Quick answer
Confirmed drug overdose deaths in Montgomery County fell about 39% in 2024, from 293 to 175, according to the county's Community Overdose Action Team. Dayton's ADAMHS board coordinates care from E. Monument Avenue, and Greater Dayton RTA's base fare is $2.40. Here is how to begin.
Last updated: Wed Oct 07 2026 00:00:00 GMT+0000 (Coordinated Universal Time)
Dayton sits at the center of Montgomery County, where overdose deaths have fallen faster than almost anywhere in Ohio: confirmed fatalities dropped about 39% in one year, from 293 in 2023 to 175 in 2024. The county's ADAMHS board still funds one of the state's largest behavioral health networks, the county remains a top-ten county for overdose ER visits, and an RTA ride starts at $2.40. Here is what to know.
What the county data show
Dayton is the seat of Montgomery County, which the Census Bureau's latest sub-county estimates put at about 537,443 residents, with roughly 136,346 in Dayton itself. The Montgomery County Community Overdose Action Team - which compiles data with the Montgomery County Coroner's Office - counted 176 suspected overdose deaths in 2024, with 175 confirmed as of April 2025, a 39% decrease from 293 in 2023. Deaths peaked at 566 in 2017, so 2024 is less than a third of the worst year.
Pressure remains. The COAT report places Montgomery County 4th of Ohio's 88 counties for overdose emergency-department visits in 2024 (1,049 visits) and 8th for the visit rate; statewide, the Ohio Department of Health's 2024 report shows 2,931 unintentional drug overdose deaths in 2024, down about 34% from 4,452 in 2023. Among 2024 deaths, whites accounted for 81% and Black residents for 18%, and the median age rose to 44.
Montgomery County's unemployment rate fell from 4.9% in August 2025 to 3.9% in August 2026 (preliminary) per BLS local area data.
Where treatment happens locally
The Montgomery County ADAMHS Board (409 E. Monument Avenue, Suite 102, Dayton, OH 45402; (937) 443-0416) plans, funds, and evaluates the county's behavioral health system through a network of organizations. The Ohio Department of Behavioral Health names Eastway Behavioral Healthcare and Samaritan Behavioral Health among the county's available providers, and the board's network spans outpatient counseling, crisis services, peer recovery support, and transportation help. The board also operates a suicide prevention line at (937) 226-0818 alongside 988.
For the full regional picture - detox, residential, outpatient, medication-assisted treatment - the SAMHSA treatment locator can be searched from any Dayton ZIP code and filtered by level of care and payment type.
Getting around Dayton
Treatment works on a schedule, and rides matter. The Greater Dayton RTA runs fixed routes across the region with a $2.40 base fare ($1.20 reduced for older adults, disabled veterans, and people with a disability) and fare capping through its Tapp Pay system - a daily maximum of $5.50 and a 31-day maximum of $70.00, so frequent riders never pay more than a pass would cost. Children 12 and under ride free. Ohio Medicaid members can also ask their plan about non-emergency medical transportation to covered appointments.
Paying for care
Ohio Medicaid covers substance use disorder services for eligible members - outpatient counseling, medication for opioid use disorder, and residential care when medically necessary - and Ohio expanded Medicaid in 2014. If you are uninsured, the SAMHSA National Helpline (1-800-662-4357) offers free, confidential referrals, and ADAMHS-funded providers in Montgomery County serve residents based on need.
Starting this week
- Emergencies: call 911. For a mental health or substance use crisis, call or text 988.
- Call or text (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.
- Contact the Montgomery County ADAMHS Board at (937) 443-0416 (weekday hours) to be pointed at the county's funded network.
- Search findtreatment.gov from your Dayton ZIP code, and ask RTA or your Medicaid plan about rides.
Montgomery County cut its overdose deaths by more than a third in a single year - proof that treatment reaches people here. The network exists and the buses run - the next step is one phone call.
Treatment by substance in Dayton
Questions about rehab in Dayton
How many overdose deaths happened in Montgomery County in 2024?
The Montgomery County Community Overdose Action Team (COAT) reported 176 suspected drug overdose deaths in 2024, with 175 confirmed as of April 2025 - a 39% decrease from 293 confirmed deaths in 2023. Deaths peaked in 2017 at 566. Montgomery County still ranked 4th of Ohio's 88 counties for the number of overdose emergency-department visits in 2024 (1,049 visits).
What does the Montgomery County ADAMHS Board do in Dayton?
The Montgomery County Alcohol, Drug Addiction and Mental Health Services (ADAMHS) Board plans, funds, and evaluates behavioral health services through a network of local organizations. Its office is at 409 E. Monument Avenue, Suite 102, Dayton, OH 45402, and the main phone number is (937) 443-0416.
Which treatment providers serve Dayton?
The Ohio Department of Behavioral Health lists Eastway Behavioral Healthcare and Samaritan Behavioral Health among Montgomery County's available providers, and the ADAMHS network funds outpatient, crisis, and recovery services across the county. For a full list of licensed providers, search the SAMHSA treatment locator from a Dayton ZIP code.
Does Ohio Medicaid cover addiction treatment in Dayton?
Ohio Medicaid covers substance use disorder treatment for eligible members, including outpatient counseling, medication-assisted treatment, and residential care when medically necessary. Ohio expanded Medicaid in 2014, so many low-income adults qualify. Confirm your enrollment and covered services before booking.
Is it safe to stop drinking or using benzodiazepines on my own?
No. Stopping alcohol or benzodiazepines abruptly after heavy, regular use can cause dangerous withdrawal and should be done with medical supervision. In an emergency, call 911; for a mental health or substance use crisis, call or text 988.