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.

Michigan is taking steps to improve the child welfare system for National Foster Care Month.

In Michigan, nearly a quarter of young people who are in foster care at age 17 experience homelessness by the time they turn 19, and it jumps to about a third by 21. And unemployment rates for former foster youths are 2.5 times higher than the general youth population.

Demetrius Starling, executive director of the state's Children's Services Agency, said things such as wraparound and mental-health services have not always been available to families and kids in a timely manner.

"We're looking at permanency, we're looking at ways to wrap services around our families and communities and keep kids safely at home if at all possible," Starling explained. "But also, we're really looking to make sure that we keep siblings placed in foster care together, and also limit the time that children are spending in foster homes."

The steps build on reforms that have been in progress for more than a decade, after a national advocacy group filed a class-action lawsuit in 2006 alleging constitutional and federal law violations regarding permanency of foster placements, lack of proper medical and dental care and few supports for those aging out of the system. Since then, there have been multiple consent decrees to make improvements.

Starling added National Foster Care Month is also a time to encourage individuals and families to consider fostering a child.

"Michigan right now has approximately 10,500 children in foster care at any given time," Starling reported. "So we truly need foster families to keep these children safe, and to care for them until they can be returned to their family, which of course is our priority."

He noted people who are interested can call one of the state's foster-care navigators, at 855-MICH-KIDS. He said navigators are experienced in connecting potential foster families with the right agency and any guidance they may need.

May is National Foster Care Month, and groups that serve foster youths and families say improvements are needed for outcomes and to reduce disparities for those aging out of care.

Roughly 40% of youths who age out will experience homelessness within a year, and about half of foster children in the Commonwealth identify as Black or Latino. The median income for former foster youths up to age 26 is less than $9,000 a year.

Shaheer Mustafa is the CEO of HopeWell, which provides comprehensive foster-care services to families and young people throughout the system. He said the point of transition from foster care to adulthood is key.

"Our brains aren't even fully developed until we're in our late 20s, arguably even into our 30s," said Mustafa. "So we need to listen to young people, and we need to give them latitude to kind of experiment and make mistakes. And unfortunately, our system doesn't really allow for that."

Mustafa said Massachusetts does have what's known as extended foster care, but there are many hoops to jump through, and more accessible supports are needed. There are more than 9,500 kids and teens in foster care in the Commonwealth.

Mustafa pointed to data showing a quarter of young people who have experienced foster care will be incarcerated, more than half will drop out of high school and fewer than 5% earn a postsecondary degree.

He said the support network for young people aging out of care needs to be broader than just the child welfare system.

"In a place like Massachusetts," said Mustafa, "where we have really arguably the world's epicenter for postsecondary institutions, we do not have campus-based supports - specifically for youths who have aged out of foster care."

He added that HopeWell has a program called My First Place, which offers former foster youths rent-free apartments while they identify, plan for and work to achieve their long-term goals.

While workforce shortages are plaguing nearly every field these days, the stakes are particularly high for Ohio's county children's services agencies.

The pandemic exacerbated turnover, as about 38% of Ohio child-protective services workers left their positions in 2020.

Matthew Tracy, ongoing social worker for Licking County Job and Family Services, explained much like first responders, caseworkers serve communities around the clock and are called to support families and keep children safe, often during traumatic moments.

"We're meeting them at their worst place, at their worst spot," Tracy pointed out. "It's very difficult to process at times."

Stephanie McDaniel, family services supervisor for Athens County Children's Services and a native of southern Ohio, enjoys giving back to her community, and while turnover increases stress, she explained her co-workers and the families she serves are what keep her motivated.

"My team's very tight, and having somebody to talk with is just really key," McDaniel emphasized. "Trying to remember why we are doing this. We want children to grow up in healthy and happy households. "

Research shows turnover is costly to taxpayers and can lead to children lingering in foster care.

Tracy argued if more workers can be hired and individual caseloads reduced, agencies could better serve the needs of children.

"Because we can actually spend more time with these families, you're going to have a lot better outcome of kids going home or getting home sooner, but also safely," Tracy contended.

McDaniel said caseworkers, just like parents, want what is best for the child.

"When we have a family that doesn't see us as scary or threatening, when they work alongside us, we have more success," McDaniel observed. "We want to build a network and a team around a family in order to help them be successful. "

She added their goal is to find permanency for children, whether through reunification with a parent or placement with a relative or other caregiver.