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:<a href='https://link.springer.com/article/10.1007/s40653-025-00775-1'>The Role of Adverse Childhood Experiences and Adaptive Skills in Treatment Engagement at a Rural Appalachian Child Advocacy Center | Journal of Child &amp; Adolescent Trauma | Springer Nature Link</a><a rel="payment" href="https://www.nationalchildrensalliance.org/donate-now/">Support the show</a>Did you like this episode? Please leave us a review on <a href='https://podcasts.apple.com/us/podcast/one-in-ten/id1462683950'>Apple Podcasts</a>.

<description>&lt;p&gt;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. &lt;/p&gt;&lt;p&gt;&lt;b&gt;Timestamps:&lt;/b&gt; &lt;/p&gt;&lt;p&gt;00:00 - Introduction to ACEs research and its relevance today &lt;br/&gt;01:07 - The relationship between ACEs, child functioning, and treatment engagement&lt;br/&gt;09:48 - Research questions and hypotheses of the study &lt;br/&gt;11:19 - Demographics of the rural, highly traumatized child population &lt;br/&gt;13:31 - The high prevalence of ACEs, including neglect, abuse, and substance exposure &lt;br/&gt;16:41 - The significant stressors faced by caregivers in these communities &lt;br/&gt;19:00 - The high levels of trauma and loss in the population and cultural strengths &lt;br/&gt;26:44 - Key findings: higher ACEs correlate with less treatment attendance; resilience may mask needs &lt;br/&gt;33:23 - Lifelong skills development and the impact of early therapy &lt;br/&gt;34:48 - The specific risks associated with caregiver substance abuse exposure &lt;br/&gt;37:29 - The importance of addressing systemic issues to reduce ACEs &lt;br/&gt;39:21 - Future research directions and the long-term impact of treatment &lt;br/&gt;&lt;br/&gt;&lt;/p&gt;&lt;p&gt;&lt;b&gt;Resources:&lt;/b&gt;&lt;/p&gt;&lt;p&gt;&lt;a href='https://link.springer.com/article/10.1007/s40653-025-00775-1'&gt;The Role of Adverse Childhood Experiences and Adaptive Skills in Treatment Engagement at a Rural Appalachian Child Advocacy Center | Journal of Child &amp;amp; Adolescent Trauma | Springer Nature Link&lt;/a&gt;&lt;/p&gt;&lt;p&gt;&lt;a rel="payment" href="https://www.nationalchildrensalliance.org/donate-now/"&gt;Support the show&lt;/a&gt;&lt;/p&gt;&lt;p&gt;Did you like this episode? Please leave us a review on &lt;a href='https://podcasts.apple.com/us/podcast/one-in-ten/id1462683950'&gt;Apple Podcasts&lt;/a&gt;.&lt;/p&gt;</description>

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 funct...

