![]() ![]() ![]() It is a federally designated Appalachian Region and is struggling with many of the same economic and educational deficits found in other Appalachian regions of the state. ASHTABULA COUNTY MENTAL HEALTH AND RECOVERY SERVICES BOARDĮNVIRONMENTAL CONTEXT, SOCIAL DETERMINANTS OF HEALTH, DISPARITIES, AND NEEDS ASSESSMENTĪshtabula County is the northeastern most county in the state of Ohio, encompassing 702 square miles, and is the largest county in Ohio by area.
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