This article explores the qualitative process findings from an evaluation of Project Jump - a sexual health drama project for hard to reach young people. Project Jump aimed to enable young people to consider their sexual behaviour and its impact and consequence on other people and themselves. The research aimed to capture the experiences and perceptions of young people's involvement in the project, particularly in relation to the use of drama as a medium for learning. Findings from young people demonstrate that drama can offer an important alternative to traditional health promotion in that young people articulated positive aspects of their involvement. These included enthusiastic participation, empowerment and sexual health skills acquisition. In addition, critical areas for consideration for policy-makers and practitioners in employing a drama-based approach particularly in relation to effective identification, engagement and ongoing follow-up activity with vulnerable groups are highlighted. © 2006 University of the West of England. Journal compilation © 2006 National Children's Bureau. © 2007 University of the West of England Journal compilation 2007 National Children's Bureau.