Appalachian Ohio sits above the state average for prescribed painkillers.
Muskingum County Behavioral Health's Steve Carrel said the higher than normal numbers could partly be due to pill mills.
"Part of the problem for Appalachian Ohio was the pain mills of Southern Ohio," said Carrel. "Many of whom are out of business. I saw a chart that shows the largest drop in prescribed opiates is actually in Southern Ohio where those clinics were."