An evidenced-based social work model to help parents struggling with substance use stay connected to their children is offering hope to Ohio counties ravaged by the opioid epidemic.

A new survey of parents in predominantly Appalachian Ohio counties finds most had positive experiences with Ohio Sobriety Treatment and Reducing Trauma or "START."

Erin Mills, Ohio START family peer mentor for Summit County Children's Services, said the program uses a trauma-informed approach to help parents forge healthy relationships with their children, while voluntarily agreeing to enter a recovery program.

"It's an amazing tool within the community as we are facing this opioid epidemic," Mills asserted. "We have tons of children who are being displaced due to addiction issues."

According to the survey, many parents gave credit to Ohio START for helping them keep custody of or reunite with their children, and say their experiences led to a more positive perception of child protective services. According to 2022 state data, more than 5,000 residents died from drug overdoses and the majority of the deaths involved opioids.

Jen McClellan, Ohio START regional manager for the Public Children Services Association of Ohio, explained substance abuse in the home increases the odds of child abuse and neglect but pointed to research which shows removing children from their home and placing them in foster care can cause mental distress and in some cases, lead to worse outcomes.

She believes the program's success is driven by its use of peer mentors and wraparound services aimed at keeping parents and kids together safely.

"We use more intense practices, the family peer mentor is paired with a caseworker who serves the families together," McClellan explained. "And they see their families much more frequently than in a traditional Children's Services case."

Jessica Okolish, Ohio START family peer mentor for Summit County Children's Services, said the intensity and speed of recovery services to participating families can help set in motion positive changes, noting without the START network, parents could wait months for a bed in a recovery program.

"Another big thing is recovery coaches having a seat at the table to show the positive impact of peer support and that it works. I think Summit County has proven that." Okolish reported.

Most survey participants said the shared lived experience between family peer mentors and parents helped established trust and made a difference overcoming resistance in working with child protective services.

The California Parent and Youth Helpline turns five years old today - just in time for a brand new study that confirms its effectiveness.

The study, published in the Journal of Technology in Human Services, found that 85% of people felt more positive, calmer and less angry after calling in.

Lead author Elizabeth Harris, a sociology professor at Arizona State University, said that kind of result is rare in social science research.

"Parenting interventions are expensive and difficult to do," she said. "Most interventions take months to take effect, so to be able to do an effective intervention in 30 minutes, that's a big deal."

The data also show about one-third of callers improved significantly on the scale - meaning they either went from making all negative statements to feeling 100% neutral, or they started off neutral and said they felt "100% positive" by the end of the call.

Parents and youths in distress can reach a trained counselor at 855-427-2736, 12 hours a day, seven days a week. Or they can reach out online at CAparentyouthhelpline.org.

Smith said the data show the helpline is especially effective at making people feel heard.

"Fifty percent of people who are lonely and isolated in their parenting role, they feel less of that by the end of the call," she said. "So, it shows that in less than 30 minutes, it's possible for a trained counselor to make a measurable difference."

She explained that the research used what's called sentiment analysis and secondary qualitative analysis, and validates the approach taken by Parents Anonymous, the group that runs the helpline.

May is National Foster Care Month and In Pennsylvania, more than 15,000 children are waiting for foster families. Their advocates are urging more people to open their homes to help.

Carrie Eckhardt, assistant director of domestic services for Bethany Christian Services of the Greater Delaware Valley, said their goal is to support families and children through quality social services. She shared a quote from the mother of Elle, a girl from a tough background who is now thriving thanks to a foster parent who adopted her.

"She's made honor roll every quarter, tried out for and made a sports team at her school, enjoys her youth group, volunteers with a club of her peers and in our church," Eckhardt outlined. "She handles her homework, manages her emotions, completes her chores, fills up her social calendar. I'm just along for the ride, cheering her on."

Eckhardt pointed out the group focuses on child welfare, refugee help and keeping families together, and aims to have enough homes for the 200 foster care referrals it receives each month.

Diakon Adoption and Foster Care helps around 4,000 children a year in 30 Pennsylvania counties, including support after adoption through the Statewide Adoption Network. The Steel family has been fostering with Diakon for 12 years, caring for 21 kids.

Hannah Steel, an adoptive sibling, said in a Diakon-made video her adopted sister Maya struggled at first but is now doing well.

"When she first came to us, it was a little stressful and a little different for her," Steel recounted. "But as time progressed and everything, we all learned how to live together and understand each other. And I think for her, she's made it a long way."

Patricia Menow, senior director of permanency for Diakon, said they use social media and take part in community events to raise awareness about the ongoing need for foster families and to reach as many people as possible.

"We offer 'Triple P,' which is a positive parenting training program," Menow explained. "That's an ongoing program from the time they start coming through as a resource family, through while they are a foster family."

Alyssa Snyder, executive director of permanency for Diakon, said it is important to understand there is a great need for more foster parents and organizations like hers can support families of all types.

"There's no blueprint for this," Snyder acknowledged. "We support individuals who have this interest and ability, and the youth that are coming into care deserve to live in a family. So, we just want to encourage folks to consider that for all ages of youth."


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Ohio's child care system is under strain and a new national report highlighted how Medicaid helps support the workforce behind early childhood care, especially in rural communities.

Medicaid provides critical coverage for child care providers, many of whom are low-paid and often go without employer-based insurance.

Brittany Boulton, vice president of the policy and advocacy organization Groundwork Ohio, said it is especially vital for rural families.

"Cuts to Medicaid would make these problems far worse and leave thousands of Ohioans and rural families without access to coverage and care," Boulton pointed out.

A report by the Georgetown University Center on Children and Family Studies said 30% of children in rural Ohio rely on Medicaid for health coverage, placing the state among the top 10 nationally for rural child enrollment.

National experts warned access to health care is essential not only for children but also for those who care for them.

Daniel Hains, chief policy and professional advancement officer for the National Association for the Education of Young Children, said there is a clear link between health coverage and workforce stability. He noted about 16% of early educators lack insurance and those who do have coverage are more likely to stay in the field.

"We need more highly qualified, well-supported, well compensated early childhood educators, with 25+ percent of early childhood educators relying on Medicaid for their own health insurance," Hains noted. "With the critical supports the program provides for their education and for the children and families they serve."

Ohio's child care sector has lost nearly 6,000 workers since the pandemic began and Groundwork Ohio said access to Medicaid helps retain educators in a field facing critical staffing shortages.