Host Teresa Huizar speaks with Dr. Jamie Yoder of Colorado State University about how adversity and trauma increase risk for teens’ problematic sexual behaviors and how trauma-focused cognitive behavioral therapy (TF-CBT) can be leveraged to expand treatment resources and reduce punitive responses. Yoder describes her clinical background with justice-involved youth and emphasizes that trauma is a major, though not causal, risk factor linked through intermediaries like attachment disruptions, executive functioning impacts, and trauma symptoms. They discuss why trauma has been poorly integrated into PSB interventions due to adult-like assumptions and punishment-oriented systems, then review Yoder’s pilot testing TF-CBT across community and residential/justice settings, highlighting feasibility, the need for agency buy-in and readiness, and the role of caregiver involvement. The conversation underscores caregiver shame, clinician bias and support needs, and calls for trauma-informed, rehabilitative approaches and broader systems change.

Time Stamps:

00:00 Episode Overview

01:58 Jamie’s Path to PSB Work

05:35 How Trauma Raises Risk

09:10 Why Trauma Was Ignored

13:53 Testing TF-CBT in Settings

18:34 Caregivers and Engagement

22:48 Study Results and Meaning

26:06 Shame as Treatment Target

31:51 Clinician Bias and Support

35:53 Trauma Informed Treatment Plans

40:14 Recommendations and Systems Change

45:33 Closing and Resources

Resources:

Trauma Focused Cognitive Behavioral Therapy for Adolescents with Problem Sexual Behaviors: Feasibility and Acceptability for Alleviating Traumatic Stress, Regulation Problems, and Sexual Behavior Problems | Journal of Child & Adolescent Trauma | Springer Nature Link

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Content Warning: Graphic descriptions of Child Sexual Abuse Material (CSAM) file names.

In this episode of 'One in Ten,' host Teresa Huizar interviews Dr. Ted Cross of the University of Illinois Urbana-Champaign about how child sexual abuse material (CSAM) reflects and perpetuates ongoing abuse. Cross explains why CSAM replaces “child pornography,” emphasizing that its creation requires contact abuse and its dissemination retraumatizes victims for years. To study CSAM without viewing traumatic content or violating privacy, his team partnered with the Child Rescue Coalition and analyzed nearly 3,000 highly descriptive filenames as a proxy for content. Findings included a predominance of videos, victims across all ages (including infants), a large share depicting ages 5–12, and common incest/familial cases (over 40%) that tended to involve more severe abuse. Filenames referencing children of color were more likely to include penetration. Cross urges CACs and MDTs to investigate possible online abuse in contact cases, secure devices, and strengthen partnerships with state ICAC task forces.

Time Stamps

Time Topic

00:00 Episode Introduction

01:26 Meet Dr Ted Cross

02:48 What CSAM Means

04:10 Who Produces CSAM

05:30 Ethical Study Design

06:50 Filenames As Proxy Data

10:08 Victim Demographics

11:50 Incest And Severity

12:52 Penetration And Harm

14:27 Practice Implications

16:19 Trauma And Disclosure

18:25 Policy And Prevention

19:34 Future Research Directions

22:25 Final Takeaways

23:52 Closing And Resources

Resources

Child Rescue Coalition

Characteristics of Child Sexual Abuse Material in Peer-to-Peer Networks and Predictors of its Severity: Insights From Filenames - Theodore P. Cross, Elizabeth M. Cross, Camille Cooper, Daphne Pellegrino, Glen Pounder, Stefan Turkheimer, Simon Bailey, 2025

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Teresa Huizar interviews Victor Vieth about the spiritual harm child sexual abuse can cause and how child abuse professionals and Children’s Advocacy Centers (CACs) can respond. Vieth describes how offenders may use religion to groom or silence children, and how faith-community reactions can deepen harm, recalling a 12-year-old asking if “God is against me.” The discussion defines spirituality versus religiosity, highlights children’s spiritual questions arising in forensic interviews and therapy, and notes research linking high spiritual distress (feeling abandoned by God) with greater trauma and suicidal thoughts. Vieth explains barriers to addressing the topic (discomfort discussing religion, negative associations, lack of training) and cites research showing 82% of mental health providers were not fluent in this literature. He outlines options such as chaplaincy and training (Keeping Faith), emphasizes consent-based, ecumenical spiritual care, and previews a forthcoming interactive spiritual care toolkit with models and resources.

Time Stamps

Time Topic

00:00 Spiritual Harm Overview

01:59 Victor’s Wake Up Call

03:22 Why Research Is Rising

08:32 Defining Spiritual Harm

13:17 Trauma Informed Responses

16:21 Toolkit And Care Models

19:00 What Chaplains Do

23:33 Stories Of Spiritual Support

26:46 Programs That Get It Right

31:19 Research Next Steps

34:00 Closing And Where To Learn

Resources

Spiritual care in Children’s Advocacy Centers: results of a survey of CAC directors - ScienceDirect

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In this episode of One in Ten, host Teresa Huizar speaks with Kristi Westphaln (UCLA School of Nursing) about integrating children’s voices into Children's Advocacy Center (CAC) outcome measurement and understanding what healing after abuse means to youth. Westphaln describes her work with the Canopy CAC and a scoping review showing CAC literature emphasizes programmatic measures (forensic interviews, prosecution) more than child perspectives, and how this aligned with the National Children’s Alliance Youth Feedback Survey pilot.

