This third report of the Massachusetts Governor's Commission on Gay and Lesbian Youth deals with problems faced by gay and lesbian youth as they attempt to access health and human services. To gather information, the Commission held five hearings across Massachusetts in the autumn of 1992. This report focuses on the testimony of gay and lesbian teenagers as compelling evidence of the need for change in the manner of provision of health and human services in Massachusetts public and private organizations. Problems faced by gay and lesbian teenagers are discussed in sections on: (1) suicide; (2) HIV/AIDS and sexually transmitted diseases; (3) violence; (4) runaway, homeless, and throwaway gay and lesbian youth; (5) substance abuse; (6) teen pregnancy; (7) minority gay and lesbian youth; (8) youth expressing nonconventional gender identities and behaviors; and (9) gay and lesbian youth and service provision. The Commission made recommendations for health and human services improvements in four areas. The first is training and education about the problems and health risks facing gay and lesbian youth. The second area is that of policies protecting the rights, safety, and health of gay and lesbian youth. A third area is service programs to address the health concerns of gay and lesbian youth, and the fourth is recommendations for professional organizations. An appendix contains the executive order establishing the Commission and a list of Commission members. (Contains 52 references.) (SLD)