Certain limitations to the present work of the visiting housekeeper appear in the above discussion. These are, the lack of persons with combined training in case work, home economics, and knowledge of immigrant backgrounds, the limited number of families with whom intensive work can be done, especially if the visiting housekeeper tries to do all the work with the families she visits, the hardship to the family in the duplication of visitors if the visiting housekeeper tries to render only specialized services to a larger number of families. Attempts have been made to overcome these limitations while still retaining the visiting housekeeper. In Cleveland the visiting housekeepers do all the work with the families assigned to them, as well as instruct the other visitors in the elementary principles of home economics and give advice on individual families, as occasion requires. Their work has been materially lightened by the adoption of a standardized budget prepared under the direction of a well-known expert in home economics. The superintendent of the Cleveland organization expressed himself as well satisfied with the work of the visiting housekeepers. It should be noted that one of the visiting housekeepers in that city not only is a skilled case worker with good training in home economics, but also is of foreign-born parentage and speaks most of the Slavic languages. In other cities, however, notably New York and Boston, case-work agencies have given up the employment of the visiting housekeepers. In New York there is a Home Economics Bureau and in Boston a Dietetic Bureau. The organization of the two bureaus differs, but the underlying principle is the same. Both are organizations of home economics experts, who give advice to the regular case workers both as to general principles and as to individual problems. They also make studies from time to time of problems in national groups. As its name would indicate, the scope of the New York organization is wider. It takes up problems of clothing and other phases of household management as well as of food. The advantages claimed for this plan are that the home economics experts can devote their time exclusively to their own field. The visitors are thus enabled to advise the individual families with more effect than can the specialized worker. The question as to the best way of rendering to the family under care this combination of services is by no means yet decided, and it is evident that further experiment in the various methods is necessary. They are, in fact, not mutually exclusive, and perhaps combinations of various kinds of the skill of the home economics expert, of the skilled social worker, and a generalized helper, may yet be developed.