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14 <br />they were improving. When we asked whether, in their judgement, mental health services <br />in Lexington are better or worse now than they were a few years ago, 54 percent thought <br />they had gotten worse, 21 percent thought they were as good now as they were earlier, and <br />14 percent thought they had improved. <br />5. INTERPRETATIONS AND CONCLUSIONS <br /> Lexington is blessed with a large, highly trained, and experienced corps of mental <br />health service providers. There is of course no restriction on access to services anywhere in <br />the region so Lexington residents may and often do seek help from providers located <br />outside of the community, while many non-residents are clients of providers whose offices <br />are based in Lexington. No one can measure the in- and out-movement demographics, but <br />we know they are substantial. <br /> Lexington also hosts four agencies with highly trained, experienced service staffs. <br />Sizeable as they are, two of these - Eliot and Edinburg - serve very few Lexington residents. <br />Together, they diagnosed or treated a total of 117 Lexington residents during fiscal year <br />2002. The Lexington High School Guidance Department devotes all but a fifth of its <br />professional energies to college and job placement and related academic advising and <br />paperwork. It is also gravely restricted in the range and depth of counseling and mental <br />health assistance work its staff is permitted to do under school committee policies. <br /> RePlace is the one agency which contracts with the Town of Lexington to serve <br />youth. The amount of the contract is less than half of the funding made available annually <br />to the Town of Bedford Department of Family and Youth Services. Bedford has a <br />substantially smaller resident population - 12,361 in the 2000 Census - than Lexington. <br />RePlace currently does a lot with the resources it has to work with, but its parent agency <br />Wayside went into the red in fiscal 2002 and may prove unable to supplement the funding <br />of Lexington’s program in fiscal 2003. <br /> <br />