From Scarce Resources to a Network of Hope: How Marion, Ohio, is Building a Stronger Future by Confronting Addiction and Mental Health Challenges.

 

A note from the Senior Editors:

An Exciting Note from the Original Marion Watch Core Team:

We recently had an insightful discussion with Mr. Walker focusing on a critical issue: the addiction crisis. Our conversation centered on analyzing current data trends in relation to the principles of the impactful Strongest Town Approach.

As many know, understanding the addiction crisis is foundational to Marion Watch’s work, as well as the betterment of the commUNITY.

Years of focus in this area have equipped us with substantial knowledge regarding the associated statistics and trends.

While we use the term ‘expert’ judiciously, our extensive experience provides a strong command of this subject.

We also want to share that after a necessary pause from our public-facing investigations due to family matters, we’ve re-engaged with the latest data. This took approximately two months of research and interviews on various subjects in this article. The information was then put together into the below article.

While we anticipated positive developments regarding the crisis, we wanted to confirm the precise statistical picture.

We are genuinely thrilled to report what we found. The data provides compelling, even overwhelming, support for the core principles and philosophy of the Strongest Town Approach. The alignment is clearer than we anticipated, and we are highly encouraged by these findings.

We look forward to hearing your feedback about this particular subject Marion!

-Marion Watch Core Team

Introduction:

For years, Marion, Ohio, like many communities across the nation, has been battling the intertwined epidemics of addiction and mental health crises. But beneath the surface of rising overdose statistics and strained social services, a compelling story of resilience and proactive change has been unfolding. This investigative delves into the transformation of Marion’s addiction and mental health service landscape from 2000 to 2024, revealing a community that, particularly in the last seven years, has embraced innovative, locally-driven solutions, echoing the core tenets of the “Strong Towns” philosophy.

 

While the increase of treatment centers, mental health services, and other services are present, it was efforts from folks like Ed McCants Brad Belcher, our teams, Bishop Rogers, and many other grass roots movements in cooperation with local government and agencies that really pushed to institute options, root out sources of the deadly drugs, and ensure that addicts knew that recovery is possible. Venues like the Central Ohio March Madness AGAINST Heroin and Addiction garnered national attention for Marion, Ohio. We the People are who reached out to show others the way out of the chains of addiction!

https://www.marionstar.com/story/news/local/2017/04/18/banner-boys-hope-score-recovery/100 598298/

 

 

 

 A “Strong Towns” Approach: The Basis for our Investigative:

The positive evolution of addiction and mental health services in Marion is not just about an increase in resources; it reflects a community embracing principles that align strongly with the “Strong Towns” framework, which emphasizes building financially resilient, human-scaled, and locally-driven communities.

• Human-Scale Development: Marion’s growing network of service providers, with multiple locations throughout the city, prioritizes accessibility for residents. This decentralized approach reduces the burden of transportation and makes help more readily available within the community, embodying the “Strong Towns” focus on building places for people, not just cars. The availability of home-based counseling further reinforces this principle by bringing support directly to those who need it most .

 

• Incremental Development: The growth in Marion’s services has been largely incremental and Building upon the foundational services that existed in the early 2000s, the community has strategically added resources and programs to address evolving needs, particularly the escalating opioid crisis. The emergence of specialized clinics and the expansion of existing services demonstrate a commitment to small, adaptive changes rather than relying on large, top-down solutions.

 

• Financial Productivity: While direct financial data is limited, the investment in addiction and mental health services in Marion has the potential for significant long-term financial benefits. By addressing the root causes of addiction and mental illness, the community can mitigate the substantial economic costs associated with untreated conditions, such as increased healthcare expenses, criminal justice involvement, and lost productivity . The pursuit of grant funding reflects a financially responsible approach to expanding services.

 

• Bottom-Up Solutions: The development of Marion’s services showcases a strong element of local empowerment. This includes a large group of community volunteers and grass roots organizations. The Crawford-Marion ADAMH Board, which oversees these services, operates under local leadership , ensuring that decisions are made with the community’s specific needs in Collaborative partnerships between local entities like Marion General Hospital and the Marion Public Health Department further exemplify this bottom-up approach. The presence of local support organizations like the Marion chapter of the National Alliance on Mental Illness (NAMI) highlights the active role of residents in shaping the support available in their community.
• Building Resilience: A robust addiction and mental health service infrastructure is a cornerstone of community By providing comprehensive support, Marion is working to mitigate social problems, improve public safety, and enhance the overall

well-being of its residents. Harm reduction initiatives, such as Naloxone distribution , directly contribute to saving lives and building a more resilient community capable of weathering challenges.

 

 

The Early Years: Laying a Fragile Foundation (2000-2016)

At the dawn of the 21st century, Marion’s infrastructure for addiction and mental health, while not entirely absent, was undeniably limited. Echoing the statewide system established decades prior, Marion likely relied on a local board to oversee community-based care. Resources in neighboring Crawford County around the same time point to the existence of crisis support services within Marion, and the Marion Area Counseling Center, a long-standing institution, had already been serving the community for over two decades.

 

However, the burgeoning opioid crisis cast a long shadow. While specific data for Marion in the early 2000s remains elusive, the national surge in opioid use likely strained the existing, potentially under-resourced, local services.

Residents describe a period where access to specialized care was difficult, waiting lists were long, and the comprehensive support systems needed to combat the growing crisis were simply not in place.

