The high rates of sexual assault experienced by young people suggest a need for prevention initiatives to be developed and focused on adolescents. This paper discusses current best practice approaches to prevention with a focus on schools based programs. The author reflects on past sexual assault prevention initiatives with young women and men, and considers what direction future initiatives might take, including proposed policy changes. As well as a review of what is considered best practice sexual assault prevention in schools, an outline of two programs is provided: one run by the Centre Against Sexual Assualt (CASA) in Victoria and one run by SHine in South Australia.