This chapter explores the differences between a medical and a social model of disability to support application of these models to children with learning disabilities who experience, or are at risk of, child sexual exploitation (CSE). Medical knowledge about learning disabilities can support with assessment and understanding the physical symptoms that accompany a learning disability. The social model reinforces how social, cultural, material, and attitudinal barriers also form a disability and, in relation to children and young people with disabilities who experience, or are at risk of, CSE, highlight the importance of ensuring that this group, along with their non-disabled peers, have the support and opportunities to develop safe and healthy relationships. The chapter includes an overview of how disability intersects with abuse in general and CSE in particular. In addition, it draws upon evidence-based learning to consider how theory-informed services can identify children with learning disabilities affected by CSE and implement accessible services that deliver preventative and responsive practice to meet their needs.