An attempt is made to indicate themost important problems faced by communityself-help houses. It is based on practical observationsobtained by the personnel of several houses (locatedin the region of Gorzów and Zielona Góra) in thecourse of their normal activity. The main conclusionsare as follows. First, thorough analysis of the specific needs in the environment should precede foundation of community self-help houses. Second,scope of their activity should be diversified (separateoffers for mentally ill, mentally retarded, personswith dementia and possibly many others). Last butnot least, appropriate regulations for daily activityand principles of documentation handling should beestablished. Community self-help houses may beregarded as a good alternative to the health caresystem and therefore their competencies should becarefully defined.