2024, 9 of them involving fentanyl - down from 14 in 2023. Medication for opioid use disorder is the standard of care and Kentucky Medicaid covers it. The Pennyroyal Center runs treatment and a 24-hour crisis line in Hopkinsville. Here is how to start.
Fentanyl is the reason a bag or a pill bought in Christian County is far more dangerous than it used to be, and it is also the reason treatment has changed: medication works, and it is available here. If fentanyl is part of your life, or someone you love, the honest, useful thing to know is that opioid use disorder is treatable and the path starts with one call.
What Christian County's numbers show
The Kentucky Injury Prevention and Research Center counted 9 fentanyl-involved overdose deaths among Christian County residents in 2024, down 35.7% from 14 in 2023. The state's 2024 fatality report puts the county's total at 12 overdose deaths, an age-adjusted rate of 22.5 per 100,000 — below Kentucky's statewide rate of 32.0.
Statewide, fentanyl was involved in 878 overdose deaths in 2024 — 62.3% of the total — and it most often appears with another drug: the state's 2024 toxicology data found fentanyl and methamphetamine together in 509 deaths, one of the most common combinations in Kentucky.
Medication is the standard of care
The National Institute on Drug Abuse describes medication for opioid use disorder as the standard of care and reports that people treated with methadone or buprenorphine are less likely to die or overdose than people who go without.
- Buprenorphine — a daily tablet or film, prescribable in a clinic or doctor's office; no special authorization is required anymore.
- Methadone — dispensed daily at a certified opioid treatment program.
- Naltrexone — blocks opioid receptors, but only after you are fully through withdrawal.
Medication works best alongside counseling, and it can continue safely through pregnancy under medical care. Ask a clinician which option fits.
Where to get care in Hopkinsville
The Pennyroyal Center (now part of CAYA Collaborative Care) is the community mental health center for Christian and seven neighboring counties — Caldwell, Crittenden, Hopkins, Lyon, Muhlenberg, Todd, and Trigg. Its substance use services start with an assessment that matches you to the right level of care: individual or group counseling, intensive outpatient, or residential treatment. Its Hopkinsville office is at 3999 Fort Campbell Blvd, Hopkinsville, KY 42240, its substance use line is (270) 886-5163, and its 24-hour crisis line is 877-473-7766.
Naloxone and harm reduction
Fentanyl is lethal in tiny amounts and is often pressed into counterfeit pills, so everyone using opioids should carry naloxone and the people around them should know how to use it.
- Certified Kentucky pharmacies can dispense naloxone without a separate prescription under the state's standing physician protocol.
- The Kentucky Office of Drug Control Policy maintains a naloxone locator of participating pharmacies, and the Pennyroyal Center can point you to local options.
Naloxone cannot hurt someone who is not overdosing. If you are unsure, give it and call 911.
Paying for treatment
Kentucky Medicaid covers medically necessary treatment for opioid use disorder for eligible members, including medication and counseling. If you are uninsured, a community behavioral health provider can still serve you — ask about the sliding fee scale. Veterans and military families near Fort Campbell can also ask about TRICARE and VA coverage.
How to start today
- If someone is unresponsive or breathing slowly, call 911 and give naloxone if you have it. For a crisis, call or text 988.
- Call or text (800) 653-9376 to talk through options with a treatment specialist — free and without obligation:
Calling is free; the referral service is paid for by treatment providers.
- Call the Pennyroyal Center's Hopkinsville substance use line at (270) 886-5163 and ask for a substance use assessment; its 24-hour crisis line is 877-473-7766.
- Ask about starting buprenorphine this week — many programs can begin treatment the same day.
Fentanyl use disorder is treatable, and Hopkinsville has providers ready to start. The first call is the hardest part.
Emergency and crisis lines
Call 911 first if someone is unresponsive, breathing slowly, or turning blue. For a mental health or substance use crisis that is not a medical emergency, call or text 988, the national Suicide and Crisis Lifeline.
This page is general health information, not medical advice. It is not affiliated with or endorsed by any facility named above.
Last updated: Mon Oct 19 2026 00:00:00 GMT+0000 (Coordinated Universal Time)
Frequently asked questions
How bad is fentanyl in Christian County?
The Kentucky Injury Prevention and Research Center reports 9 fentanyl-involved overdose deaths among Christian County residents in 2024, down 35.7% from 14 in 2023. The county's total was 12 overdose deaths, an age-adjusted rate of 22.5 per 100,000.
What medications treat opioid use disorder?
The FDA has approved methadone, buprenorphine, and naltrexone for opioid use disorder. Per NIDA, people treated with methadone or buprenorphine are less likely to die or overdose than people who get no medication, and medication works best alongside counseling.
Where can I get treatment in Hopkinsville?
The Pennyroyal Center (now part of CAYA Collaborative Care) is the community mental health center for Christian and seven neighboring counties, with outpatient, intensive outpatient, and residential substance use services. Its Hopkinsville office is at 3999 Fort Campbell Blvd, and its substance use line is (270) 886-5163.
Who do I call in a crisis in Hopkinsville?
If someone is unresponsive or breathing slowly, call 911 and give naloxone if you have it. For a mental health or substance use crisis that is not a medical emergency, call or text 988, or call the Pennyroyal Center's 24-hour crisis line at 877-473-7766.
Where can I get naloxone near Hopkinsville?
Certified Kentucky pharmacies can dispense naloxone without a separate prescription under the state's standing physician protocol. The Kentucky Office of Drug Control Policy keeps a naloxone locator of participating pharmacies at FindNaloxoneNowKY.org, and the Pennyroyal Center can point you to local options.