you know what came out was whatnot what we hoped for but a step going in the right direction as we got involved we learned more about mental illness and learned mental illness is a boom condition a chemical condition of the brain and learned that many people with severe mental illness have a condition lack of insight. those are people with severe mental illness won't seek treatment and laura's law is aimed at this population. mayor ed lee and supervisor farrell said a little bit about the law but basically laura's law allows parents and others to

contact their mental health director to seek a court order to engage the client or patient and assaulted outpatient treatment. it's very interesting how laura's law works it has no real teeth to it there's no really compulsion but laura's law does work laura's law is implemented or something similar to it in this state's and rests on the assumes that most people are law-abiding citizens and will stay engaged in treatment. it's been in nevada county mayor ed lee i think talked about the results in new york state ken raze law and laura's law is

modeled after that and the results have been similar to what new york state has seen. laura's law way fully implemented in nevada county in 2008, it wasn't implemented out of the kindness of a supervisors heart it was implemented as a result of a court settlement that we made with the nevada county. but since it's implementation there's been an enormous buy in but all facts and circumstances in nevada county they've been encouraging way beyond what we anticipated. of those referred to assaulted out patient treatment over 50 percent engage in treatment voluntarily so the com pully

aspect of laura's law is not used more often than used it's important to remember through so there's a collaborative progress whereby the clients meet with the judge and through a process do engageful in treatment and finally full treatment. in nevada county there's been documented 64 percent decline in psych hospitals there's been a 27 percent decline in incarceration for prison and a 33 percent decline in homeless days and there's been a '64 percent decline in emergency interventions. overall for every tdr spent on treatment under you assisted

outpatient that's been documented one dollar and $0.84 avoided costs it clearly saves lives and money that's the com patient thing to do as mayor ed lee said. image if san francisco implements laura's law it will have the same experience as nevada county >> thank you again to supervisor farrell and mayor ed lee we really appreciate our support this has been a long struggle but i said all the time you have two major county in one week that have come to this point and we hope it will lead to more thank you very much. >> (clapping) >> thank you to the wilcox family for coming down from

nevada county and sharing your story. i want to introduce the director of our public health department barbara garcia (clapping.) good morning. i wanted to acknowledge the wilcox family thank you for your work. the department of public health has an incredible health system we serve over thirty thousand people we looked at the political process this went through we developed a program for volunteering system in that the client what voluntarily come into the system and has a mandate treatment plan. with laura's the more important thing on the front end it allows for the family and providers and i want to acknowledge the providers who watch their patients fail and die because of

the lack of compassionate treatment and they don't have the tool to mandatory the process it's important for the civil right of our plan through this process the advocacy of insuring the people have the right through this law i believe it will and will look at the fact it those individuals and the ability of families to acknowledge the fact it is very difficult for families to acknowledge the fact they have a mentally ill child we have individual rights address protections of the information and adults don't have to share that with their families we have barriers for the providers as well as the family members to seek access for care for their family members. we believe that treatment works

and people do better when they have treatment we've watched patients become active and good providers in the community we do not want people into the emergency care department but help folks engage in treatment. in infected the department will especially up we have over one dozen years of experience this will be a critic court means and we have the means to work with the court system as well as to immediately set up an assisted treatment and we have the state support for funding to make sure this passes and i know the city will also support any services. i look forward to working with

the community and the advocates to make sure we work through the process and that we try to bring this program to fruition to make sure that more people have access through the treatment and more family members and the providers have the ability to take care of their family members and patients thank you very much (clapping) >> thank you director garcia at this point, i'd like to call up director joann associate professor and a physician at psych emergency service and for case management and has 20 years of experience at sf general dr. ralph (clapping). >> thank you supervisors. that's very kind i wish it were only 20 years it's more like 35

(laughter) >> so as you heard from our director barbara garcia san francisco's behavorial system officers thirty thousand san franciscans every year mostly volunteer treatment from prevention through crisis with goals of wellness and recovery this includes the thirty thousand includes 73 hundred that visits psych care every year a that's the severely and chronically schizophrenia and bipolar disorder. decades ago those are people that would have been locked up for years and years, however, thanks to improvements in treatment reform the commitment laws and the doctrine of the

laeftd restrictive they've been treated in our outpatient treatment unfortunately, that leafs behind a small number of patients they k3467b9 refuse treatment and others demonstrate success often several years at that time, but not able to stay in the treatment not recognize or remember they have a chronic illnesses oftentimes after a year of or two of treatment they don't need it and stop seeing the treatment team and go off the treatment and start to deteriorate the next step they have their families and friends trying to get them back this

