The unique, influential, and successful characteristics of outreach as
a risk behavior reduction intervention among active drug users is exa
mined. The history of outreach is posited as a delineation of roles, a
nd the outreach process as one of communication and role enactment. Th
e premise is that the outreach worker's juxtaposition of multiple comm
unicative roles facilitates success with HIV outreach interventions. T
he word ''outreach'' implies a desired object that eludes one's ready
grasp. In tile attempt to educate the active drug user about HIV risk
behavior, it is the addict that often eludes the educator's ready gras
p; a small dilemma for the creative outreach worker. An ethnographic d
escription is provided of four different outreach workers' abilities t
o penetrate social networks, locate and recruit hidden populations, co
ntextualize client behavior, respond to client needs, and build trust
necessary to engage them in risk-reduction interventions, while still
adhering to program recruitment guidelines. Investigative, study, and
outreach limitations are discussed.