Youngstown’s economic collapse and the opioid crisis arrived together — Live Now Recovery is part of the recovery.

Mahoning County has one of the highest overdose death rates in northeastern Ohio, compounded by decades of deindustrialization that left Youngstown with high unemployment, social stress, and limited healthcare infrastructure. The city has fewer MAT providers per capita than Cleveland or Columbus, making the search for treatment especially difficult for residents without transportation or insurance. Live Now Recovery’s harm reduction supply layer maps every free naloxone distribution point, clean syringe exchange, and telehealth MAT option in Mahoning County. The platform’s Census Social Stress Layer applies a 1.15x risk multiplier to Youngstown’s highest-stress ZIP codes, surfacing them on the Sentinel heatmap for targeted outreach. Peer support stories from the Citizens Hub give Youngstown residents something no government database can: proof that recovery happens here, in this city, in this community.