The Utility of Trouble: Maximizing the Value of Our Human Services Dollars Executive Summary

June 30, 2010

The delivery of human services has been revolutionized over the past 40 years, but in at least two important aspects Massachusetts has lagged—failing to reform the administrative structure of the human services agencies, and retaining too many large institutions for clients who could be better treated in community settings.  The analysis in this report focuses on the seven largest human services agencies within the EOHHS and recommends changes necessary to improve the quality of the services delivered.
The Utility of Trouble: Maximizing the Value of Our Human Services Dollars Executive Summary