Settlement homes now are more professional and structured than their forefathers, but the concept of local access remains same. They provide many services that modern day clinics cannot, such as health screenings, childcare, elder care, and addiction treatment. In addition to these traditional functions, settlement houses have become influential in other ways. For example: • Some settlement houses serve as safe spaces for people to come together in their neighborhoods, regardless of class or race. • Others work with community groups on projects that help improve the lives of those in need. • Still others take a more active role in political affairs, working with politicians to influence public policy through grassroots organizing and education. • Many remain independent not-for-profits that rely on donations from their communities. In conclusion, settlement houses are important institutions in American history. Through programs that range from educational classes to healthcare services, these organizations help address issues facing poor people in urban areas.