only end when the police arrest them on the 5150 or harming themselves or others do i hear a motion to approve the minutes at that point in time at that point, they become homeless and typically require treatment to restables. this insight is not a character trait or a political opinion such patients see it in other people not themselves it's not a deficit of intelligence we've treated severely chronic will i ill people that have degrees in psychy. this reflects a problem. which is just greek for no knowledge of the disease and not

understand the deficit of a minldz and it is seen when a person has a paddlers arm and seen in dementia and agreeing schizophrenia it represents deterioration. but the important thing once we recognize this way to we can structure the damage. laura's law is an outpatient treatment designed for two inteenlz to do if number one external support and motivation to the patient internal essence of maflgs when a judge says you need to do this that makes is an

expression the second is if the motivation fails the treatment team will be enabled and the family to intervention in a patient drops out of treatment if caught quickly this kind of deterioration can be referred in twenty-four hours within the emergency service and the patient maybe not having problems. the number of patient in san francisco it qualify for laura's law is small maybe one hundred but ouch extremely high yourselves of ambulance and in patient services and incarcerated and with laura's law in place we hope to see the reduction in arrests and others problems with people who are deteriorating and not seeking

treatment. thank you very much (clapping.) thank you very much dr. and i want to call of the vice president as wilcox has been incredible source of support thank you very much >> hi i'm randell i represents psychiatrists about 35 hundred of them it's observed from dr. russel testimony psychiatrists have to deal with people who are neglected they and they're very, very sick psychiatrists around the state staff the emergency department and the emergency service department they're the in patient psychiatrists in the state hospitals and state prisons and because of those

positions psychiatrists know as well as anyone whoops when you negligent people they end up in the institutions and they're very, very difficult to treat at the late stage, if you will, career. if you look at those individuals and trace back the story of any particular one you will find missed opportunities in the community to intervention in those lives or you'll find many opportunity that were not suv adequate or efficient and because of the missed opportunity those individuals end up very, very sick and it is a problem that san francisco knows well. i will give you a perm be antidote by way of explaining how i become involved i represent psychiatrists but a board member 15 years ago, i got

involved the in the drafting of laura's law my own son had a psych disorder one was the structure of a court or legal system helping treatment officials gain compliance in treatment and the other is effective services. my son was diagnosed before 16 puc. the was the most stable for 10 years during the period between when he was diagnosed and his 18th birthday i have a story similar to the one that supervisor farrell told in which he bausz because weekly probation officer would come and ask questions he'd ask my son are you baby boomer your father and seeing our psychiatrist and

taking our meds. that weekly contact even though we have very, very good certifies that weekly contract was the difference when he turned 18 he took off for 9 months and arrested in 3 couldn't and jailed three or four times even if e he was within marino and eureka and sacramento he was living on the streets. i know personally and from stories of the family how necessary it is to have an effective tool that's why psychiatrists in the state appreciate the mayor to help change the lives permanently of folks with mental illness that are two difficult the special tool of laura's a law can help 0

unfortunate outcomes. thank you (clapping.) thank you, mr. hague arrest thank you for everyone coming in particular the wilcox family remember this is about helping individuals and this is the most compassionate community dreven process here in san francisco i look forward to get it through the board of supervisors and if not taking it to the board so we have laura's law here in san francisco. thanks everyone

>> hi. welcome to san francisco. stay safe and exploring how you can stay in your home safely after an earthquake. let's look at common earthquake myths. >> we are here at the urban center on mission street in san francisco. we have 3 guest today. we have david constructional engineer and bill harvey. i want to talk about urban myths. what do you think about earthquakes, can you tell if they are coming in advance? >> he's sleeping during those

earthquakes? >> have you noticed him take any special? >> no. he sleeps right through them. there is no truth that i'm aware of with harvey that dogs are aware of an impending earthquake. >> you hear the myth all the time. suppose the dog helps you get up, is it going to help you do something >> i hear they are aware of small vibrations. but yes, i read extensively that dogs cannot realize earthquakes. >> today is a spectacular day in san francisco and sometimes people would say this is earthquake weather. is this earthquake weather? >> no. not that i have heard of. no such thing. >> there is no such thing. >> we are talking about the weather in a daily or weekly

