This research began with identifying an expert panel of professionals in Ashland County and facilitating an informational focus group on the perceived scope of heroin/opiate abuse within multiple social services, community intervention and support programs. Seven general findings emerged: 1. The overall total number of clients/cases/patients in the system has remained stable over the years; however, the proportional number of clients abusing opiates has increased. 2. That virtually every person abusing opiates enters their respective system at one point or another. 3. Only a small percent remain active with more than one system while engaged in opiate treatment. 4. Multiple systems refer people for opiate treatment – however, follow through rates vary. 5. There are a large number people in Ashland County using pain killers; however, the progression to abusing opiates or using heroin is unknown. 6. The answer to the opiate problem involves a multifaceted approach and 7. There is no easy solution to the opiate/heroin problem. Finally, findings from this research allowed for the development of an opiate/heroin expectancy forecasting program by county in Ohio.