Quick answer
Fentanyl was involved in 69% of Ohio's overdose deaths in 2024, and most people never meant to take it - it hides in counterfeit pills and other drugs. Chillicothe has two certified opioid treatment programs plus residential beds. Call (800) 653-9376 to find medication-assisted treatment near you.
Fentanyl treatment in Chillicothe means medication-assisted treatment from a certified opioid treatment program, and this town has two. Ross County's overdose deaths fell from 49 in 2023 to 34 in 2024, but the state's data show why speed matters: fentanyl was involved in 69% of Ohio's overdose deaths that year, often without the person knowing they took it. Get naloxone, then get started - the programs below can begin within days.
Can I be treated for fentanyl use at a clinic near me?
It depends on which level of care you need, but both of Chillicothe's certified opioid treatment programs can get you started on medication this week. BrightView Health at 126 E 2nd Street offers methadone and buprenorphine prescribing, intensive outpatient treatment, and telehealth, and accepts Medicaid, Medicare, private insurance, and sliding-scale fees. Chillicothe Treatment Services at 606 Central Center runs a CARF-accredited outpatient program offering methadone, buprenorphine, and naltrexone. If you also drink heavily or use stimulants, the Scioto Paint Valley Mental Health Center's 36-bed residential program (Rulon Center, 400 Chamber Drive) treats alcohol and other substance use disorders in a residential setting.
Fentanyl is an opioid, and opioid use disorder responds to medication - call (800) 653-9376 to match with the right program.
Why fentanyl is different from other opioids
- It's stronger than anything that came before it. The DEA estimates fentanyl is roughly 100 times more potent than morphine and 50 times more potent than heroin. Even a dose the size of a few grains of salt can kill.
- It hides in other drugs. Most fentanyl in the supply is made illegally and pressed into counterfeit pills sold as oxycodone, Xanax, or Adderall, or mixed into cocaine and methamphetamine. NIDA warns that people can be exposed to fentanyl without ever intending to use it - which is why Ohio's data show fentanyl involved in 69% of the state's 2024 overdose deaths, often in combination with other substances.
- Ohio's numbers are finally moving the right way. The Ohio Department of Health's 2024 report counted 2,931 unintentional overdose deaths in 2024, down 34% from 2023 - the third straight year of decline. Fentanyl-related deaths fell 42%, the largest drop of any drug category.
The treatment that works
Opioid use disorder - whether from fentanyl, heroin, or prescription pills - responds to three FDA-approved medications: buprenorphine (partial agonist, prescribed from a clinic), methadone (full agonist, dispensed daily at a certified opioid treatment program), and naltrexone (blocks opioid effects). Both Chillicothe programs offer at least two of these, and NIDA's research shows people treated with medication are less likely to die of overdose than people who go without.
You do not need to "hit bottom" first. Intake at BrightView or Chillicothe Treatment Services usually starts with a same-week assessment, and both accept Medicaid.
Naloxone: keep it close
Naloxone rapidly reverses an opioid overdose by restoring breathing. Fentanyl's strength sometimes means a second or third dose is needed, so carry more than you think you'll need. Ross County harm-reduction programs and Ohio pharmacies distribute naloxone, and both local treatment programs can help you get it before your first appointment.
Emergency: if someone is unresponsive or breathing slowly, call 911 first, then give naloxone. For any crisis, call or text 988.
Paying for care
Ohio Medicaid covers medications for opioid use disorder, counseling, intensive outpatient treatment, residential care, and withdrawal management for eligible members. Uninsured residents can ask the Paint Valley ADAMH Board (740-773-2383) about board-funded services based on need.
Starting this week
- Emergency: call 911. Crisis: call or text 988 (or SPVMH's 24/7 crisis line at 740-773-4357).
- Call (800) 653-9376 or complete . Calling is free - the referral service is paid for by treatment providers - and your insurance benefits get checked before you commit.
- Get naloxone today, before anything else.
- Search findtreatment.gov from your ZIP code to compare programs if you want options beyond the two clinics above.
Ross County's overdose deaths dropped 31% in one year. The programs that made that possible are still here, and most of them can see you this week.
Other Fentanyl treatment in Ohio: Fentanyl treatment in Akron, Ohio, Fentanyl treatment in Canton, Ohio, Fentanyl treatment in Cincinnati, Ohio, Fentanyl treatment in Cleveland, Ohio, Fentanyl treatment in Columbus, Ohio, Fentanyl treatment in Dayton, Ohio, Fentanyl treatment in Hamilton, Ohio, Fentanyl treatment in Kettering, Ohio, Fentanyl treatment in Lorain, Ohio, Fentanyl treatment in Portsmouth, Ohio, Fentanyl treatment in Springfield, Ohio, Fentanyl treatment in Steubenville, Ohio.
Last updated: Fri Oct 23 2026 00:00:00 GMT+0000 (Coordinated Universal Time)
Frequently asked questions
What is fentanyl and how strong is it?
Fentanyl is a synthetic opioid that the DEA estimates is roughly 100 times more potent than morphine. Most of the fentanyl driving the overdose crisis is made illegally and pressed into counterfeit pills or mixed into other drugs, which means many people consume it without ever intending to.
Can medication-assisted treatment work for fentanyl users?
Yes. Buprenorphine, methadone, and naltrexone are all FDA-approved medications for opioid use disorder, and they work for people whose opioid use involves fentanyl. Chillicothe has two SAMHSA-certified opioid treatment programs - BrightView and Chillicothe Treatment Services - that offer these medications.
Does naloxone work against a fentanyl overdose?
Yes, if given promptly. Naloxone reverses opioid overdose by restoring breathing, but fentanyl's potency sometimes means a second or third dose is needed. Ohio pharmacies and Ross County harm-reduction programs distribute naloxone without a prescription, so keep it within reach if you or someone close to you uses opioids.
How many overdose deaths happened in Ross County in 2024?
The Ohio Department of Health's 2024 overdose report counted 34 Ross County deaths, down from 49 in 2023 - an age-adjusted rate of 46.0 per 100,000. Statewide, fentanyl was involved in 69% of Ohio's 2,931 unintentional overdose deaths that year.
Does Ohio Medicaid cover fentanyl addiction treatment?
Ohio Medicaid covers medications for opioid use disorder, outpatient counseling, intensive outpatient treatment, residential care, and withdrawal management for eligible members. Both of Chillicothe's certified opioid treatment programs accept Medicaid, and board-funded providers in Ross County offer services based on need for the uninsured.