Drug and Alcohol Rehab in Chillicothe, Ohio

Chillicothe anchors a five-county behavioral health system in south-central Ohio. Ross County's overdose deaths dropped from 49 in 2023 to 34 in 2024, the Paint Valley ADAMH Board funds the local network from its Chestnut Street office, and the region's community mental health center runs both clinics and residential recovery beds here in Chillicothe.

What the county data show

Chillicothe is the seat of Ross County, which counts about 76,492 residents - roughly 21,902 in the city. Median household income sits near $61,303 countywide.

The Ohio Department of Health's 2024 overdose report counts 34 Ross County deaths in 2024, a rate of 46.0 per 100,000 - down from 49 deaths the year before. The county's 2020-2024 average rate of 67.4 remains far above the statewide figure of 39.7, and the Ross County Coroner's own annual report confirmed overdose deaths fell from 2022 into 2023. Statewide, 2,931 Ohioans died of unintentional overdoses in 2024, down about 34% from 2023.

The jobs picture is stable: Ross County's unemployment rate was 4.3% in August 2026 (preliminary) versus 4.9% a year earlier, per BLS local area data.

Where treatment happens locally

• Paint Valley ADAMH Board (394 Chestnut Street, Chillicothe, OH 45601; 740-773-2383) plans and funds mental health and addiction services for Ross, Fayette, Highland, Pickaway, and Pike counties. Start here if you are uninsured or unsure which door to knock on.
• Scioto Paint Valley Mental Health Center, the board's largest contract agency, operates several Chillicothe sites, including the Martha Cottrill Clinic at 4449 OH-159 and the Floyd Simantel Clinic at 312 E 2nd Street. It runs a 36-bed residential program for men in Chillicothe and a 12-bed residential program for women in Greenfield, plus a 24/7 crisis center at 740-773-4357 that answers 988 calls and accepts walk-ins.
• Hopewell Health Centers - a federally qualified health and community mental health center - operates the Chillicothe Primary Health Care Clinic at 1049 Western Avenue, combining primary care with behavioral health and prevention services.

For programs beyond this network - detox, medication-assisted treatment, sober housing - the SAMHSA treatment locator can be searched from any Chillicothe ZIP code and filtered by level of care and payment type.

Paying for care

Ohio Medicaid covers counseling, medications for substance use disorder, intensive outpatient treatment, residential treatment, and withdrawal management for eligible members. Uninsured residents can ask board-funded providers about services based on need, or call the SAMHSA National Helpline (1-800-662-4357) for free, confidential referrals.

Starting this week

1. Emergencies: call 911. For a mental health or substance use crisis, call or text 988 (or the SPVMH crisis line at 740-773-4357).
2. Call (800) 653-9376 or complete
   . Calling is free - the referral service is paid for by treatment providers - and your insurance benefits can be checked before you commit to anything.
3. Contact the Paint Valley ADAMH Board at 740-773-2383 if cost is the barrier.
4. Search findtreatment.gov from your ZIP code and compare residential and outpatient options side by side.

Ross County lost 49 people to overdose in 2023 and 34 in 2024. Residential beds, crisis coverage, and Medicaid-funded outpatient care all exist within a few miles of downtown - the next step is one phone call.

Questions about rehab in Chillicothe