The Internet is now being used as a mechanism for the delivery of social su
pport on a global scale, chiefly through the formation of self-help groups.
Most of the research that has been undertaken on these groups has focussed
on Usenet and the use of newsgroups for social support. This paper examine
s the use of an Internet Relay Chat (IRC) 'room', by a self-help group comp
osed of problem drinkers. The group had an international membership and adv
ocated the use of social support, rather than intervention by professional
services, to help its membership overcome problem drinking. The paper consi
ders the roles that these new forms of Internet mediated self-help and soci
al support might play in changing the relationships of those who participat
e in them towards traditional health and social care services. The paper al
so critically examines the extent to which such fora might function as virt
ual 'communities' of care.