The current managed health care system creates an environment in which soci
al workers need to be knowledgeable about low-cost interventions. Self-help
groups have the potential to be beneficial to social workers' clients. Sur
prisingly, little is known about the characteristics and activities of many
groups and the extent to which groups receive guidance and support from pr
ofessionals and established national and local organizations. Whereas many
social workers are aware of Alcoholics Anonymous (AA), there are thousands
of other types of groups that could be helpful to their clients. This study
examines the member and group characteristics, professional involvement, a
nd local and national affiliations of 253 self-help groups. Results suggest
ed that many groups have shared leadership, recruit group members, receive
assistance from professionals, and receive guidance from national and local
organizations. Results are discussed in terms of how social workers can as
sist and use self-help groups in the current managed health care system.