Treating Adverse Childhood Experiences in Rural America

In this episode of One in Ten, host Teresa Huizar engages in a thought-provoking conversation with Dr. Frank Putnam, Professor of Psychiatry at UNC School of Medicine, about childhood trauma, focusing on the Female Growth and Development Study, a 35-year longitudinal, cross-sequential study of girls ages 6–15 with CPS-substantiated intrafamilial sexual abuse and a matched comparison group, followed across three generations with repeated psychological, medical, and biological assessments. Putnam describes how his early work on rapid shifts in mental state and dissociation led to studying abused children prospectively. Time  Topic 00:00 Welcome and Setup 01:51 Frank Putnam Intro 02:14 Path Into Trauma Research 05:51 Female Growth Study Overview 09:20 Key Findings and Aging 11:39 How Trauma Speeds Aging 14:41 Real World Impacts for Girls 17:19 Intergenerational Risk Cycles 21:51 What Builds Resilience 23:36 Roadblocks and Funding Fights 26:28 Fixing Child Protection Systems 29:38 NCTSN Origins and Impact 33:16 Policy Priorities and Validation 38:01 Closing Thoughts and Thanks 41:15 Podcast Outro  Resources<a href='https://frankputnam.com/'>Clinician, Researcher, Advocate and Author - Frank W. Putnam, MD</a><a href='https://www.amazon.com/Old-Before-Their-Time-Investigating-ebook/dp/B0F9LMTD6R/ref=sr_1_5?crid=17TQJ2PC4EMY7&amp;dib=eyJ2IjoiMSJ9.64fPr73jbzWVq8HQBUnUNsgYCXEsffmKCtAnAGQhEUd9AOeBgoqxd5EZD7aLN65RUNdLkl7xLqERkoSLT0MZwHSZsB0ulVmyCg_Qkoi3smnAZPVYE9W_6WssxjkLCWIyQjjbuNO3_Dl1l4X4bjEVmZuh3XdfxhVCD6M2OLIiEljtYGfOpMeN6wILx1kvSlCqsl09hTzhuwcyw4M7U0GJ-LsxKXulDaFBDwWIGGuFgWM.7K9ZlNUbJ4e6kBn2UKeu0ubJ2jSWHYDjO8VkUBDbG7g&amp;dib_tag=se&amp;keywords=frank+putnam&amp;qid=1763051578&amp;sprefix=Frank+Putnam%2Caps%2C131&amp;sr=8-5#'>Old Before Their Time: A Scientific Life Investigating How Maltreatment Harms Children and the Adults They Become - Kindle edition by Putnam, Frank W.. Health, Fitness &amp; Dieting Kindle eBooks @ Amazon.com.</a><a rel="payment" href="https://www.nationalchildrensalliance.org/donate-now/">Support the show</a>Did you like this episode? Please leave us a review on <a href='https://podcasts.apple.com/us/podcast/one-in-ten/id1462683950'>Apple Podcasts</a>.

<description>&lt;p&gt;In this episode of One in Ten, host Teresa Huizar engages in a thought-provoking conversation with Dr. Frank Putnam, Professor of Psychiatry at UNC School of Medicine, about childhood trauma, focusing on the Female Growth and Development Study, a 35-year longitudinal, cross-sequential study of girls ages 6–15 with CPS-substantiated intrafamilial sexual abuse and a matched comparison group, followed across three generations with repeated psychological, medical, and biological assessments. Putnam describes how his early work on rapid shifts in mental state and dissociation led to studying abused children prospectively.&lt;/p&gt;&lt;p&gt;&lt;br/&gt;&lt;/p&gt;&lt;p&gt;&lt;b&gt;Time  Topic &lt;/b&gt;&lt;/p&gt;&lt;p&gt;00:00 Welcome and Setup &lt;/p&gt;&lt;p&gt;01:51 Frank Putnam Intro &lt;/p&gt;&lt;p&gt;02:14 Path Into Trauma Research &lt;/p&gt;&lt;p&gt;05:51 Female Growth Study Overview &lt;/p&gt;&lt;p&gt;09:20 Key Findings and Aging &lt;/p&gt;&lt;p&gt;11:39 How Trauma Speeds Aging &lt;/p&gt;&lt;p&gt;14:41 Real World Impacts for Girls &lt;/p&gt;&lt;p&gt;17:19 Intergenerational Risk Cycles &lt;/p&gt;&lt;p&gt;21:51 What Builds Resilience &lt;/p&gt;&lt;p&gt;23:36 Roadblocks and Funding Fights &lt;/p&gt;&lt;p&gt;26:28 Fixing Child Protection Systems &lt;/p&gt;&lt;p&gt;29:38 NCTSN Origins and Impact &lt;/p&gt;&lt;p&gt;33:16 Policy Priorities and Validation &lt;/p&gt;&lt;p&gt;38:01 Closing Thoughts and Thanks &lt;/p&gt;&lt;p&gt;41:15 Podcast Outro &lt;/p&gt;&lt;p&gt;&lt;br/&gt;&lt;/p&gt;&lt;p&gt;&lt;b&gt;Resources&lt;/b&gt;&lt;/p&gt;&lt;p&gt;&lt;a href='https://frankputnam.com/'&gt;Clinician, Researcher, Advocate and Author - Frank W. Putnam, MD&lt;/a&gt;&lt;/p&gt;&lt;p&gt;&lt;a href='https://www.amazon.com/Old-Before-Their-Time-Investigating-ebook/dp/B0F9LMTD6R/ref=sr_1_5?crid=17TQJ2PC4EMY7&amp;amp;dib=eyJ2IjoiMSJ9.64fPr73jbzWVq8HQBUnUNsgYCXEsffmKCtAnAGQhEUd9AOeBgoqxd5EZD7aLN65RUNdLkl7xLqERkoSLT0MZwHSZsB0ulVmyCg_Qkoi3smnAZPVYE9W_6WssxjkLCWIyQjjbuNO3_Dl1l4X4bjEVmZuh3XdfxhVCD6M2OLIiEljtYGfOpMeN6wILx1kvSlCqsl09hTzhuwcyw4M7U0GJ-LsxKXulDaFBDwWIGGuFgWM.7K9ZlNUbJ4e6kBn2UKeu0ubJ2jSWHYDjO8VkUBDbG7g&amp;amp;dib_tag=se&amp;amp;keywords=frank+putnam&amp;amp;qid=1763051578&amp;amp;sprefix=Frank+Putnam%2Caps%2C131&amp;amp;sr=8-5#'&gt;Old Before Their Time: A Scientific Life Investigating How Maltreatment Harms Children and the Adults They Become - Kindle edition by Putnam, Frank W.. Health, Fitness &amp;amp; Dieting Kindle eBooks @ Amazon.com.&lt;/a&gt;&lt;/p&gt;&lt;p&gt;&lt;a rel="payment" href="https://www.nationalchildrensalliance.org/donate-now/"&gt;Support the show&lt;/a&gt;&lt;/p&gt;&lt;p&gt;Did you like this episode? Please leave us a review on &lt;a href='https://podcasts.apple.com/us/podcast/one-in-ten/id1462683950'&gt;Apple Podcasts&lt;/a&gt;.&lt;/p&gt;</description>