The Turning Tide: Seven Years of Transformative Growth (2017-2024)

The past seven years have witnessed a remarkable shift in Marion’s approach to addiction and mental health. Driven by necessity and a growing understanding of the profound impact of these issues on the community, Marion has seen a significant expansion of its service infrastructure.

 

One of the most visible signs of this change is the establishment of the BrightView Marion Addiction Treatment Center. This modern facility offers a comprehensive range of

evidence-based treatments, including medication-assisted treatment (MAT), individual and group counseling, and crucial social support services. Positive user reviews highlight the caring and professional staff, signaling a much-needed boost in accessible addiction care within the city.

 

The established Marion General Hospital has also stepped up its efforts, maintaining and enhancing its Mental Health Unit, providing vital assessment and treatment options. The hospital

 

offers a spectrum of care, from inpatient and outpatient services to a Partial Hospitalization Program, incorporating therapies like group counseling and cognitive behavioral therapy. In a significant move in June 2023, the hospital partnered with the Marion Public Health Department to launch a new Addiction Medicine Clinic. Fueled by federal grant funding, this clinic offers consultation services and has already connected with hundreds of patients, providing MAT and linking them to ongoing care. This collaboration exemplifies a proactive, community-focused response to the opioid crisis.

Beyond these key players, a network of other organizations continues to provide crucial support. Ohio Guidestone offers a wide array of mental health and addiction services for adults and youth, with options for both outpatient and home-based counseling. Community Counseling and

Wellness Centers, formed through a merger with the long-standing Marion Area Counseling Center, provides comprehensive behavioral health services, including crisis intervention. Marion Treatment Services focuses on outpatient treatment for opioid addiction, offering methadone and buprenorphine options. Spero Health offers evidence-based outpatient addiction medicine, including MAT and counseling. This diverse and expanding ecosystem of services signifies a dramatic increase in the resources available to Marion residents.

This period has also seen the rise of innovative programs. The Addiction Medicine Clinic at Ohio Health Marion General Hospital, funded by a federal grant, demonstrates a targeted approach to addressing the opioid crisis. Medication-Assisted Treatment has become a cornerstone of addiction care, offered by multiple facilities. Crucially, harm reduction initiatives have gained traction, with Marion Public Health actively distributing Naloxone, a life-saving opioid overdose reversal medication. The annual Recovery Revival event on Overdose Awareness Day further underscores the community’s commitment to harm reduction and support. Quantifiable data reveals the impact of these efforts, with Marion County’s mental health centers reporting a significant 35% increase in the number of people served since 2018. This translates to over 61,000 individuals receiving support in the past year alone.

Judge W. Tom Edwards: A Record of Success in Addiction Recovery and Judicial Leadership in Marion County:

Judge W. Tom Edwards of the Marion County Common Pleas Court has demonstrated significant dedication and achieved notable successes in both addressing the critical issue of addiction within his community and in his broader role as a judicial leader. A wide range of articles and social media posts exist regarding his accomplishments in these key areas, particularly focusing on the implementation of innovative programs like the drug court and his overall impact on the Marion County justice system.

Judge Edwards has been instrumental in establishing and actively managing specialized court dockets designed to combat addiction and support reintegration into society. He runs both the Common Pleas Court’s “Drug Court” and the “Re-Entry” programs, which are specifically tailored to assist individuals grappling with addiction to overcome their substance abuse and transition into productive, law-abiding lives, particularly after periods of incarceration. These initiatives, including a “revamped Drug Court,” offer crucial recovery services to Marion residents struggling with addiction and provide support to formerly incarcerated individuals as they

re-establish themselves within the community.

The fact that these dockets have earned certification from the Ohio Supreme Court underscores their adherence to recognized standards and best practices in addiction recovery, indicating a serious commitment to quality and effectiveness. This certification process likely involves a

 

rigorous evaluation of the program’s structure, staffing, curriculum, and outcomes, lending further credence to Judge Edwards’ efforts. The continuous improvement of the Drug Court, evidenced by its “revamped” status, suggests an adaptive approach, where modifications are made based on experience and evolving knowledge in the field of addiction treatment.

The Drug Court under Judge Edwards’ leadership is also known as the F.I.R.S.T. (Focusing on Individual Recovery, Success, and Treatment) Court. This name itself encapsulates the core objectives of the program, which extend beyond simply holding offenders accountable. Judge Edwards articulated that these courts play a vital role in enhancing public safety and generating significant cost savings for taxpayers.

Moreover, they offer a tangible pathway for individuals with severe addiction issues to achieve sobriety and become responsible and contributing members of the community. A particularly compelling indicator of the Drug Court’s positive impact is the fact that several of its graduates have gone on to become drug counselors themselves. This outcome not only demonstrates the transformative power of the program on individuals but also highlights its potential to strengthen the local support network for recovery. The program’s significance is further underscored by the support it has received from public officials, who have participated in its ceremonies.

Beyond the direct operation of these specialized dockets, Judge Edwards has also

demonstrated exceptional leadership in securing financial resources to support these and other court functions. He successfully obtained over $5.43 million in grant funds for the Marion Court system. These funds are instrumental in supporting the Marion County Adult Probation

department, which operates with an annual budget exceeding one million dollars. The allocation of these grants covers a wide range of essential services, including drug testing, electronic house arrest monitoring, provision of sober living housing, acquisition of Narcotics Anonymous literature, maintenance of department vehicles, and the salaries of probation officers. This proactive approach to securing funding not only ensures the operational viability of these critical programs but also alleviates the financial burden on local taxpayers, demonstrating responsible fiscal management. Specifically, the Drug Court and Re-Entry Court together bring $90,000 in grant funding to Marion’s justice system.

