Ohio START Program takes intensive, team approach to substance abuse Ashley Durst, an Ohio START caseworker in Trumbull County, said a support system is crucial for sobriety during the holiday season, so clients are advised not to isolate themselves. But they could be exposed to drinking or drug use at family gatherings. Dec 23, 2020 4:45 AM By: Public News Service (Getty Images) The pandemic is compounding the regular stresses of the holiday season, and it's an especially challenging time for Ohioans living with substance use disorder. The Ohio START Program connects people who have experienced substance use disorder, recovery and the children services system with families who are currently struggling with similar issues.