There is little that need be said about the work of these agencies as to other phases of the problem of housekeeping. Only one does anything to help the women buy more intelligently, except in the way of such spasmodic efforts as are made by visitors who have only their own practical experience to guide them. Similarly, little is done to teach buying or making of clothing except that in some instances women are urged to join classes in sewing. One agency speaks of teaching the planning of expenditure by the use of a budget. Most of the agencies that leave the problem of diet to the public-health nurse leave to her also the problem of cleanliness, personal hygiene, and sanitation. The majority of the agencies report, however, that their visitors are continually trying to inculcate higher standards. One agency says it is the stock subject of conversation at every visit. No agency reports any attempt to reach the women in a more systematic way than by "preaching." One agency only, that in Topeka, Kansas, reports anything that shows a realization of the peculiar problems of the foreign-born woman in this subject. In Topeka, American methods of laundry are taught to Mexican women in the office of the Associated Charities. VISITING HOUSEKEEPERS On the other hand, there are twelve agencies that approach the problem, or at least attempt to approach the problem of household management from a scientific standpoint, so that the work done shall be a serious attempt to adjust the standards of the foreign-born women to the standards formulated by the home economics experts for families "under care." There are several methods used in this work. The first and most common is the employment of visiting housekeepers by the case-work agency; another is that of referring families to another agency especially organized to give instruction in the household arts, such as the Visiting Housekeepers' Association in Detroit; a third is the one used in New York City, that of a Department of Home Economics within the organization, and still another, used in Boston, is a Dietetic Bureau. The cities in which there are visiting housekeepers in connection with the case-work agency are Chicago, Cleveland, Pittsburgh, Worcester, Fall River, Cambridge, Stamford, and Springfield, Illinois. In Brooklyn the visiting housekeepers are not employed by the case-work agencies, but are student volunteers from Pratt Institute. The visiting housekeeper in Springfield has worked almost exclusively with English-speaking families, and the one in Worcester "has had at different times foreign-speaking families." In other words, in two cities with large foreign-speaking populations the visiting housekeepers only occasionally helped immigrant families to adjust their standards and methods of housekeeping to the new conditions found in this country.