In this episode of One in Ten, host Teresa Huizar engages in a thought-provoking conversation with Dr. Frank Putnam, Professor of Psychiatry at UNC School of Medicine, about childhood trauma, focusing on the Female Growth and Development Study, a 35-year longitudinal, cross-sequential study of girls ages 6–15 with CPS-substantiated intrafamilial sexual abuse and a matched comparison group, followed across three generations with repeated psychological, medical, and biological assessments. Putn...

Old Before Their Time: The Impact of Childhood Trauma

In this episode of One in Ten, host Teresa Huizar interviews filmmaker Norah Shapiro and actor and executive producer Anthony Edwards about their award-winning documentary Magic and Monsters, which follows survivors of the Children’s Theatre Company abuse scandal in Minneapolis, Minnesota. They describe charismatic artistic director John Clark Donahue as a serial child abuser who fostered a culture with multiple perpetrators, the 2010s Minnesota statute-of-limitations lookback that enabled 17 civil lawsuits, and survivors’ ongoing sense that accountability and acknowledgment remain lacking. The conversation highlights institutional betrayal, brand protection, and the need for boundaries in youth-serving organizations, alongside the healing power of being believed and connecting with other survivors. Time Stamps 00:00 Welcome And Premise 00:36 Why This Film Matters 01:30 Host Reaction And Setup 02:51 Case Recap And Timeline 06:05 Anthony Edwards Connection 09:53 Ethics Of Survivor Storytelling 11:45 Trauma Informed Filmmaking 16:22 Healing Through Community 18:07 Institutional Grooming Dynamics 21:59 Prevention Lessons For Parents 23:20 Culture Of Trust And Othering 25:40 Magic And Monsters Duality 26:35 Institutional Betrayal 27:22 Protecting the Brand 31:06 Seeking Acknowledgement 33:19 Trauma and Self Care 35:09 Unresolved Justice 36:50 Recovery Through Connection 41:54 Being Believed Matters 43:32 Film Impact and Next Steps 47:47 Closing Thanks and Resources  Resources<a href='https://www.magicandmonstersfilm.com/'>Magic &amp; Monsters</a><a rel="payment" href="https://www.nationalchildrensalliance.org/donate-now/">Support the show</a>Did you like this episode? Please leave us a review on <a href='https://podcasts.apple.com/us/podcast/one-in-ten/id1462683950'>Apple Podcasts</a>.