In addition to his significant contributions to addiction recovery, Judge Edwards has also served as the Administrative Judge of the Marion Common Pleas Court since January 2019. His continued tenure in this role, making him the longest-serving current judge of either division within the court , suggests a high level of confidence and trust placed in his leadership by his colleagues and the broader judicial system. As Administrative Judge, his responsibilities

encompass the management of the entire court, including oversight of the probation department, all court employees, and the court’s budget.

Under his administrative leadership, Judge Edwards has implemented several key initiatives aimed at enhancing the efficiency, security, and overall functioning of the court. He brought the Marion County Courthouse into compliance with Ohio Supreme Court security guidelines by introducing metal detectors for all visitors, a first in the court’s history, alongside the

implementation of numerous other security protocols. This demonstrates a commitment to ensuring a safe environment for all who interact with the court. Furthermore, he addressed the issue of jail overcrowding by revoking a long-standing “catch and release” order from 1999, effectively ending a “revolving door” within Marion’s justice system.

Other significant administrative actions include rewriting the Local Rules of Court, appointing defense counsel for arraignment hearings to safeguard the rights of the accused, and adopting

 

modern technologies like fax and e-filing, bringing numerous other updates to the court’s operations. These changes collectively point to a proactive and forward-thinking approach to judicial administration, focused on both operational effectiveness and the protection of individual rights.

Notably, during Judge Edwards’ first term, Marion County has experienced a significant reduction in crime rates. According to the police department’s annual report, between 2015 and 2021, there were substantial decreases across various crime categories, including an 80% drop in aggravated burglaries and burglaries, an 85% decrease in breaking and entering cases, a 49% reduction in theft, and a notable decline in the number of assault cases. This positive trend has continued into more recent times, with the Marion Police Department reporting further decreases in crime numbers during the first six months of 2024 compared to the same period in the previous year, including zero reported murders or manslaughters and fewer instances of aggravated assault, felonious assault, assaults, and domestic violence. Additionally, the county has seen a decrease in overdoses, with nine weeks in 2024 reporting no overdose incidents.

While a direct causal link between these reductions and Judge Edwards’ initiatives cannot be definitively established based solely on this information, the correlation suggests a potential positive impact of his efforts, particularly his focus on addiction recovery through the Drug Court and Re-Entry programs.

Beyond his administrative duties and his focus on addiction, Judge Edwards has maintained a significant and active presence in the courtroom. He has presided over thousands of both civil and criminal cases and has conducted more jury trials than any other judge in Marion during his tenure, including 22 in 2023 and 16 in 2022. This high volume of cases and jury trials underscores his extensive experience and active engagement in the judicial process. His

commitment to the community extends beyond the courtroom as well. Judge Edwards has shown a keen interest in the history of Marion’s Courthouse, built in 1884, and has spearheaded numerous restoration projects within the historic building, often providing tours to various

community groups. This demonstrates a broader commitment to the local community and its heritage. Furthermore, his decision to testify against another judge in both their criminal trial and the subsequent hearing regarding their law license, and his singular opposition to the

reinstatement of that license, highlights a strong commitment to judicial ethics and accountability within the legal profession.

Despite the fact that Edwards lost the most recent election to Todd Anderson in 2024, Judge W. Tom Edwards has demonstrated a strong and multifaceted record of success in Marion County. His proactive establishment and management of the Drug Court and Re-Entry programs, alongside his securing of significant grant funding, underscore his commitment to addressing the pervasive issue of addiction within the community. His leadership as Administrative Judge has resulted in notable improvements to court operations, security, and efficiency. The reported decrease in crime and overdose rates during his tenure, coupled with his active engagement in the judicial process and commitment to community and ethical standards, collectively paint a picture of a dedicated effective judicial leader who has made a significant positive impact on Marion County. Generations will exist because of the work of Judge Edwards and others.

Crime Statistics:

Aggravated Burglaries and Burglaries: 464 cases in 2015, 93 cases in 2021, representing an 80% decrease.

Breaking and Entering: 325 cases in 2015, 50 cases in 2021, representing an 85% decrease.

 

Theft: 957 cases in 2015, 486 cases in 2021, representing a 49% decrease.

Assault Cases: 255 cases in 2015, 126 cases in 2021, representing a 51% decrease.

Aggravated/Felonious Assault Cases: 46 cases in 2015, 27 cases in 2021, representing a 41% decrease.

Note: Data compiled from. Percentage decrease for Assault Cases calculated based on provided numbers.

Overdose Trends:

In 2019, Marion County, Ohio, had an overdose rate of 36.7 deaths per 100,000 population, which was higher than the Ohio state average of 27.9 per 100,000.

A video report indicated a 49% spike in fentanyl-related deaths in Marion County, Ohio, from 2021 to 2022.

In 2024, Marion County, Ohio, reported 16 fatal drug overdoses, a decrease from 45 deaths in 2023.

The Marion County Coroner’s Office (Ohio) began releasing quarterly overdose death reports in July of [2024], with the first report showing a nearly 30% decrease in overdose deaths compared to the same period in 2023.

Statewide data for Ohio consistently shows fentanyl as the primary driver of opioid overdose deaths, accounting for 81% in 2022 and 78% in 2023, suggesting a similar trend in Marion County.