Time Stamps:

Time. Topic

00:00 Kids Are The Experts

01:14 Kristi’s CAC Journey

04:19 Why Youth Voices Matter

08:03 Youth Survey Primer

09:07 Three Healing Questions

12:14 Who Joined The Study

17:20 What Healing Means

21:33 Talking And Support

24:35 Pets Faith Justice

31:12 What CACs Can Do

37:14 Trauma Without The Word

39:44 Key Takeaways And Thanks

43:36 Closing And Where To Listen

Resources:

Talk with me about it: Child and youth perspectives on healing after child abuse - ScienceDirect

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Host Teresa Huizar interviews Dr. Amy Farrell of Northeastern University about a multi-institution study on the physical and mental health needs of commercially sexually exploited youth and their interactions with healthcare systems. The research used a national survey recruited through service agencies and Instagram screening, plus qualitative interviews with adults exploited as minors, examining health before, during, and after exploitation. Findings show exploited youth report significantly higher health concerns than comparable high-risk youth, including higher STI rates, chronic pain, asthma, high blood pressure, and severe depression, anxiety, PTSD, and dissociation; health problems often persist throughout their lives.

Time Stamps

Time Topic

00:00 Episode Setup

01:23 Meet Dr. Amy Farrell

01:43 Why This Study

04:51 Research Questions

06:14 Recruiting The Sample

09:57 Overall Health Findings

13:05 Physical Health Surprises

15:37 Mental Health Impacts

20:27 ACEs and Vulnerability

23:27 Healthcare Access Touchpoints

27:48 Stigma and Broken Trust

32:21 Provider Recommendations

43:11 Future Research

44:58 Closing and Resources

Resources

Understanding the Physical and Psychological Health and Wellness Needs of Minor Sex Trafficking Victims

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In this episode of One in Ten, host Teresa Huizar welcomes Irish Burch, a longtime Children’s Advocacy Center leader and mentor, to discuss “imperfect” leadership as learning and service. Irish recounts her path from CPS investigator to forensic interviewer, then into leadership roles culminating as CEO of the Dallas Children’s Advocacy Center, emphasizing that being great at a job doesn’t automatically translate to leading people. Irish shares advice for emerging leaders about balancing mission service with personal development, preventing burnout by maintaining life outside work, and her next season focused on coaching, speaking, and sustaining leaders under pressure while building broader public support for CACs.

Time Stamps:

Time. Topic

00:00 Leadership Myths Busted

01:36 Irish Leadership Journey

03:53 Grounded by Faith Community

05:01 Weight of Mission Work

07:47 Imperfect Human Centered

10:18 Burden and Blessing

13:05 Advice for Emerging Leaders

15:58 Radical Transparency Myth

19:47 Leading Through Influence

23:38 Hiring for Collaboration

26:02 Systems Change Decisions

27:58 Learning on the Fly

28:59 Grace Over Perfection

32:21 Myth of Great Leaders

37:27 Vision for CAC Future

39:39 Next Season and Speaking

42:13 Staying Healthy in the Work

45:55 Burnout and Identity

51:23 Closing Gratitude and Farewell

Resources:

Irish Burch Company

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In this episode of One in Ten, host Teresa Huizar speaks with researcher Dr. Elizabeth Jeglic about preventing educator sexual misconduct, which has increased in schools even as abuse rates have declined in other youth-serving settings. Dr. Jeglic describes limited prior research since a 2004 Department of Education report and presents her team’s survey of 6,600 recent high school graduates: 11.7% reported some form of educator sexual misconduct and about 1% reported contact abuse, with survivors reporting grooming as a near-universal pathway.

Time Stamps:

Time. Topic

00:00 Why Schools Are Riskier

01:44 Research Gap and New Data

03:13 What Counts as Misconduct

03:49 Grooming and Boundary Creep

08:32 Mentorship Versus Betrayal

09:58 High Risk Roles and Spaces

12:33 Prevalence and What It Means

14:03 Building a Culture of Safety

16:58 Training That Names Educators

19:03 Codes of Conduct That Work

19:37 No Touching Policies

20:57 Online Contact Boundaries

23:04 Pass the Trash Fixes

24:09 Supervision and Student Reporting

26:02 Progress and Patchwork Rules

27:25 Policy Reforms and Grooming Laws

30:29 Mandated Reporting Gaps

32:33 Why Data Stays Spotty

35:14 Parents Prevention Playbook

37:24 Research Updates and Wrap Up

Resources

• National Blueprint | National Center to S.E.S.A.M.E.

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In this episode of One in Ten, host Teresa Huizar speaks with Dr. Lindsay Druskin-Grimes about the complex relationship between adverse childhood experiences (ACEs), treatment engagement, and resilience in rural youth. The conversation highlights crucial insights for practitioners working with traumatized children, particularly in underserved settings.

Timestamps:

00:00 - Introduction to ACEs research and its relevance today
01:07 - The relationship between ACEs, child functioning, and treatment engagement
09:48 - Research questions and hypotheses of the study
11:19 - Demographics of the rural, highly traumatized child population
13:31 - The high prevalence of ACEs, including neglect, abuse, and substance exposure
16:41 - The significant stressors faced by caregivers in these communities
19:00 - The high levels of trauma and loss in the population and cultural strengths
26:44 - Key findings: higher ACEs correlate with less treatment attendance; resilience may mask needs
33:23 - Lifelong skills development and the impact of early therapy
34:48 - The specific risks associated with caregiver substance abuse exposure
37:29 - The importance of addressing systemic issues to reduce ACEs
39:21 - Future research directions and the long-term impact of treatment

Resources:

The Role of Adverse Childhood Experiences and Adaptive Skills in Treatment Engagement at a Rural Appalachian Child Advocacy Center | Journal of Child & Adolescent Trauma | Springer Nature Link

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