<description>&lt;p&gt;In this episode of One in Ten, host Teresa Huizar interviews filmmaker Norah Shapiro and actor and executive producer Anthony Edwards about their award-winning documentary Magic and Monsters, which follows survivors of the Children’s Theatre Company abuse scandal in Minneapolis, Minnesota. They describe charismatic artistic director John Clark Donahue as a serial child abuser who fostered a culture with multiple perpetrators, the 2010s Minnesota statute-of-limitations lookback that enabled 17 civil lawsuits, and survivors’ ongoing sense that accountability and acknowledgment remain lacking. The conversation highlights institutional betrayal, brand protection, and the need for boundaries in youth-serving organizations, alongside the healing power of being believed and connecting with other survivors.&lt;/p&gt;&lt;p&gt;&lt;br/&gt;&lt;/p&gt;&lt;p&gt;&lt;b&gt;Time Stamps &lt;/b&gt;&lt;/p&gt;&lt;p&gt;00:00 Welcome And Premise &lt;/p&gt;&lt;p&gt;00:36 Why This Film Matters &lt;/p&gt;&lt;p&gt;01:30 Host Reaction And Setup &lt;/p&gt;&lt;p&gt;02:51 Case Recap And Timeline &lt;/p&gt;&lt;p&gt;06:05 Anthony Edwards Connection &lt;/p&gt;&lt;p&gt;09:53 Ethics Of Survivor Storytelling &lt;/p&gt;&lt;p&gt;11:45 Trauma Informed Filmmaking &lt;/p&gt;&lt;p&gt;16:22 Healing Through Community &lt;/p&gt;&lt;p&gt;18:07 Institutional Grooming Dynamics &lt;/p&gt;&lt;p&gt;21:59 Prevention Lessons For Parents &lt;/p&gt;&lt;p&gt;23:20 Culture Of Trust And Othering &lt;/p&gt;&lt;p&gt;25:40 Magic And Monsters Duality &lt;/p&gt;&lt;p&gt;26:35 Institutional Betrayal &lt;/p&gt;&lt;p&gt;27:22 Protecting the Brand &lt;/p&gt;&lt;p&gt;31:06 Seeking Acknowledgement &lt;/p&gt;&lt;p&gt;33:19 Trauma and Self Care &lt;/p&gt;&lt;p&gt;35:09 Unresolved Justice &lt;/p&gt;&lt;p&gt;36:50 Recovery Through Connection &lt;/p&gt;&lt;p&gt;41:54 Being Believed Matters &lt;/p&gt;&lt;p&gt;43:32 Film Impact and Next Steps &lt;/p&gt;&lt;p&gt;47:47 Closing Thanks and Resources &lt;/p&gt;&lt;p&gt;&lt;br/&gt;&lt;/p&gt;&lt;p&gt;&lt;b&gt;Resources&lt;/b&gt;&lt;/p&gt;&lt;p&gt;&lt;a href='https://www.magicandmonstersfilm.com/'&gt;Magic &amp;amp; Monsters&lt;/a&gt;&lt;/p&gt;&lt;p&gt;&lt;a rel="payment" href="https://www.nationalchildrensalliance.org/donate-now/"&gt;Support the show&lt;/a&gt;&lt;/p&gt;&lt;p&gt;Did you like this episode? Please leave us a review on &lt;a href='https://podcasts.apple.com/us/podcast/one-in-ten/id1462683950'&gt;Apple Podcasts&lt;/a&gt;.&lt;/p&gt;</description>

In this episode of One in Ten, host Teresa Huizar interviews filmmaker Norah Shapiro and actor and executive producer Anthony Edwards about their award-winning documentary Magic and Monsters, which follows survivors of the Children’s Theatre Company abuse scandal in Minneapolis, Minnesota. They describe charismatic artistic director John Clark Donahue as a serial child abuser who fostered a culture with multiple perpetrators, the 2010s Minnesota statute-of-limitations lookback that enabled 17...

