Ohio’s 32 Appalachian counties wrap from the southwestern edge of the state, all the way around the eastern border, from Clermont County up to Ashtabula County. Of those, Scioto, Athens, and Noble County are considered by the commission to be economically “distressed,” with 15 other counties considered “at risk,” including Highland, Adams, Pike, Vinton, Jackson, Lawrence, Gallia, Morgan, Monroe, Guernsey, Coshocton, Jefferson, Mahoning, Trumbull, and Ashtabula.