Data on other synthetic opioid overdose deaths (excluding fentanyl) specifically for Marion, Ohio, is limited and may be overlapping with other substances found at the time of death.

Marion County, Ohio, had a higher rate of dispensed opiates per capita compared to the state average between 2009 and 2018.

Analysis of Overdose Trends

• Total Opioid-Related Deaths:

* 2015: 2,590

* 2021: 4,369

* Percentage Change: +68.7%

• Fentanyl-Related Deaths:

* 2015: 1,155

* 2021: 4,137

• Percentage Change: +258.2%

 

• Natural and Semi-Synthetic Opioid Deaths:
  • 2015: 667
  • 2021: 390
  • Percentage Change: -5%
• Heroin-Related Deaths:
  • 2015: 1,424
  • 2021: 159
  • Percentage Change: -8%
• Methadone-Related Deaths:
  • 2015: 108
  • 2021: 96
  • Percentage Change: -1%
• Total Unintentional Drug Overdose Deaths:
  • 2015: 3,050
  • 2021: 5,174
  • Percentage Change: +69.6%

 

 

Marion County Rate of Dispensed Opiates per Capita:

Between 2009 and 2018, Marion County consistently had a higher rate of dispensed opiates per capita compared to the Ohio state average .

In 2016, Marion County’s opioid prescription rate was 102.8 per 100 persons, significantly higher than the 2018 statewide average of 40.5 .

By 2018, Marion County’s per capita rate was 68.2, still exceeding the state average of 40.5 .

From 2019 to 2022, Marion County’s opioid dispensing rate per capita continued to be higher than the Ohio state average, although both showed a declining trend .

In 2019, Marion County’s rate was between 62.8 and 64.8, while the Ohio state average was approximately 50.8 per 100 persons .

Ohio implemented stricter opioid prescribing policies around 2019, which likely contributed to the observed decline in dispensing rates in both Marion County and the state .

 

Concise overview:

This information compares the rate at which opioid medications were dispensed per person in Marion County, Ohio, to the average rate for the entire state of Ohio between 2009 and the present day (April 2025). The analysis reveals that Marion County consistently had a higher rate of opioid dispensing compared to the state average in both the 2009-2018 and 2019-present periods. While both Marion County and the state have seen a decrease in these rates, especially after 2019 when stricter prescribing policies were introduced, Marion County’s rates have

remained significantly higher, suggesting a continued need for focused public health efforts in the county.

 

 

Insights from the Crawford-Marion ADAMH Board (Email Response from Bradley M. DeCamp)

Note: Regarding references to specific time periods, only one ADAMH employee has been with the team since 2009. The rest came in 2016 or later. Therefore, responses may not fully address time frames before 2016.

 

 

ADAMH

Board of Alcohol, Drug Addiction, and Mental Health Services

Bradley M. Decamp

Executive Director

 

Trend in Resource Availability: Have you observed a consistent and positive trend in the availability and quality of addiction and mental health resources recently, compared to the period from 2009 to roughly 2017?We seek specific examples of improved services or increased accessibility.

• Perhaps the most significant driver of increased accessibility was Medicaid Per the Health Policy Institute of Ohio, Marion County is in the highest percentage of expansion enrollment. Marion County Job and Family Services reports that 4,900 Marion County residents are enrolled in the expanded Medicaid group (VIII), and this accounts tor approximately $5 million ot provider spending per month, including mental health and addiction services. Given the current federal policy debate, this will significantly impact access to care if it goes away.
• State Opioid and Stimulant (SOS) Response Grant – The ADAMH Board was awarded funding to support multi-disciplinary approaches rooted in evidence-based practices to reduce the impact of opioid use disorder (QUO) and stimulant use disorder (StUD) in our board Specific services include prevention, medications for opioid use disorder (MOUD), residential treatment, recovery housing, peer support, case management, harm reduction, and employment services. The goals for the project are to increase retention in treatment, decrease the number of persons returning to jail due to new drug-related offenses, increase social connectedness through peer support, and increase stability in housing.
• Access to Wellness- These funds help provide recovery supports to adults involved with multiple systems to keep them in the community, in treatment, and divert from continuing to be hospitalized due to untreated mental health and/or SUD.
• Increased number of OhioMHAS treatment service providers in mental health and

 

 

Community Support: Can you describe instances where the Marion community has united to support individuals and families facing addiction and mental health challenges? We are looking for stories that illustrate the impact of local engagement.

• Marion County Family and Children First Council: No specific examples, but they regularly work with children and families involved in multiple systems.

Narcan training and distribution: We have partnered with Marion Public Health and conducted numerous trainings.

 

 

 

Serving the Citizens of Crawford and Marion Counties

Equal Opportunity Employer and Provider of Services

 

 

Successful Initiatives:

• Jail Medication-Assisted Treatment (MAT) Program: A partnership involving the Multi-County Correctional Center, Marion Municipal Court, Spero Health, and Provides MAT, intensive outpatient counseling, and life skills.
• Drug Free Marion: A Drug Free Communities Coalition funded by a five-year federal grant, using the Strategic Prevention Framework for community-level interventions to reduce youth substance use.
• Assisted Outpatient Treatment (AOT): Partnership with Marion County Common Pleas Family/Probate Court for mental health treatment for individuals with serious mental health
• Stepping Up: A partnership involving the Marion County Sheriff’s Office, Marion Police Department, courts, Third Street (formerly Marion Area Counseling Center), West Central Community Correctional Facility, and Focuses on strategies to keep individuals with mental health issues out of jail.
• Traumatic LOSS Team: Partnership between ADAMH and Delaware-Morrow Mental Health and Recovery Services Board, responding to deaths by suicide, overdose, or other traumatic causes.
• Expansion of Peer Support: Partnership between ADAMH Board and local agencies to use persons with lived experience to engage and help individuals in
• Specialized Dockets: Funding provided to support specialized dockets in Common

 

Pleas Family, Common Pleas General, and Municipal Courts.

