Offenders were selected from treatment programs, probation, special hospitals, and prisons. They were interviewed using a semistructured questionnaire. Results indicate that offenders gained access to children through caretaking, such as babysitting; targeted children by using bribes, gifts and games; used force, anger, threats, and bribes to ensure their continuing compliance; and systematically desensitized children through touch, talk about sex, and persuasion. Nearly half the offenders had no bad feelings about sexually abusing children. The authors include offenders' comments relevant to prevention; suggested preventive actions for parents, teachers and schools; and the implications of their findings for prevention programs. Table, figures, references