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6 work of five part-time and fee for service staff workers with 1.5 full time equivalents. RePlace generally sees higher functioning youths. It does not treat those with psychotic or mood disorders or psychoneuroses. Some individual youths have been referred to RePlace staff by the guidance counselor at Clarke. The high school staff could use RePlace as a referral resource but does so very rarely. In the judgement of two senior administrators at Wayside Replace, Lexington youth should be involved more in community governance. Adults should reach out to them for their views and recommendations. This was attempted at a youth “summit” meeting in March, 2002, with some success, according to both adult and youth participants. The youth at the summit recommended that efforts should be made to make shops and restaurants youth-oriented, and there should be a mobile youth center. Events should be held in different places and oriented to the middle school students especially. Lexington needs to adopt community mental health and environmental strategies, the youths said. The clinical administrator at RePlace believes that the most serious impediments to adequate mental health services include insufficient funding, limited access to hospitals, and incomplete emergency response capabilities. Many RePlace clients come to RePlace after their HMO insurance benefits have been exhausted. Some never had insurance in the first place. There is also a lack of collaboration among service providers. A provider needs to be known for a long period of time in Lexington before gaining the trust of other providers. They also believe that the quality of services in Lexington is excellent but that there is an inability to meet rising needs. Eliot Community Human Services. This agency serves a sizeable range of suburbs in Middlesex County. The Lexington branch located at 186 Bedford Street was at one time a substantial unit but services have recently been concentrated in Concord and reduced in Lexington. For instance, there had been a psychiatrist in the Lexington office one half day a week, but this has been discontinued. Eliot serves clients with significant mental illnesses, particularly schizophrenia and bipolar disorders, but medication provisions, outreach, and