Trend in Resource Availability (Since ~2017):

• Medicaid Expansion: Perhaps the most significant driver of increased accessibility. Marion County has a high percentage of expansion enrollment (4,900 residents in group VIII), accounting for approximately $5 million per month in provider spending, including

mental health and addiction services. Potential changes in federal policy could significantly impact this access.

• State Opioid and Stimulant (SOS) Response Grant: Funding awarded to the ADAMH Board for multi-disciplinary approaches (prevention, MOUD, residential treatment, recovery housing, peer support, harm reduction, ) to reduce the impact of opioid and stimulant use disorders. Goals include increasing treatment retention, decreasing recidivism for drug offenses, increasing social connectedness, and increasing housing stability.
• Access to Wellness: Funds help provide recovery support for adults involved with multiple systems to keep them in the community, in treatment, and divert them from
• Increased Number of Providers: An increase in OhioMHAS certified treatment service providers for mental health and SUD.

Community Support Examples:

• Marion County Family and Children First Council: Regularly works with children and families involved in multiple systems.
• Narcan Training and Distribution: Partnerships with Marion Public Health have resulted in numerous training.
• Drug Take Back Day: A long-standing consolidated event in partnership with MARMET, OhioHealth, Marion Litter Prevention, Aqua Ohio, Solid Waste District, MARCA, and
• Case Example 1: Coordinated intervention (treatment agency, law enforcement, hospital BHU) for an adult living in their car, now living mostly
• Case Example 2: Coordinated intervention (parents, law enforcement, NAMI, hospital BHU) for an adult exhibiting problematic behaviors at home, now living mostly independently with better quality of life.

Significant Positive Developments (Recent):

• Anti-Human Trafficking Coalition
• Marion County Suicide Prevention Coalition
• Drug Free Marion Coalition
• (See other initiatives listed above)

Economic Impact: A Complex Interplay

Understanding the economic impact of the addiction crisis and the subsequent growth of services is crucial. While specific documentation regarding the economic impact in Marion, Ohio specifically is difficult, broader data illuminates the significant financial toll of the opioid crisis.

Conversely, investing in treatment and recovery services can lead to long-term economic benefits. Economic data for Marion County shows fluctuations, but more recent data indicates a slight population decline alongside the interplay between these indicators and service evolution would provide a more complete picture, and may be published at a later date.

 

Conclusion: A Model for Community-Driven Change

Marion, Ohio’s journey offers a compelling case study in community-driven change. While challenges remain, the significant progress, particularly in the last seven years, demonstrates a commitment to building a stronger future. By embracing principles aligned with the “Strong Towns” philosophy—prioritizing human-scale development, fostering incremental growth, seeking long-term financial sustainability, empowering local solutions, and building community resilience—Marion is forging a path towards a healthier future. Continued dedication and collaboration are essential.

Going Deeper (For those who want a deeper understanding.)

The pervasive opioid crisis has significantly impacted communities across the United States, and Ohio has been particularly affected. Examining the evolution of local responses provides valuable insights. This report focuses on Marion, Ohio, analyzing improvements in addiction resources from 2009 to present, a crucial period capturing escalating opioid use and subsequent interventions. It also explores trends in overdose and crime statistics within Marion City and County. Understanding these trends alongside resource expansion offers a comprehensive picture. Marion County faced a higher rate of opiate dispensing compared to the state average, indicating a greater local need. The objectives are to detail advancements in services and analyze corresponding overdose and crime trends, considering community perspectives.

Evolution of Addiction Resources in Marion, Ohio (2009-Present):

Marion’s addiction resource landscape transformed significantly after 2009. While 2009 specifics are limited, established organizations like the Marion Area Counseling Center (serving over 45 years) played a foundational role.

Since then, Marion saw notable expansion and diversification:

• New Providers: Spero Health (evidence-based treatment, MAT), Brightview (medication management, counseling), Marion Treatment Services (outpatient

methadone/buprenorphine, counseling), First Step Recovery Center (holistic care) emerged. This signifies substantial growth in accessibility.

• Treatment Variety: Outpatient, intensive outpatient, MAT, individual/group counseling indicate a move towards comprehensive, personalized care.
• Healthcare Integration: Marion General Hospital’s Mental Health Unit provides an avenue for Marion Public Health’s Addiction Medicine Clinic highlights public health’s role.

Support services also grew:

• Organizations: Community Counseling & Wellness Centers, Ohio Guidestone offer mental health/SUD services. NAMI provides support and education.
• Peer Support: Emphasis increased, with providers like First Step Recovery Center and Spero Health offering peer programs.
• Crisis Lines: Pathways of Central Ohio 24 Crisis Line and the National Suicide & Crisis Lifeline enhanced immediate support access.

 

Prevention efforts are key:

• Youth Focus: Marion-Crawford Prevention Programs target middle/high school youth with initiatives like Teen Institute.
• Coalition: Drug Free Marion collaborates on prevention, advocacy, and This focus on youth indicates a proactive approach.

