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7 case management services are concentrated in the Concord office. Eliot maintains a 24- hour beeper system and assists parents who phone regarding runaway teenagers or those for whom medication balances get out of control. Psychotherapy is provided at the Lexington office for a few clients. From the point of view of the clinical administrator, there are not enough mental health services to meet needs in our region. Eliot, among others, has recently done little with outreach efforts in Lexington, after making a valiant effort in earlier years. Rates of reimbursement for mental illness and emotional distress are significantly lower than rates for physical illnesses. The state’s new mental health parity law makes it sound to the public as if more services will become available, but the law requires proof that the illness being addressed constitutes a “medical necessity,” a standard that is very difficult to meet. In fiscal year 2002, Eliot provided 771.5 hours of services - a total of 791 sessions or appointments - to 21 residents of Lexington. The services ranged from individual therapy to family and couples therapy, to family and case consultations, diagnostic evaluations of clients, and medication management. Edinburg Center Inc. Edinburg, known until 2002 as the Center for Mental Health and Retardation Services, has a large headquarters building located at 1040 Waltham Street in Lexington. It is a private, not-for-profit corporation funded by the Massachusetts Departments of Mental Health, Mental Retardation, and Public Health, foundation grants, HMO’s and other third party payers. Its director, Ellen Attaliades, is a licensed clinician in psychology, and has 22 years of professional experience, nearly all of them with Edinburg. This agency employs about 300 professionals and support staff who work in the Lexington headquarters and clinic and in clinics in Waltham and Arlington. It serves 18 towns and villages in the immediate county. In addition to providing diagnostic, evaluative, and case management treatment and support planning services, Edinburg maintains these types of services: