Trumbull County’s Warren is a northeastern Ohio epicenter — economic collapse and opioids arrived together.

Trumbull County has one of the highest overdose death rates in northeastern Ohio, and Warren sits at its center. Like Youngstown to the south, Warren’s economic trajectory over the past three decades — plant closures, population loss, concentrated poverty — tracks almost perfectly with rising overdose rates. The research is clear: economic despair and substance use disorder are linked. The WARN Act economic shock data built into the Sentinel Prediction Engine flags Warren’s ZIP codes when new layoff filings appear, elevating outreach priority 30 days before the economic shock fully hits. Live Now Recovery maps every MAT provider and harm reduction resource accessible to Warren residents, including mobile and telehealth options for people without transportation.