Ohio START Programme Generates Up to $349 Million in Social Value, Strengthening Child Protection and Family Stability

A new study has revealed that Ohio START, a programme supporting families affected by parental substance use, has generated an estimated $157.7 million to $349 million in social value, highlighting its contribution to child protection and family stability.
The findings, announced by the Ohio Department of Children and Youth on October 22, 2026, indicate that every dollar invested in the programme generates an estimated social return of $3.05 to $6.74.
Ohio START, which stands for Sobriety, Treatment, and Reducing Trauma, focuses on helping parents overcome substance use challenges while protecting their children from the consequences of addiction and family instability.
According to the study, the programme has contributed to fewer children entering out-of-home care, improved parent-child relationships and a reduced risk of parental overdose. Researchers also identified healthcare savings associated with parental sobriety.
The Social Return on Investment study was commissioned by the Public Children Services Association of Ohio (PCSAO) and conducted by Ohio University’s Voinovich School of Leadership and Public Services.
Researchers examined programme data, previous evaluations, relevant literature and survey responses from caseworkers and Family Peer Mentors to assess the programme’s social value since its introduction in 2017.
For children, the findings reinforce the importance of supporting parental recovery as part of wider safeguarding efforts.
Although the financial figures represent estimated social value rather than direct cash returns, the study highlights how investing in parental wellbeing can help protect children, preserve family relationships and reduce reliance on alternative care arrangements.


