In October 2023, the S-Anon Board of Trustees approved updates to Part 1. How S-Anon and S-Ateen Groups Work: Where Groups/Meetings are Held in the S-Anon/S-Ateen Service Manual. The update sought to acknowledge that, in addition to meeting in-person, S-Anon Groups also meet over the phone, through videoconferencing services, and in some cases, using a hybrid format. The new writing states:
Some S-Anon groups meet via telephone and/or virtual platform, or a hybrid format, where some people meet in person and others attend either by phone or videoconferencing. Each local group, through a group conscience, will need to decide what works in the best interest of the group as a whole.