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."

It can be challenging for parents and caregivers to shield their children from bigotry and hatred online, but there are a few tips they can follow.

Lindsay Schubiner, Momentum program director at the Western States Center, said the work is especially crucial because white nationalist groups are using the internet to recruit people.

She pointed out young people are developing identities and ideas in relationship to everything around them, including what they see and hear online.

"As hate violence and threats to democracy continue and bigotry and conspiracy theories reach further into the mainstream, young people see that, and it has an impact," Schubiner asserted. "It's really important for parents and caregivers to provide an open space to critically examine what all of that means to them and to their future and to their values."

About 45% of middle and high school students said they have been the victim of cyberbullying, according to a survey from the Cyberbullying Research Center. The survey also showed cyberbullying has been increasing over the past decade.

Schubiner stressed vigilance is the first key to ensuring kids are staying safe online. She noted for example, hate groups use jokes minimizing violence, scapegoating or straw man arguments to manipulate people online, tactics she said both kids and parents need to be aware of.

"Helping them to recognize the kinds of strategies that are intended to influence them can be a really powerful way to push back against this," Schubiner emphasized.

Schubiner encouraged parents and caregivers to listen openly and non-judgmentally to their kids' about their online experiences. She cautioned cutting off access to friends or to the internet can backfire because many white nationalists manipulate followers into seeing it as evidence of "political correctness" and attempts to curb free speech.

Schubiner added a better approach is to enlist people your child trusts.

"Really lean on relationships and relationships that the young person has with either older peers or other adults who share inclusive and equitable values," Schubiner recommended.

A grim reminder is out - that Arizona could be doing more to keep its youngest residents safe and healthy.

The state's 29th annual Child Fatality Report says a total of 863 Arizona children died last year - and almost half of those deaths were considered preventable.

They include fatalities from abuse and neglect, COVID-19, drowning, firearm injuries - as well as substance-related causes, and sudden unexpected infant deaths. And all increased last year compared to 2020.

Dr. Mary Rimsza - the medical director of the Child Fatality Review program of the Arizona Chapter of the American Academy of Pediatrics and chair of the review team - said it's unusual to see such a substantial increase, but this tragic information is useful.

"Frankly," said Rimsza, "a major purpose of us doing this report is to identify preventable deaths and to make recommendations on how future deaths can be prevented. That is our mission."

The report says Arizona's child mortality rate increased 4.7% from 2020 to 2021, and it's higher among boys than among girls.

In 2021, 31 children's deaths were attributed to COVID-19, compared to 12 in 2020.

Another category with an alarming increase was drowning - the rate jumped 108%. And in substance-related deaths, poisoning was the leading factor.

Of the 49 child poisoning fatalities Rimsza said 46 were opiate overdoses, and fentanyl was responsible for 44 of them.

"The deaths due to fentanyl and other opiate overdoses, most all the opiate deaths in children were due to fentanyl," said Rimsza. "It is a huge problem in our state. It is a very tragic event - oftentimes, it could be the first time a young person tried a drug."

Rimsza added that the message to Arizona families is that there are many steps families can take to prevent a tragedy - from ensuring safe sleep environments for infants, to making sure pool areas are supervised and well fenced, to storing firearms safely and securely.

The report contains a full list of recommendations.

In just two months, it should be easier for providers of children's services in Pennsylvania's child-welfare and foster-care system to get the liability insurance they need. Governor Tom Wolf signed a bill into law that outlines who takes responsibility when an incident or accident occurs in the child-welfare system.

Some counties' contracts require the private children's service provider to take full responsibility, even when they are not at fault.

Samea Kim, vice president for Legal & Public Affairs at the Pennsylvania Council of Children, Youth & Family Services said as a result, the private providers have had trouble getting affordable, quality liability coverage - and this should make it easier for them to do so.

"This bill would allow the agency to take ownership of something that may have come up, if it was within the scope of what they did. Otherwise, if it was something related to the county, then the county would be able to take responsibility for their own actions," Kim said.

Kim added under the current system, providers were making insurance payouts even in cases when they were not at fault, because the county contract requires the provider to take liability. The new law goes into effect February 1. There are nearly 15,000 children in Pennsylvania's child-welfare system.

Laura Maines, CEO of Every Child, Inc., a nonprofit adoption and foster care organization based in Pittsburgh, said groups like hers have faced limited liability insurance coverage options and high premium costs, driven in part by the contracts that require private providers to indemnify government agencies in any situation. So, they advocated for House Bill 2214.

"This is about fairness," Maines said. "This is about accountability. This is really about partnership and service continuity. And so, what [HB] 2214 does is it says if there is any language in a public foster care contract or child welfare contract that seeks to transfer 100% of the risk to the private agency, it's unenforceable."

Maines added professional liability insurance protects the agency if something happens to a child and there is a claim brought against their agency.