Magic and Monsters: Child Sexual Abuse and Institutional Betrayal

In this episode of &apos;One in Ten,&apos; Teresa Huizar interviews Dr. Emily Putnam-Hornstein (UNC Chapel Hill) about how homeschooling intersects with child abuse and neglect, emphasizing that homeschooling is growing (about 2 million children) while reliable data and regulation vary widely by state and are often minimal. The conversation covers rare but egregious torture cases, potential child-focused oversight for high-risk families, barriers to policy change, and the importance of reporting concerns to hotlines.  Time Stamps: 00:00 Homeschooling And Hidden Abuse 01:21 Why Study Homeschooling 02:08 Data Gaps In California 03:52 How Common Is Homeschooling 05:31 Politics And Polarization 06:59 Mandatory Reporters Explained 09:23 Training Gaps For Families 11:14 State Rules Vary Widely 12:37 Torture Cases And Limits 16:04 Child Focused Policy Ideas 19:47 Notification And Oversight 23:45 Support And Cyber Schooling 28:36 Why Reforms Keep Failing 32:00 Advice For Professionals 34:13 Anonymous Reporting Concerns 36:15 Wrap Up And Thanks  Resources:<a href='https://www.sciencedirect.com/science/article/abs/pii/S0145213425001103'>Homeschooling and child maltreatment: A review of the regulatory context and research evidence in the United States - ScienceDirect</a><a rel="payment" href="https://www.nationalchildrensalliance.org/donate-now/">Support the show</a>Did you like this episode? Please leave us a review on <a href='https://podcasts.apple.com/us/podcast/one-in-ten/id1462683950'>Apple Podcasts</a>.

<description>&lt;p&gt;In this episode of &amp;apos;One in Ten,&amp;apos; Teresa Huizar interviews Dr. Emily Putnam-Hornstein (UNC Chapel Hill) about how homeschooling intersects with child abuse and neglect, emphasizing that homeschooling is growing (about 2 million children) while reliable data and regulation vary widely by state and are often minimal. The conversation covers rare but egregious torture cases, potential child-focused oversight for high-risk families, barriers to policy change, and the importance of reporting concerns to hotlines. &lt;/p&gt;&lt;p&gt; &lt;/p&gt;&lt;p&gt;&lt;b&gt;Time Stamps: &lt;/b&gt;&lt;/p&gt;&lt;p&gt;00:00 Homeschooling And Hidden Abuse &lt;/p&gt;&lt;p&gt;01:21 Why Study Homeschooling &lt;/p&gt;&lt;p&gt;02:08 Data Gaps In California &lt;/p&gt;&lt;p&gt;03:52 How Common Is Homeschooling &lt;/p&gt;&lt;p&gt;05:31 Politics And Polarization &lt;/p&gt;&lt;p&gt;06:59 Mandatory Reporters Explained &lt;/p&gt;&lt;p&gt;09:23 Training Gaps For Families &lt;/p&gt;&lt;p&gt;11:14 State Rules Vary Widely &lt;/p&gt;&lt;p&gt;12:37 Torture Cases And Limits &lt;/p&gt;&lt;p&gt;16:04 Child Focused Policy Ideas &lt;/p&gt;&lt;p&gt;19:47 Notification And Oversight &lt;/p&gt;&lt;p&gt;23:45 Support And Cyber Schooling &lt;/p&gt;&lt;p&gt;28:36 Why Reforms Keep Failing &lt;/p&gt;&lt;p&gt;32:00 Advice For Professionals &lt;/p&gt;&lt;p&gt;34:13 Anonymous Reporting Concerns &lt;/p&gt;&lt;p&gt;36:15 Wrap Up And Thanks &lt;/p&gt;&lt;p&gt;&lt;br/&gt;&lt;/p&gt;&lt;p&gt;&lt;b&gt;Resources:&lt;/b&gt;&lt;/p&gt;&lt;p&gt;&lt;a href='https://www.sciencedirect.com/science/article/abs/pii/S0145213425001103'&gt;Homeschooling and child maltreatment: A review of the regulatory context and research evidence in the United States - ScienceDirect&lt;/a&gt;&lt;/p&gt;&lt;p&gt;&lt;a rel="payment" href="https://www.nationalchildrensalliance.org/donate-now/"&gt;Support the show&lt;/a&gt;&lt;/p&gt;&lt;p&gt;Did you like this episode? Please leave us a review on &lt;a href='https://podcasts.apple.com/us/podcast/one-in-ten/id1462683950'&gt;Apple Podcasts&lt;/a&gt;.&lt;/p&gt;</description>

