MACA 2026 Annual Conference Workshop Session 3
Please find the full list of NCA Accreditation Standards here.
Note: These do not satisfy the requirements for foundational training but are for continuing education in practice areas.
Workshop Session 3 (3:00PM – 4:30 PM)
3A. Growing Up in a Porn Culture: The Social, Emotional, & Cognitive Effects & A Public Health Solution
Dr. Mandy Sanchez, Culture Reframed
This interactive session explores the intersection of social media, the porn industry, and adolescent development through a trauma-informed public health framework. Designed for child advocacy and multidisciplinary professionals, the presentation examines research-based harms while strengthening assessment, forensic interviewing, treatment, and prevention strategies. Drawing on resources from Culture Reframed, participants will gain practical, evidence-informed tools to build young people’s critical thinking, digital literacy, healthy relationship skills, and overall resilience in today’s hypersexualized digital culture.
About the Presenter:
Dr. Mandy Sanchez has been educating about pornography and violence for over 20 years, and is a leading expert on the impact of pornography and hypersexualized media on youth. She specializes in sexual violence and the intersectionality of gender, sexualities, place, and trauma. As the Director of Programming for Culture Reframed, she focuses on developing and ensuring comprehensive, impactful programming for parents and professionals.
NCA Accreditation Standards: 1B, 3B, 5B
3B. Disrupting System Blind Spots: Family-Controlled Trafficking, Forced Criminality, and Drug-Facilitated Exploitation of Males
Nathan Earl, Public Health Advisor
This workshop is designed for providers, system leaders, and policymakers seeking a clearer framework for responding to family-controlled trafficking, forced criminality, and drug-facilitated exploitation of males. Participants will explore how medical, behavioral health, child welfare, and justice systems often misidentify these experiences as delinquency, substance use, or family conflict—and how stronger cross-sector coordination and policy alignment can improve response. Attendees will leave with practical strategies to strengthen identification, referral pathways, and system-level accountability to better protect and stabilize male youth who have experienced trafficking.
About the Presenter:
Nathan Earl is a public health strategist and an Executive MPH candidate at Yale School of Public Health, focused on syndemic-informed, system-level interventions to prevent trafficking, violence, and health disparities affecting marginalized men and boys. His work integrates implementation science, policy analysis, and cross-sector governance reform, including leadership on BRIDGE-MH and research on exploitation risks in recovery housing. He brings lived expertise, systems thinking, and stakeholder engagement experience to advance men’s health equity and violence prevention at the institutional and policy levels.
NCA Accreditation Standards: 1B, 3B, 11A
3C. A Trauma-Informed Approach to the Health and Medical Needs of Exploited and At-Risk Adolescents
Sayard Ryan, FNP, Pediatric SANE II, and Kristine Aznavoorian, CPNP, Pediatric SANE II
This presentation aims to highlight the critical importance of identifying adolescents at risk for human trafficking across medical services and emphasizing the role healthcare professionals play in recognizing and responding to these vulnerabilities. Additionally, the presentation will provide an overview of the role of the Pediatric Sexual Assault Nurse Examiner, and ensure that all disciplines within the multidisciplinary team understand their responsibilities and contributions. A step-by-step walkthrough of a pediatric forensic exam will be included to demystify the process and promote consistent understanding. Finally, this session will offer practical resources for members of the Child Advocacy Center and the broader multidisciplinary team. It will address common assumptions and misconceptions about pediatric exams and help professionals effectively explain the process to patients, families, and colleagues, while fostering a coordinated, informed response.
About the Presenters:
Sayard Ryan has served for the past 4 years as a pediatric Sexual Assault Nurse Examiner (SANE), starting in Barnstable County and now in Plymouth County. She has also practiced as an adult/adolescent SANE in both Texas and Massachusetts. She is deeply committed to patient advocacy and to advancing equitable care across the Commonwealth.
Kristine Aznavoorian has been a practicing pediatric SANE for the past 14 years across the Commonwealth, currently providing services in Essex County. She is also certified as an adult/adolescent SANE. She is dedicated to providing trauma-informed care and fostering collaboration within the multidisciplinary team.
NCA Accreditation Standards: 1B, 4B, 11A
3D. Combating CSAM Online: Google’s Approach to Child Safety
Emily Cashman Kirstein, Child Safety Manager at Google
In this session, participants will learn about Google’s approach to detecting, reporting, removing, and preventing the spread of online child sexual abuse material (CSAM) on their products and services, including in relation to Generative AI. Participants will discuss cross-industry and multistakeholder collaborations that aim to better protect children online, and how child-serving professionals can identify future opportunities to do so.
About the Presenter:
Emily Cashman Kirstein is the Child Safety Manager at Google. She leads child safety public policy and serves as a Board Member of the Family Online Safety Institute, the Technology Coalition, and the WeProtect Global Alliance. Prior to joining Google, she led the policy team at Thorn and served for seven years in multiple roles as a key aide to U.S. Senator Jeanne Shaheen. She also worked as senior staff on several political campaigns in her home state of New Hampshire. Emily is an alum of the College of the Holy Cross and holds a Master’s in International Relations from the Universidad Autónoma de Madrid.
NCA Accreditation Standards: 3B, 12C
