The clinical identification of sexually abused children often relies on effective interviewing which, in turn, depends on careful consideration of children's development and needs. Clinical and research literature on young children's experiences in pediatric settings offers ecologically compelling data for understanding children's reports of sexual abuse. Strategies used to prepare children for medical procedures are described that may be helpful in preparing children to be interviewed in sexual abuse cases. Five recommendations are offered, based on the review of developmental psychology research literature: (1) enhance disclosure; (2) maximize communication; (3) increase the accuracy of communication; (4) enhance the efficacy of children's participation in the interview process; and (5) contribute to children's growth and development. Areas of future research are noted that focus on individual differences and cultural factors to be incorporated by interviewers. 101 references