Sexual health promotion is of primary importance for young people in Australia, especially for vulnerable and at-risk young people. The authors first identify the important role of youth workers in engaging clients proactively around a broad range of sexual health issues, and then discuss real and perceived barriers that youth workers face in meeting the sexual health needs of young people. The article presents a discussion engagement framework--the PLISSIT model--and practical examples to assist workers to improve their skills and confidence in this area. (Contains 1 figure and 3 endnotes.)