This is Butler County's home for ending the Opioid Epidemic.



To prevent disease and injury, promote health and wellness, protect the environment, and achieve health equity


To create a healthy and connected community where residents can enjoy optimal physical, emotional, and environmental health


Build - We work with partners and stakeholders to meet the needs of our community to promote health equity.
Unity - We show support, courtesy, and understanding for all with whom we interact.
Teamwork - We capitalize on our collective differences, strengths, and perspectives.
Leadership - We are committed to developing a public health staff that exceeds core competencies and provides outstanding service to the community.
Excellence - We set goals and strive to achieve the highest quality of public health service through innovation and demonstration of outcomes.
Respect - We respect the diversity of those we serve and value the contributions made by all staff.


We are committed to ending Butler County’s opioid epidemic. On this website, you will find our latest data and helpful resources on ways to combat addiction. You can learn where to get naloxone, how to get into treatment and find events near you.

Learn about who we are, our plan to save lives and more. 
We all have a role to play in ending the Opioid Epidemic. What's yours?


Butler County is the 7th largest county in Ohio with a current population estimated at 390,357 per the most recent U.S. Census estimates. Butler County has ranked 7th for the state of Ohio for the number of unintentional overdose deaths.

• Butler County residents are more likely to die from unintentional drug overdose than a motor vehicle accident

• Many of these deaths are linked to overdose of prescription opioid painkillers

• In 2020, the Butler County age-adjusted death rate for unintentional drug overdoses deaths is 56.0 deaths per 100,000 population, compared to the state of Ohio for unintentional drug overdoses deaths of 45.6 deaths per 100,000 and the national rate of 14.6

What this measures: The percent change in opioid overdose ED visits by state

Why this matters: Between July 2016 and September 2017, Ohio experienced significant increase in opioid overdose ED visits—an increase of 25-49%.

Source: CDC's Enhanced State Opioid Overdose Surveillance (ESOOS) Program


Fentanyl-involved overdose deaths have increased significantly in Ohio since 2013.

• Fentanyl is a synthetic man-made opioid that is 50x more potent than heroic

• It's often prescribed in the form of patches, tablets, lozenges, or sprays.

• It can also be illegally manufactured and mixed into other drugs such as heroin or cocaine.


As Butler County moves on from the global COVID-19 pandemic, our attention must refocus on the opioid epidemic that ravaged our community prior, and in some ways, exacerbated the problem during and after the pandemic response. 

According to the United States Department of Justice, there were an estimated 100,306 drug overdose deaths in the United States during the 12-month period ending in April 2021, which was an increase of 28.5% from the previous year’s 78,056 deaths. While many associate drugs like fentanyl and methamphetamines as the main cause of overdose death, the national COVID-19 pandemic response unfortunately played a role in unprecedented social isolation, unemployment, and limited access to treatment. 

Butler County General Health District is committed to addressing and reversing this deadly trend by leading the community conversation, providing timely data and bringing together the needed community groups and resources.

Here’s how our county is saving lives and ending the Opioid Epidemic:


The Butler County General Health District along with the Butler County Mental Health and Addiction Recovery Services Board and Family and Children First Council coordinates the Butler County Prevention Coalition and Addiction Taskforce. The collaboration of partners that participate in this quarterly meeting are concerned prevention, treatment, harm reduction, and healthcare professionals, law enforcement officers, local officials, people in recovery from opioid use disorders, family members and others who endeavor to reduce the harmful effects of opioid misuse, abuse and overdose in our region.

The purpose of this coalition is to identify and develop resources in our area to prevent and address opioid misuse, addiction, treatment, stigma, and recovery needs of all people in our communities.

The coalition has aided in formalizing these collaborative relationships with the county health district and city officials through partnership agreements, inter-agency data sharing agreements, letters of support/ commitments, which outline and describe the cooperative roles and responsibilities of each partner to communicate closely; to collect, analyze, and share non-HIPPA protected data; to promote safe storage and disposal of medications; to inform the public about the availability of and provide education about the evidence-base of harm reduction services; and to prioritize naloxone education and distribution among high-risk individuals and their loved ones.

The Coalition is comprised of 6 different subcommittees
1. Prevention
2. Treatment/Recovery
3. Acute Care/ EMS
4. Cross Systems
5. Law Enforcement
6. Harm Reduction

With all of the collaborative effort within each of the subcommittees, the harm reduction team has done an outstanding job with providing a rapid, mobile outreach response to all communities affected by drug use. This team encourages harm reduction practices by ensuring that individuals in the community have access to fentanyl testing strips, naloxone, STI & HIV/AIDS testing, education, and referral to counseling and case management, Harm Reduction Services information, and safer sex materials. They utilize Power BI, which has a GIS mapping plug to determine high need areas which helps to establish where outreach services are necessary. All partners are trained in Motivational Interviewing to help propel clients towards health efficacy.

Thank You To Our Partners!

You can help us prevent opioid use in our communities. Learn what you can do to help.

See the Data

About the Data

Through Butler County’s collaborative partnerships, the Butler County General Health District has been able to gain a better understanding of how all partners can work together to end the opioid epidemic, especially through the establishment of the Butler County Overdose Fatality Review. The Butler County Coroner’s Office has played a vital and supportive role in providing comprehensive information regarding overdose fatalities, case demographics and primary substances responsible for the cause of death. Much success has stemmed from the support of the County Coroner’s office by helping to make connections with community partners. As a result, we have been able to join forces with several partners establishing and maintaining an OFR committee. Together, the OFR are working together to utilize this important data to meet people where they are at – saving lives, building community capacity and integrating care across the continuum of services.

Fatal Overdose data was obtained from the Butler County Coroner’s Office

Harm Reduction Services data was obtained from Access Counseling’s Regional Harm Reduction Collaborative Harm Reduction Services located in the City of Middletown and the City of Fairfield

Unintentional Drug Overdose Death data for Ohio was obtained from the Ohio Department of Health Violence and Injury Prevention Section, 2020 Unintentional Drug Overdose Annual Report

Drug-Related Death Rates for the entire United States was obtained from the Centers for Disease Controls’ Enhanced State Opioid Overdose Surveillance (ESOOS) Program

Opioid Prescribing data for Ohio was obtained from the Centers for Disease Control National Center for Injury Prevention and Control


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