Harm reduction initiatives developed significantly:

• Naloxone Access: Marion Public Health is a Project DAWN site, providing free Naloxone and training, prioritizing overdose fatality prevention.
• Safe Syringe Program: Aims to reduce infection transmission among people who inject
• Data-Driven Action: The Overdose Data to Action (OD2A) grant (2019) supports using overdose data to inform efforts, reflecting a commitment to evidence-based These strategies reflect a public health approach prioritizing life-saving and minimizing negative consequences.

Community Perspectives on Impact:

[This section describes information from emails sent to community members/professionals asking about the biggest impact of resource improvements since 2009, adhering to local action/incremental progress principles. Anticipated feedback themes include increased access, reduced stigma, Naloxone impact, better coordination, and greater community awareness. This data proved to complement quantitative stats.]

Analysis of Overdose Statistics (2009-Present):

Analyzing overdose stats faces challenges in differentiating city/county data consistently. Potential sources include ODH, Marion County Public Health, news archives. Some data is county-level.

• County Level: Marion/Crawford counties lost an estimated 19,000 years of life to overdoses (2009-2018), underscoring the crisis’s profound Marion County had a higher opiate dispensing rate than the state average. A dramatic increase in overdoses/deaths occurred around 2020, partly linked to COVID-19 impacts (decreased service access, stress, isolation). Preliminary 2021 data suggested continued high rates.
• City Level: Marion PD reported investigating a heroin overdose death in Dec 2009. Project DAWN’s 2012 establishment was inspired by a 2009 Ohio overdose death, highlighting growing awareness.

While comprehensive year-by-year stats are incomplete, available data shows a significant, sustained opioid crisis impact, indicated by years of life lost, high dispensing rates, and the post-2020 surge. The 2009 city death shows challenges existed early on.

Analysis of Crime Statistics (2009-Present):

Obtaining consistently differentiated city/county crime data is also challenging. Sources include Marion PD reports, FBI UCR, MacroTrends, but availability varies.

 

City Level (Marion PD Reports):

• 2009: 42,053 calls for service, 526 felony cases submitted, 270 drug arrests, drug/pill seizures, >$13k cash seized, 1,511 domestic calls (144 DV charges), 98 sex offense investigations, 845 juvenile calls (937 charges), 141 OVI arrests, 7,081 traffic stops (3,454 citations).
• 2010: Increase in felony cases (536), doubling of drug cases prosecuted 2009, 121 DUI arrests, 354 assaults, 370 burglaries, 876 thefts.
• Homicide Rate (MacroTrends): Fluctuated 2001-2018. 79/100k in 2018 (down from 8.28 in 2017; 2017 was 200% increase from 2.76 in 2016).
• 2017: 329 juvenile arrest/charge cases (assault, DV, disorderly conduct, theft). MARMET Drug Task Force (County): 575 new drug cases, 518 indictments, significant heroin/cocaine/prescription drug seizures.
• Comparison: Marion violent crime rate 45/100k in 2018 vs. Columbus 494.75/100k.

Detailed PD reports show crime volume/nature. Homicide fluctuations may reflect various factors, potentially including opioid crisis impacts. County-specific crime stats are limited, and likely overlap with city data.

Alignment with Strategies Emphasizing Local Action and Community Resilience:

Marion’s resource evolution strongly aligns with strategies prioritizing local action and community resilience. Growth driven by local organizations, providers, and public health shows a

community-led response. Emergence of facilities, support services, prevention/harm reduction programs points to local commitment.

Incremental progress (gradual expansion/diversification since 2009) allows adaptation and potentially more sustainable solutions.

While not detailed, improved resources potentially boost financial resilience by reducing healthcare costs (addiction/overdose) and criminal justice costs (substance-related crime).

The community email responses reflect engaging residents in shaping their future, fostering collaborative approaches. The diverse, locally driven resource development resonates with building resilience through local action.

Conclusion:

Analysis reveals significant evolution in Marion’s opioid crisis response (2009-present). Substantial increase in availability/diversity of treatment, support, prevention, and harm reduction reflects dedicated local effort. The confirmation of the positive data in this investigative is a very pleasant surprise.

While overdose stats show persistent impact (recent surge), resource expansion (esp. harm reduction like Naloxone) offers potential mitigation. Crime stats show ongoing challenges, particularly drug offenses. However, the Marion City Police and Marion County Sheriff are combating these challenges vigorously and in cooperation with the community.

Future Focus Areas:

 

• Expand evidence-based treatment (incl. MAT).
• Strengthen prevention/early intervention (esp. youth).
• Enhance harm reduction (sterile equipment, fentanyl test strips).
• Improve data collection/analysis (differentiate city/county).
• Foster greater collaboration among

The community’s commitment to local solutions and resident engagement provides a strong foundation for a healthier, more resilient Marion.

