COLUMBUS, Ohio – An innovative program that helps heal Ohio families torn apart by addiction is expanding once again.

The Public Children Services Association of Ohio oversees the Ohio START program; START stands for "Sobriety, Treatment, and Reducing Trauma."

It was launched in 2017 to tackle the rising number of kids in need of foster care. According to Program Director Fawn Gadel, the program focuses on both the parents' and child's trauma.

"We take a holistic approach to treating the family for the issues that have come to arise because of the parents substance use disorder, which really is a game-changer," Gadel said.

Family Peer Mentors make up a key aspect of the program, as people who have personal experience with addiction and children's services, and are now in long-term recovery.

As a Family Peer Mentor in Pickaway County, Sarah Rapp knows that she offers a unique perspective on how addiction drives behaviors and decisions.

"It doesn't mean that they don't love their kids, it doesn't mean that they don't want to change," Rapp said, "but how to do it, and how not to judge them so hard to where they just want to give up."

Ohio START is expanding to 14 more counties, bringing the number to 46. State leaders expect to expand the program to a total of 62 counties in the next two years.

As state attorney general, Gov. Mike Dewine helped bring the program to Ohio, and continues to support and fund its expansion.

Gadel said getting parents into treatment quickly is the first step on the road to recovery.

"We strike while the iron's hot, giving the parent the most amount of time that they can have to get those recovery services underway," she explained, "and continuing on until they are healthy, and a safe option for those kids, is really making a difference."

Rapp added that she's looking forward to mentoring more people as her first client graduates from the program.

"It just means a lot when you can help somebody make a total change in their lives," Rapp said. "She has her kid back, she has a job, she's getting housing. She's really doing good."

Ohio START has served nearly 900 adults and 390 children since 2017. The program receives a national award today (Wednesday) from the Addiction Policy Forum at a ceremony at the Statehouse.

Young people in the Commonwealth were already exposed to sports betting even before it was made legal last month. So, what will Massachusetts do to keep kids from gambling?

Television ads for sportsbooks in neighboring Connecticut, New Hampshire and Rhode Island air regularly during Red Sox and Patriots games. Enticing ads on social media offer free play, claim to be "risk-free," and promote gambling as a fun and even useful skill to have.

Marlene Warner, executive director of the Massachusetts Council on Gaming and Health, said more ads will soon be everywhere, and state regulators need to consider the cumulative impact on kids.

"When you see top-level athletes and actors promoting these brands -- and we're talking about the Michael Jordans, the Jamie Foxes of the world, that are well known to kids -- that's of some dramatic concern," Warner contended.

Warner also worries about the availability of sports kiosks to place quick bets, and the expansion of sports betting at racetracks and casinos, where some teens can often pass for the legal age of 21.

The National Council on Problem Gambling reports 60%-80% of high school students say they have gambled for money in the past year, making them a top priority for safeguards as the state expands access to sports betting.

Warner thinks regulators should pay special attention to esports betting, which she argued is particularly appealing to teens. She noted while most sports betting operators are good about keeping kids off mailing lists and directing ads away from youth, not all affiliates and vendors tied to those companies are as careful.

"There are linked efforts through places like Reddit, or various other platforms, where they have a lot less control," Warner explained. "These affiliates or vendors, they have a lot of power to influence kids."

Research estimates 4%-6% of high school students are addicted to gambling, mostly sports betting.

Massachusetts promotes online tools to help gamblers know when to "say when," including GameSense and PlayMyWay. But Warner urged for now, it is important to let kids be kids, and wait until they are of legal age before they are taught how to gamble.

September is National Recovery Month, and a program in Ohio is showing success in healing families who have struggled with addiction.

Ohio START (Sobriety Treatment and Reducing Trauma) focuses on families experiencing child maltreatment and substance use disorders. Children Services caseworkers, behavioral health providers, and Family Peer Mentors work in tandem to get them the support they need.

Donna, in Summit County, struggled with addiction and lost custody of her two older sons over drug charges. She explained that when she found out she was pregnant again, she knew she needed to make a change and sought help.

After spending time in a court-ordered treatment center, she joined the Ohio START program.

"They helped me a lot," said Donna. "They helped me get my place. They're really work well as a team. They're caring and want to see us do good. They just ain't in it for a paycheck."

She said she's been in recovery for 17 months, is working and has her son back.

Ohio START, now in its fifth year, started with 17 counties and has since expanded to 54. More than 1,000 families have been served, with 121 successful case-plan completions in 2021.

The Family Peer Mentors have lived experience with addiction and the child welfare system. Khala, who is also from Summit County, said hers provided hope and motivation as she worked on sobriety and parenting.

"I know my recovery coach has multiple years sober, but she had also lost her kids to Children Services years ago," said Khala. "And so, just having somebody to talk who's been through it and knows exactly where you're coming from."

Training and certification to become a peer recovery supporter is done through the Ohio Department of Mental Health and Addiction Services. Khala said her experience with Ohio START showed her that the goal of Children Services is to keep families together.

"They don't believe that your kids would be better off with somebody else, as long as you're doing the right thing," said Khala. "That's the only thing - like, if you are doing the right thing, you will get your kids back. Don't give up hope, because there are people out there who absolutely believe in you."

In early August, fall registration opens at several South Dakota locations offering a national program geared for grade-school-age girls. It combines social and emotional skill building with physical activity.

Girls on the Run is a nonprofit, which built the youth development curriculum. It is carried out by roughly 200 councils in North America, with trained volunteer coaches leading spring and fall seasons.

Jasmina Nelson, program coordinator for South Dakota for the group, said they want to help the target age group navigate new situations they encounter, such as bullying.

"We want the girls to understand that who they are is very unique and special and that they should be confident in who they are and their unique abilities," Nelson explained.

This after-school activity lasts for 10 weeks, capping the season off with a noncompetitive, celebratory 5K run. There is a registration fee, but organizers say they are willing to work with families on overcoming any cost barriers to ensure access to the program. The South Dakota locations with upcoming registration can be found on the local chapter's website.

Nelson pointed out they also thrive on volunteers and encourage interested adults to learn more about helping out. She added the running component is just a catalyst for the mission, and the girls are not pressured to become track stars.

"It's all about the movement," Nelson noted. "They can hop, skip, jump all the way across their finish line, or they can run whatever their pace is."

The program is designed for girls in grades 3-8. Most of South Dakota's sites are for the younger grade levels. A study by the University of Minnesota found 85% of program participants improved in areas such as confidence, caring and connection to others.