In this episode of 'One in Ten,' Teresa Huizar interviews Dr. Emily Putnam-Hornstein (UNC Chapel Hill) about how homeschooling intersects with child abuse and neglect, emphasizing that homeschooling is growing (about 2 million children) while reliable data and regulation vary widely by state and are often minimal. The conversation covers rare but egregious torture cases, potential child-focused oversight for high-risk families, barriers to policy change, and the importance of reporting concer...

When Homeschooling Hides Abuse

In this episode of One in Ten, host Teresa Huizar welcomes Dr. Brian Allen, professor in the Department of Pediatrics at Penn State, to discuss what motivates problematic sexual behavior (PSB) in children and youth and what the research shows. Allen explains his path into the field and why he conducted a meta-analysis—combining results across studies to create a much larger dataset (about 9,000 children) and examine the strength of associations across age, gender, and different risk factors. Time Stamps Time Topic 00:00 What Drives Problematic Sexual Behavior (PSB) in Kids? (Episode Intro) 01:15 Meet Dr. Brian Allen + How He Got Into PSB Research 02:54 Meta-Analysis 101: What It Is and Why It Matters for PSB 05:26 Beyond the Assumption: Is PSB Always Linked to Sexual Abuse? 07:24 Who’s Affected? Gender &amp; Age Patterns in the Data 08:41 Age Matters: Developmental Motivations, Curiosity &amp; Online Exposure 14:01 Why Parents Struggle to Talk About Sex, Boundaries &amp; Prevention 16:44 What the Meta-Analysis Found: PSB’s Link to Sexual Abuse (and How to Ask) 19:00 Physical Abuse, Dysregulation &amp; Coercion: A Surprising Strong Correlate 25:35 Screening &amp; Mental Health: Externalizing vs Internalizing Problems 29:01 Big Research Gaps: Cross-Cultural Data, Developmental Pathways &amp; Social Media 32:12 What’s Next: New Assessment Tool, Longitudinal Studies &amp; Treatment Trials 33:38 Key Takeaways for Clinicians: Treatable, Low Risk, Don’t Go Punitive 36:22 Reframing These Kids + Resources, Training, and Closing 39:10 Final Thanks &amp; Where to Learn More  Resources<a href='https://link.springer.com/article/10.1007/s10802-025-01300-6'>Problematic Sexual Behavior Among Children: A Meta-Analysis of Demographic and Clinical Correlates | Research on Child and Adolescent Psychopathology | Springer Nature Link</a> <a rel="payment" href="https://www.nationalchildrensalliance.org/donate-now/">Support the show</a>Did you like this episode? Please leave us a review on <a href='https://podcasts.apple.com/us/podcast/one-in-ten/id1462683950'>Apple Podcasts</a>.