 

 

Works Cited

Works cited

Ohio’s Opioid Epidemic And Crisis – White Light Behavioral Health, accessed March 15, 2025,

Ohio’s Opioid Epidemic: Challenges and Solutions in Addressing the Crisis

Record Surges in Opioid Overdoses Prompts AG Yost to Urge Vigilance – Ohio Attorney General, accessed March 15, 2025, https://www.ohioattorneygeneral.gov/Media/News-Releases/January-2021/Record

-Surges-in-Opioid-Overdoses-Prompts-AG-Yost

Opioid Epidemic in Ohio – Resources and Related Articles | OSU Extension, accessed March 15, 2025,

https://extension.osu.edu/about/resources/opioid-epidemic-ohio-%E2%80%93-os ue-taking-action/opioid-epidemic-ohio-%E2%80%93-resources-articles

Drug & Alcohol Addiction – Crawford-Marion ADAMH, accessed March 15, 2025, https://mcadamh.com/drug-alcohol-addiction/

First Step Recovery Center: Addiction Medicine: Reynoldsburg, OH & Marion, OH, accessed March 15, 2025, https://www.firststeprecoverycenter.com/

marionohiopolice.com, accessed March 15, 2025, https://marionohiopolice.com/wp-content/uploads/2015/08/2010-Annual-Report.pd f

marionohiopolice.com, accessed March 15, 2025, https://marionohiopolice.com/wp-content/uploads/2018/03/2017-Annual-Report.pd f

Columbus OH Crime Rate 1999-2018 – Macrotrends, accessed March 15, 2025, https://www.macrotrends.net/global-metrics/cities/us/oh/columbus/crime-rate-stati stics

Harm Reduction – Marion Public Health, accessed March 15, 2025, https://marionpublichealth.org/harm-reduction/

 

Top 15 Marion, OH Drug & Alcohol Rehab Centers 2025 – Addictions, accessed March 15, 2025, https://www.addictions.com/rehabs/ohio/marion/

Peer Support – Reynoldsburg, OH & Marion, OH: First Step Recovery Center: Addiction Medicine, accessed March 15, 2025, https://www.firststeprecoverycenter.com/services/peer-support

Marion-Crawford Prevention Programs – GuideStar Profile, accessed March 15, 2025, https://www.guidestar.org/profile/27-1358339

marionohio.us, accessed March 15, 2025, https://marionohio.us/sites/default/files/files/police_dept/2009%20Annual%20Rep ort.pdf

5 Best Alcohol and Drug Rehabs in Marion, Ohio 2025 – Addiction Resource, accessed March 15, 2025,

https://addictionresource.com/community/listing-tag/marion-ohio

Marion Treatment Services – Marion, Ohio – Addiction Resource, accessed March 15, 2025,

https://addictionresource.com/listings/marion-treatment-services-marion-ohio

Overdose Data to Action – Marion County Health Department, accessed March 15, 2025, https://marionhealth.org/od2a/

Addiction Treatment in Marion, OH – Spero Health, accessed March 15, 2025, https://sperohealth.com/locations/marion-oh/

Project DAWN – Ohio Department of Health, accessed March 15, 2025, https://odh.ohio.gov/know-our-programs/project-dawn/project-dawn

History of the Board System | Timeline | CCMHRSB – Columbiana County Mental Health, accessed April 6, 2025, https://www.ccmhrsb.org/about/history

Marion and Crawford County Resource Guides, accessed April 6, 2025, https://cms3.revize.com/revize/crawfordmarion/Resource%20Guides/Crawford%2 0County%20Resource%20Guide.pdf

Counseling/Behavioral Health – Crawford-Marion ADAMH, accessed April 6, 2025, https://mcadamh.com/counseling-behavioral-health

 

Opioid epidemic in the United States – Wikipedia, accessed April 6, 2025, https://en.wikipedia.org/wiki/Opioid_epidemic_in_the_United_States

Addiction Treatment Center | Accepts Medicaid | Marion, OH, accessed April 6, 2025,

 

https://www.brightviewhealth.com/locations/marion-addiction-treatment-center

BrightView – Marion, OH – Rehab.com, accessed April 6, 2025, https://www.rehab.com/brightview-marion-addiction-treatment-center-marion

BrightView Marion in Marion, OH – NCADD.org, accessed April 6, 2025, https://recovered.org/rehabs/brightview-marion-marion-oh

Marion General Hospital – Mental Health Unit – Marion, Ohio – Addiction Resource, accessed April 6, 2025,

https://addictionresource.com/listings/marion-general-hospital-mental-health-unit- marion-ohio

New OhioHealth Marion General Hospital Addiction Medicine Clinic Celebrates Patient’s Success, accessed April 6, 2025,

https://newsroom.ohiohealth.com/new-ohiohealth-marion-general-hospital-addicti on-medicine-clinic-celebrates-patients-success

‘You Saved My Life’: Marion Man Reunites With OhioHealth Substance Use Navigator, accessed April 6, 2025,

https://newsroom.ohiohealth.com/you-saved-my-life-marion-man-reunites-with-ohi ohealth-substance-use-navigator

Notice of Public Access to Records – Crawford-Marion ADAMH, accessed April 6, 2025, https://mcadamh.com/notice-of-public-access-to-records

Marion County Services, accessed April 6, 2025, https://mcadamh.com/marion-county-services

 

Morrow County | Southeast Healthcare – Ohio Department of Mental Health and Addiction Services, accessed April 6, 2025, https://mha.ohio.gov/wps/portal/gov/mha/get-help/treatment-services/coordinated- specialty-care-for-first-episode-psychosis/providers-by-county/morrow-county-so utheast-healthcare

Marion County | Community Counseling & Wellness Centers – Ohio Department of Mental Health, accessed April 6, 2025, https://mha.ohio.gov/wps/portal/gov/mha/get-help/treatment-services/coordinated- specialty-care-for-first-episode-psychosis/providers-by-county/marion-county-co mmunity-counseling-and-wellness-centers

Marion Area Counseling – Third Street Family Health Services, accessed April 6, 2025, https://thirdstreetfamily.org/campuses/marion-area-counseling

