Recent research by the Sexual Abuse and Disability Project at the University of Alberta included a survey of 119 sexual abuse victims with developmental disabilities. Their responses indicated that sexual abuse treatment services for people with developmental disabilities are typically inaccessible, unavailable, and inappropriate. Inadequate treatment services appear to be due to the paucity of qualified professionals in the area of sexual abuse and developmental disabilities coupled with the slow development of appropriate sexual abuse treatment approaches. The application of adapted therapy approaches for people with developmental disabilities and examples of adapted sexual abuse treatment for children and women abused as children are presented. Sexual abuse treatment issues for the developmentally disabled are discussed for practitioners' consideration.