The inclusion of young children with special needs has been a predominant t
opic in early childhood special education in the past 25 years. Despite con
siderable advocacy and public policy, the instructional resources provided
in integrated preschool settings continue to present a dilemma for many pro
fessionals and families. Although an abundance of research indicates that p
eers can be functional and potent resources, some studies have suggested th
at placement in integrated preschool programs does not always enhance the s
kills of preschoolers with disabilities. This article describes four charac
teristics that might be associated with the optimal use of peer-mediated pr
ocedures in integrated preschools: comprehensive in the skills and activiti
es that they address, intensive or large scale in application, practical an
d acceptable to teachers, and effective for producing intended outcomes. Pe
er-mediated interventions with these characteristics may ensure that presch
oolers with disabilities accrue positive outcomes from integrated preschool
settings.