<description>&lt;p&gt;In this episode of One in Ten, host Teresa Huizar welcomes Dr. Brian Allen, professor in the Department of Pediatrics at Penn State, to discuss what motivates problematic sexual behavior (PSB) in children and youth and what the research shows. Allen explains his path into the field and why he conducted a meta-analysis—combining results across studies to create a much larger dataset (about 9,000 children) and examine the strength of associations across age, gender, and different risk factors.&lt;/p&gt;&lt;p&gt;&lt;br/&gt;&lt;/p&gt;&lt;p&gt;&lt;b&gt;Time Stamps &lt;/b&gt;&lt;/p&gt;&lt;p&gt;Time Topic &lt;/p&gt;&lt;p&gt;00:00 What Drives Problematic Sexual Behavior (PSB) in Kids? (Episode Intro) &lt;/p&gt;&lt;p&gt;01:15 Meet Dr. Brian Allen + How He Got Into PSB Research &lt;/p&gt;&lt;p&gt;02:54 Meta-Analysis 101: What It Is and Why It Matters for PSB &lt;/p&gt;&lt;p&gt;05:26 Beyond the Assumption: Is PSB Always Linked to Sexual Abuse? &lt;/p&gt;&lt;p&gt;07:24 Who’s Affected? Gender &amp;amp; Age Patterns in the Data &lt;/p&gt;&lt;p&gt;08:41 Age Matters: Developmental Motivations, Curiosity &amp;amp; Online Exposure &lt;/p&gt;&lt;p&gt;14:01 Why Parents Struggle to Talk About Sex, Boundaries &amp;amp; Prevention &lt;/p&gt;&lt;p&gt;16:44 What the Meta-Analysis Found: PSB’s Link to Sexual Abuse (and How to Ask) &lt;/p&gt;&lt;p&gt;19:00 Physical Abuse, Dysregulation &amp;amp; Coercion: A Surprising Strong Correlate &lt;/p&gt;&lt;p&gt;25:35 Screening &amp;amp; Mental Health: Externalizing vs Internalizing Problems &lt;/p&gt;&lt;p&gt;29:01 Big Research Gaps: Cross-Cultural Data, Developmental Pathways &amp;amp; Social Media &lt;/p&gt;&lt;p&gt;32:12 What’s Next: New Assessment Tool, Longitudinal Studies &amp;amp; Treatment Trials &lt;/p&gt;&lt;p&gt;33:38 Key Takeaways for Clinicians: Treatable, Low Risk, Don’t Go Punitive &lt;/p&gt;&lt;p&gt;36:22 Reframing These Kids + Resources, Training, and Closing &lt;/p&gt;&lt;p&gt;39:10 Final Thanks &amp;amp; Where to Learn More &lt;/p&gt;&lt;p&gt;&lt;br/&gt;&lt;/p&gt;&lt;p&gt;&lt;b&gt;Resources&lt;/b&gt;&lt;/p&gt;&lt;p&gt;&lt;a href='https://link.springer.com/article/10.1007/s10802-025-01300-6'&gt;Problematic Sexual Behavior Among Children: A Meta-Analysis of Demographic and Clinical Correlates | Research on Child and Adolescent Psychopathology | Springer Nature Link&lt;/a&gt;&lt;/p&gt;&lt;p&gt;&lt;br/&gt;&lt;/p&gt;&lt;p&gt;&lt;a rel="payment" href="https://www.nationalchildrensalliance.org/donate-now/"&gt;Support the show&lt;/a&gt;&lt;/p&gt;&lt;p&gt;Did you like this episode? Please leave us a review on &lt;a href='https://podcasts.apple.com/us/podcast/one-in-ten/id1462683950'&gt;Apple Podcasts&lt;/a&gt;.&lt;/p&gt;</description>

In this episode of One in Ten, host Teresa Huizar welcomes Dr. Brian Allen, professor in the Department of Pediatrics at Penn State, to discuss what motivates problematic sexual behavior (PSB) in children and youth and what the research shows. Allen explains his path into the field and why he conducted a meta-analysis—combining results across studies to create a much larger dataset (about 9,000 children) and examine the strength of associations across age, gender, and different risk factors. ...

What Drives Problematic Sexual Behavior in Kids

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.

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