One in Ten

Engaging the brightest minds working to solve one of the world's toughest challenges—child abuse. Join us for conversations with leading experts on science, law, medicine, morality, and messaging. One in Ten is brought to you by National Children's Alliance, the largest network of care centers in the U.S. serving child victims of abuse. Our host is Teresa Huizar, NCA's CEO and a national expert on child abuse intervention and trauma treatment. Visit us online at nationalchildrensalliance.org.

One in Ten is a science podcast hosted by National Children's Alliance, with 146 episodes on record and a Required Pod Score of 80. PitchCentric scores this show on Booking Probability, Listen Score, and live audience signals refreshed every 24 hours.

National Children's Alliance hosts One in Ten, a science show with 146 episodes published.

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  Episode #16

  Online Abuse: The Offender in Your Pocket

  Aug 13, 202641 minS8

  In this episode of One in Ten, host Teresa Huizar interviews psychotherapist and researcher Anette Birgersson about multidisciplinary professionals’ perspectives on online child sexual abuse, including why prevalence is hard to measure due to research barriers with younger children, normalization, and underreporting driven by shame and guilt. They discuss how many cases are discovered through police investigations rather than child disclosure, creating varied reactions and challenges for forensic interviewers and families. Birgersson describes online abuse as an ongoing trauma because images may continue to spread and offenders can reengage, requiring adaptations to TF-CBT such as early psychoeducation, safety planning, and ongoing family communication. Professionals report caregivers often learn via a police call and may react in shock, needing crisis support and normalization. Birgersson highlights system gaps in Sweden where cases often bypass Barnahus, limiting coordinated support, medical involvement, and resources despite severe consequences. Time Stamps: Time. Topic 00:00 Episode Setup 01:25 Anette Background 02:46 Why Prevalence Varies 04:51 Discovered Not Disclosed 08:48 Study Questions 11:20 Complicity and Self-Blame 15:09 Ongoing Trauma Online 17:27 Adapting TF-CBT 20:19 Caregiver Shock and Support 25:06 Loneliness and Risk Factors 28:20 Engaging Caregivers in Treatment 32:13 Why Barnahus Matters 38:11 Closing Takeaways 40:50 Wrap Up and Next Episodes Resources: Support, snacks, and a tailored approach to empower recovery: professionals’ insights on supporting children victimized by online child sexual abuse - PMC Support the show Did you like this episode? Please leave us a review on Apple Podcasts .

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  Episode #15

  Treatment vs. Punishment of Teens with Problematic Sexual Behaviors

  Jul 23, 202647 minS8

  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 Support the show Did you like this episode? Please leave us a review on Apple Podcasts .

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  Episode #14

  How CSAM Fuels Ongoing Abuse

  Jul 9, 202624 minS8

  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 Support the show Did you like this episode? Please leave us a review on Apple Podcasts .

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  Episode #13

  What Survivors Tell Us About the Spiritual Harm of Abuse

  Jun 25, 202635 minS8

  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 Support the show Did you like this episode? Please leave us a review on Apple Podcasts .

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  Episode #12

  Kids Are the Experts: Youth Perspectives on Healing After Abuse

  Jun 11, 202644 minS8

  <p>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.</p><p><br/></p><p><b>Time Stamps:</b> </p><p>Time. Topic </p><p>00:00 Kids Are The Experts </p><p>01:14 Kristi’...

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