Quick answer
Methamphetamine is a growing share of Mahoning Valley overdoses: it was listed as a contributing substance in 15.1% of Mahoning County's preliminary 2025 deaths, and next door in Trumbull County it rose from 16% of overdose cases in 2024 to 26% in 2025. There is no FDA medication for stimulant use disorder, but behavioral treatment works.
Methamphetamine is the quiet riser in the Mahoning Valley. It was listed as a contributing substance in 15.1% of Mahoning County's preliminary 2025 overdose deaths, and in neighboring Trumbull County - inside Youngstown's 30-mile service area - it jumped from 16% of overdose cases in 2024 to 26% in 2025. Nationally, meth taken alone or with fentanyl is now a central part of the overdose crisis. There is no FDA-approved medication for stimulant use disorder, but structured behavioral treatment works. Here is what the local data shows and how to start.
What the Mahoning Valley numbers show
Two county-level data points frame the problem:
- Mahoning County: preliminary 2025 data reported through the Mental Health and Recovery Board list methamphetamine at 15.1% of contributing substances in overdose deaths, behind fentanyl and cocaine (69%) but ahead of heroin (3.4%). County deaths fell to 64 in 2025, down from 94 in 2024 - but the meth share of what remains is growing.
- Trumbull County: at the county's Overdose Awareness Day events, officials from the Trumbull County Mental Health and Recovery Board reported meth was detected in 16% of overdose cases in 2024 and 26% in 2025 - the sharpest rise of any substance they track.
Statewide, the Ohio Department of Health reported psychostimulants such as methamphetamine were involved in 29% of 2024 unintentional overdose deaths (841 deaths), and 68% of those deaths also involved fentanyl.
What treatment actually looks like
SAMHSA's Treatment for Stimulant Use Disorders guidance is clear: no FDA-approved medication exists for methamphetamine use disorder. What has the strongest evidence is contingency management - a structured program where verified stimulant-free samples and treatment attendance earn concrete incentives. Cognitive behavioral therapy, the community reinforcement approach, and motivational interviewing round out the evidence base.
That structure matters most in the first weeks, when meth withdrawal brings deep fatigue, depression, and strong cravings. A program that combines contingency management, counseling, and recovery housing can hold a person through that stretch. If opioids are in the picture - and with fentanyl in 68% of state psychostimulant deaths, they often are - medication for opioid use disorder can start at the same time.
Where to find treatment near Youngstown
The SAMHSA locator lists 47 substance use treatment facilities within 30 miles of downtown Youngstown, including 9 offering detoxification, 11 with residential programs, and 40 offering outpatient care. Counts change as programs open and close, so confirm current options on the locator.
Meridian HealthCare, a Youngstown provider with 50 years in the Valley, offers outpatient and intensive outpatient care, residential treatment, and medication-assisted treatment at its Meridian Campus, 527 N. Meridian Road. The Mahoning County Mental Health and Recovery Board funds services based on ability to pay, which matters if you are uninsured.
Naloxone still matters for stimulant users
The most common way meth becomes lethal in this region is in combination with fentanyl - bought that way, mixed that way, or taken together on purpose. Because you cannot see what is in a bag or pill, carry naloxone even if you think you only use stimulants. It is distributed free through Ohio's Project DAWN program and local partners including Mahoning County Public Health, and it is sold over the counter at pharmacies. Naloxone will not harm someone who is not overdosing.
If someone is unresponsive, breathing slowly, or seizing, call 911 first. For a crisis that is not a medical emergency, call or text 988.
How to start today
- If someone is overdosing, call 911 now and give naloxone. For a crisis, call or text 988.
- Call or text (800) 653-9376 to speak with a treatment specialist, or use this form:
Calling is free; the referral service is paid for by treatment providers, and we check your benefits before you commit.
- Search findtreatment.gov with a Youngstown ZIP code such as 44506 and filter for outpatient or intensive outpatient care.
- When you call a program, ask directly whether they offer contingency management or stimulant-specific counseling, and whether they can treat opioid use alongside it.
Methamphetamine use disorder is treatable, and people do recover from meth. The assessment is free to ask for and takes one conversation to begin.
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 common is methamphetamine in Mahoning Valley overdoses?
Preliminary Mahoning County data reported by the Mental Health and Recovery Board list methamphetamine as a contributing substance in 15.1% of 2025 overdose deaths. In neighboring Trumbull County - part of Youngstown's 30-mile service area - officials reported meth was detected in 16% of overdose cases in 2024, rising to 26% in 2025.
Is there a medication that treats methamphetamine addiction?
No. The FDA has not approved any medication for stimulant use disorder. SAMHSA's Treatment for Stimulant Use Disorders guidance says contingency management - incentives for verified stimulant-free samples and treatment attendance - has the strongest evidence, with cognitive behavioral therapy and motivational interviewing also supported.
How many treatment facilities are near Youngstown?
The SAMHSA FindTreatment.gov locator lists 47 substance use treatment facilities within 30 miles of downtown Youngstown, including 9 offering detoxification, 11 with residential programs, and 40 offering outpatient care. Counts change as programs open and close, so confirm current options on the locator.
Why does meth mixed with fentanyl change the risk?
The two drugs are increasingly found together in the supply, and a person who thinks they only used meth can still suffer an opioid overdose. Statewide in 2024, 68% of deaths involving psychostimulants such as methamphetamine also involved fentanyl, according to the Ohio Department of Health - which is why carrying naloxone matters even for stimulant-only use.
Where can I get help right now in Youngstown?
In a medical emergency, call 911. For a mental health or substance use crisis, call or text 988, or call the Help Network of Northeast Ohio at 330-747-2696, available 24/7. You can also call or text (800) 653-9376 to speak with a treatment specialist who can check your coverage and find an opening.