cant relationship between leader behaviors and outcomes. That what leaders do in their groups has a significant impact on how patients fare is not a surprising outcome. Nor is the observation that the provision of both structure and a cognitive framework for patients to encapsulate their experiences in the group is the core behavior of productive leaders Lieberman and Golant (2002).
             What are the factors that draw people to self-help groups? On study done by Franskoviad and Segal (2002) on mental health people found that they are indeed serving the nations most disabled and marginalized groups-individual with mental illness, substance use, and unstable housing profiles. Because these individuals posses a host of risk factors for the development of myriad vulnerabilities, their primary reason for coming to the group is to seek basic resources. It may also be the recipients of individuals who are unable to access care in the public sector, a system that has become increasingly constrained by fiscal limitations an a managed care brief treatment/medical necessity model.
             In the cancer literature alone, education groups seem to be more effectiv
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