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This talk was given at a local TEDx event, produced independently of the TED Conferences. Molly McGrath Tierney is the Director for the Baltimore City Department of Social Services, managing the City's child welfare and public assistance programs. Over the past six years, she has led a massive reform effort to dramatically improve the impact of services to vulnerable citizens of Baltimore. Molly's work is considered a national model for modern social services. Molly McGrath Tierney was the Director for the Baltimore City Department of Social Services, managing the City's child welfare and public assistance programs. Over the past six years, she has led a massive reform effort to dramatically improve the impact of services to vulnerable citizens of Baltimore. Molly's work is considered a national model for modern social services. About TEDx, x = independently organized event In the spirit of ideas worth spreading, TEDx is a program of local, self-organized events that bring people together to share a TED-like experience. At a TEDx event, TEDTalks video and live speakers combine to spark deep discussion and connection in a small group. These local, self-organized events are branded TEDx, where x = independently organized TED event. The TED Conference provides general guidance for the TEDx program, but individual TEDx events are self-organized.* (*Subject to certain rules and regulations)