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."

Indiana's third grade reading scores show progress but gaps remain.

The latest IREAD3 results show about 82% of students passed in 2024, up slightly from the year before. But scores are still below pre-pandemic levels. Special education students, English learners, and low-income children struggle the most.

Tami Silverman, president and CEO of the Indiana Youth Institute, said early childhood shapes literacy skills and many Indiana children lack access to quality early learning.

"We know that 27 of Indiana's 92 counties had proficiency levels below the state average," Silverman observed. "That's actually up from prior years, so that's five more than what it was."

Several programs help close gaps, including On My Way Pre-K, which gives low-income children access to preschool, Reach Out and Read Indiana promotes early reading and Dolly Parton's Imagination Library sends free books to kids. A $9.5 million Lilly Endowment grant will expand after-school and summer reading programs.

Indiana is aiming for 95% reading proficiency by 2027 but Silverman pointed out financial struggles create more barriers.

"Some of those financial hardships bring on stressors like food insecurity, housing instability," Silverman outlined. "All of those things inhibit early learning, including but not limited to literacy."


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Hoosier teens are nearly 3% more likely to have used cocaine, methamphetamines or heroin than other teens nationwide, according to the National Center for Drug Abuse Statistics, and the types of drugs they choose are producing deadly side effects.

Indianapolis-based nonprofit Overdose Lifeline partners with other states to offer substance use prevention education programs.

Justin Phillips, founder and CEO of Overdose Lifeline, said young people are sharing prescription drugs like Adderall and Xanax with their peers and dying from suicide and overdoses at alarming rates. She stressed the numbers are preventable.

"Onset can be as early as 12, and it varies according to the substance that they're using," Phillips reported. "We have a lot of challenges around vaping right now, which is a nicotine and/or a cannabis vape."

Philips advocates for early intervention when abuse is identified to help prevent it from becoming chronic. She added research has shown when a substance is introduced to the brain before age 15, it is five times more likely to alter the brain structure and create an addiction.

Last year, more than 700 Hoosiers of all ages died of drug-related overdoses. Although rare, Phillips pointed out cases are appearing in Indiana of people mixing the animal tranquilizer Xylazine with fentanyl or other drugs. She noted it is especially dangerous, because Xylazine does not respond to the overdose drug naloxone and can cause other damaging side effects.

"Xylazine isn't really something someone wants to use, so people are really spending more time trying to avoid Xylazine through testing," Phillips explained. "It's the fentanyl that we have the biggest concern around with young people, because there's fentanyl and almost everything you purchase illicitly."

She added people are able to purchase unregulated drugs on social media and the dark web. Overdose Lifeline offers a chatbot known as "KATE," which stands for Knowledge, Advocacy, Trust and Education, which answers self-care questions if a loved one is using, what to do if someone overdoses and how to talk to someone who is using drugs.


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Indiana leaders are working to improve children's lives, as the state's national ranking for child well-being has slipped.

The latest report showed Indiana has fallen from 24th to 27th among states for overall child well-being, with food insecurity emerging as a major concern.

Tami Silverman, president and CEO of the Indiana Youth Institute, called results in the latest Indiana Kids Count Data Book from the Annie E. Casey Foundation "mixed," with nearly 20% of kids lacking consistent access to nutritious food, a figure worse than at the peak of the pandemic.

"We need to make sure we're leaning into some of our areas where we have the biggest challenges," Silverman urged. "We rank 32nd in the country for the health of our children, and that's physical and mental health. We're 15th in the country for economic well-being, but we're struggling as far as our kids' health."

Silverman emphasized addressing food insecurity requires focusing on basic needs like stable housing and reliable access to healthy meals. Neighboring states, including Illinois, Kentucky, Michigan and Ohio, face similar challenges.

Another challenge is only 40% of three- and four-year-olds attend early education programs, resulting in learning gaps in language arts, math and other subjects later in school, which worry educators and parents.

Silverman argued such hurdles threaten children's future and demand immediate attention. However, she acknowledged the report also highlighted some bright spots.

"Teen birth rates are down," Silverman noted. "The ratio of dentists and mental health providers that are available for kids have improved. Median family income is on the rise."

Youth advocates are calling on both community leaders and policymakers to address the state's gaps in education and health to build on the progress. Silverman stressed caring for Indiana's children is everyone's job. She urged leaders to do more to push for a healthier, safer future for every child.


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