The harm reduction approach to drug use is directed at reducing the harm associated with drug use without necessarily reducing drug use itself. The approach aims to help those who choose to use drugs to do so as safely a possible. A survey of metropolitan youth workers in Western Australia revealed general support for the harm reduction approach but restricted application largely because of lack of resources, lack of training and concern that governing agencies did not approve of certain techniques. There is a need for more training of both staff and service users in the areas of first aid, prevention of overdose and safe injecting practices. It could be part of all employment and training programs offered to young people and to all people held in detention centers. Youth workers need to have adequate resources, including safe environments for intoxicated young people. Agency employers and their staff should clarify whose interests are being served by agency policies and resolve conflicts of priorities. Tables, references