The fact that this head is a nurse has made our social worker the confidant of many families to which another outsider would find but a coolly polite welcome. The fact that she is a social worker makes her interest in her cases widen to their families and remain after her professional duties are no longer needed. Being the head of the house, she can dictate as to the time of meals and the activities of the house for the good of the infirmary patients, yet being the social worker, the interest of the clubs and classes in the house are not needlessly sacrificed to the whims of her patients. Her training as a nurse and her experience has made her more executive than the ordinary young social worker, but her authority as head of a house of so many interests and as executive for so active and powerful an association, gives her prestige, and with that prestige a power for self-development which utilizes the best qualities she possesses. Moreover, in a country district such as our valley, where sickness is the exception, a nurse who was confined to her profession would have much idle time on her hands, and a social worker who was solely a social worker might be discouraged as to the slowness of the growth of her ideals in the minds of those about her. For where people live twenty-five miles from the railroad, tomorrow is always as good as today for beginning a new work. The women are, to say the least, conservative, and the girls are shy about showing enthusiasm for a new idea. The audiences for lectures arrive with sublime dilatoriness, and the boys stay outside until they are quite sure that what is going on inside is a roaring success. Of course, the head of the house has a comprehending executive committee behind her. Of course, too, each department of the Neighborhood House, infirmary, summer school, exchange, clubs, etc., has its own committee and chairman. Her responsibilities, also, are only those of a trusted agent and all her reports are filed for the benefit of the Association, so that while each department depends practically upon her, she in her turn depends upon each committee and upon the executive committee and above all upon the able president of that committee for her inspiration and encouragement in carrying out her share of the usefulness of the house. All these good things did not come the first night the house was open. They are fruits of a happy growth. There have been many minor difficulties and prejudices and some evils to overcome. The prejudices died easiest, one of them, the fear that Neighborhood House provided for needs that did not exist, went most quickly of all.