Community mental health centers make strides in addressing crisis in Marion

 

County – WFYI, accessed April 6, 2025, https://www.wfyi.org/news/articles/community-mental-health-centers-make-strides

-in-addressing-crisis-in-marion-county

Marion Treatment Services in Marion, OH | Suboxone® & Methadone Clinic, accessed April 6, 2025, https://pinnacletreatment.com/location/ohio/marion/marion-treatment-services/

Home | Marion AreaCounCenter – Wix.com, accessed April 6, 2025, http://www.maccsite.com/

Crawford-Marion ADAMH – Providing Help. Offering Hope, accessed April 6, 2025, https://mcadamh.com/

Ohio Addiction Research 2024: Abuse Facts, Overdose Rates, And…, accessed April 6, 2025, https://whitelightbh.com/resources/ohio-addiction-statistics/

Drug Overdose Death Statistics [2023]: Opioids, Fentanyl & More, accessed April 6, 2025, https://drugabusestatistics.org/drug-overdose-deaths/

History of the Board System | Timeline | CCMHRSB – Columbiana County Mental Health, accessed April 6, 2025, https://www.ccmhrsb.org/about/history

Marion and Crawford County Resource Guides, accessed April 6, 2025, https://cms3.revize.com/revize/crawfordmarion/Resource%20Guides/Crawford%2 0County%20Resource%20Guide.pdf

Counseling/Behavioral Health – Crawford-Marion ADAMH, accessed April 6, 2025, https://mcadamh.com/counseling-behavioral-health/

Opioid epidemic in the United States – Wikipedia, accessed April 6, 2025, https://en.wikipedia.org/wiki/Opioid_epidemic_in_the_United_States

Addiction Treatment Center | Accepts Medicaid | Marion, OH, accessed April 6, 2025,

https://www.brightviewhealth.com/locations/marion-addiction-treatment-center

BrightView – Marion, OH – Rehab.com, accessed April 6, 2025, https://www.rehab.com/brightview-marion-addiction-treatment-center-marion

BrightView Marion in Marion, OH- NCADD.org, accessed April 6, 2025, https://recovered.org/rehabs/brightview-marion-marion-oh

 

Marion General Hospital – Mental Health Unit – Marion, Ohio – Addiction Resource, accessed April 6, 2025,

https://addictionresource.com/listings/marion-general-hospital-mental-health-unit- marion-ohio/

 

New OhioHealth Marion General Hospital Addiction Medicine Clinic Celebrates Patient’s Success, accessed April 6, 2025,

https://newsroom.ohiohealth.com/new-ohiohealth-marion-general-hospital-addicti on-medicine-clinic-celebrates-patients-success/

“You Saved My Life’: Marion Man Reunites With OhioHealth Substance Use Navigator, accessed April 6, 2025,

https://newsroom.ohiohealth.com/you-saved-my-life-marion-man-reunites-with-ohi ohealth-substance-use-navigator/

Notice of Public Access to Records – Crawford-Marion ADAMH, accessed April 6, 2025, https://mcadamh.com/notice-of-public-access-to-records/

Marion County Services, accessed April 6, 2025, https://mcadamh.com/marion-county-services/

Morrow County | Southeast Healthcare – Ohio Department of Mental Health and Addiction Services, accessed April 6, 2025, https://mha.ohio.gov/wps/portal/gov/mha/get-help/treatment-services/coordinated- specialty-care-for-first-episode-psychosis/providers-by-county/morrow-county-so utheast-healthcare

Drug & Alcohol Addiction – Crawford-Marion ADAMH, accessed April 6, 2025, https://mcadamh.com/drug-alcohol-addiction/

Marion County | Community Counseling & Wellness Centers – Ohio Department of Mental Health, accessed April 6, 2025, https://mha.ohio.gov/wps/portal/gov/mha/get-help/treatment-services/coordinated- specialty-care-for-first-episode-psychosis/providers-by-county/marion-county-co mmunity-counseling-and-wellness-centers

 

Marion Area Counseling – Third Street Family Health Services, accessed April 6, 2025, https://thirdstreetfamily.org/campuses/marion-area-counseling

Community mental health centers make strides in addressing crisis in Marion County – WFYI, accessed April 6, 2025, https://www.wfyi.org/news/articles/community-mental-health-centers-make-strides

-in-addressing-crisis-in-marion-county

5 Best Alcohol and Drug Rehabs in Marion, Ohio 2025 – Addiction Resource, accessed April 6, 2025,

https://addictionresource.com/community/listing-tag/marion-ohio

Harm Reduction – Marion Public Health, accessed April 6, 2025, https://marionpublichealth.org/harm-reduction/

 

Marion Treatment Services in Marion, OH | Suboxone® & Methadone Clinic, accessed April 6, 2025, https://pinnacletreatment.com/location/ohio/marion/marion-treatment-services/

1. Tom Edwards Marion County Court of Common Pleas General accessed April 6, 2025

https://www.judicialvotescount.org/find-your-candidates/2024-general/marion/w-tom–edwards-2 980/

Re-Elect Judge Edwards accessed April 6, 2025, https://edwardsforjudge.com/

 

Community invited to celebrate F.I.R.S.T. court graduate’s accessed April 6, 2025, https://marioncountynow.com/news/277772-community-invited-to-celebrate-f-i-r-s-t-court-gradua tes-remarkable-recovery-journey-at-ceremony-hosted-by-judge-warren-t-edwards/