cycle. there is no relationship. i have heard it's hot or cold weather or rain. i'm not sure which is the myth. >> how about time of day? >> yes. it happens when it's least convenient. when it happens people say we were lucky and when they don't. it's terrible timing. it's never a good time for an earthquake. >> but we are going to have one. >> how about the ground swallowing people into the ground? >> like the earth that collapsed? it's not like the tv shows. >> the earth does move and it bumps up and you get a ground

fracture but it's not something that opens up and sucks you up into haddes. >> it's not going anywhere. we are going to have a lot of damage, but this myth that california is going to the ocean is not real. >> southern california is moving north. it's coming up from the south to the north. >> you would have to invest the million year cycle, not weeks or years. maybe millions of years from now, part of los angeles will be in the bay area. >> for better or worse. >> yes. >> this is a tough question. >> those other ones weren't tough. >> this is a really easy

challenge. are the smaller ones less stress? >> yes. the amount released in small earthquakes is that they are so small in you need many of those. >> i think would you probably have to have maybe hundreds of magnitude earthquakes of 4.7. >> so small earthquakes are not making our lives better in the future? >> not anyway that you can count on. >> i have heard that buildings in san francisco are on rollers and isolated? >> it's not true. it's a conventional foundation like almost all the circumstances

buildings in san francisco. >> the trans-america was built way before. it's a pretty conventional foundation design. >> i have heard about this thing called the triangle of life and up you are supposed to go to the edge of your bed to save yourself. is there anything of value to that ? >> yes, if you are in your room. you should drop, cover and hold onto something. if you are in school, same thing, kitchen same thing. if you happen to be in your bed, and you rollover your bed, it's not a bad place to be. >> the reality is when we have a major earthquake the ground shaking so pronounced that you are not going to be able to get up and go anywhere. you are pretty much staying where you are when that earthquake hits. you are not going to be able to

stand up and run with gravity. >> you want to get under the door frame but you are not moving to great distances. >> where can i buy a richter scale? >> mr. richter is selling it. we are going to put a plug in for cold hardware. they are not available. it's a rather complex. >> in fact we don't even use the richter scale anymore. we use a moment magnitude. the richter scale was early technology. >> probably a myth that i hear most often is my building is just fine in the loma prieta earthquake so everything is fine. is that true ? >> loma prieta was different.

the ground acceleration here was quite moderate and the duration was moderate. so anyone that believes they survived a big earthquake and their building has been tested is sadly mistaken. >> we are planning for the bigger earthquake closer to san francisco and a fault totally independent. >> much stronger than the loma prieta earthquake. >> so people who were here in '89 they should say 3 times as strong and twice as long and that will give them more of an occasion of the earthquake we would have. 10 percent isn't really the threshold of damage. when you triple it you cross that line. it's much more

damage in earthquake. >> i want to thank you, harvey, thanks pat for >> so become everybody this the may first thank you for jefferson city us for the celebration of asian pacific it's the international looibd to celebrate of the success around the world and may first, it the the state of hawaii with this we have a special, special hawaii culture and the asian panicking american heritage thank you for american ails for the hawaiian airlines thanks to hawaiian airlines. i know that ms. sue thank you.

>> happy day. we're going to go around and you know the other neighborhoods. let's go back to the business of 14rg9 the business we have is telling the truth year in the city and county of san francisco many of you know apa heritage is at the national celebration started in 1978 around the country a lot of countries celebrate by in 1995 we celebrate a special time of the year with the apa family to come together and have our own celebration and get to know each other a little bit better we are troud from 2005 on we're celebrating our tenth year. we're excited it's not easy to start a new tradition we're

happy this new tradition is here to stay. i was informed and received a text message that mei was in city hall earlier but had to rush to a medical appointment nothing serious but we're happy to have our past, present supervisor david chiu to welcome asian heritage month >> aloha. >> and happy mayday and lay day i want to thank you for coming to be part of my favorite moments when is the kickoff of apa i was talking about to comparing canning carman chiu in 2008, there was only one asian

medical examiner now i'm honored to serve with 5 of us representing the diversity of our city with an asian-american mayor we've come a long way and may is wonderful to celebrate our east ailing o to our filipino community to our asian pacific islander community we celebrate our history from one hundred and 60 years ago to this past year to the generations of immigrants and celebrate the leadership if from our developments government and private sector. thank you to someone who's been structural to our tenth anniversary ms. chang thank you for your work (clapping) and claudine thank you four do