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

>> san francisco is home to some of the most innovative companies of the 21st century. this pioneering and forward looking spirit is alive in san francisco government as well. the new headquarters of the san francisco public utilities commission at a5 25 golden gate avenue is more than just a 13-story building and office ablation. instead, city leaders, departments and project managers join forces with local architectural firms ked to build one of the greatest office buildings in america. that's more than a building. that's a living system. ♪ ♪

when san francisco first bought this land in 1999, it was home to a state office building. >> this was an old eight-story brown building the state owned and the workers' comp people were in that building. it was an old dee correctvth it building for decades. when i was a member of the board of supervisors, all of us wondered why we hadn't done anything there and the mayor thought the same. >> if an earthquake happened, the building was uninhabitable. it sat there vacant for quite a while. the city decided to buy the building in 1999 for $2. we worked and looked at ways that we can utilize the building for an office building. to build an icon i can building that will house a lot of city departments. >> the san francisco public utilities commission has an important job. we provide clean, pristine public drinking water to 2.6 million people in the san francisco bay area from the hetch hetchy regional water system. with also generate clean renewable energy for city services like public buses, hospitals, schools, and much more.

and finally, we collect and treat all the city's wastewater and stormwater making it safe enough to discharge into the san francisco bay and pacific ocean. >> in 2006 the puc was planning a record number of projects. >> the public utilities commission is a very infrastructure-rich organization. we're out there rebuilding the water system. we've budget working on power generation in the country. we've been doing sewer for the city. we're looking at a brand-new rebuild of all watt systems in san francisco and we haven't had a home that's been other than mental. >> they staff over 900 people. the puc is in two office locations. >> you know, this is such a great place for a building. if the puc owned that building and we could make that the icon i can sustainable building puc represents, wouldn't be a dramatic idea? >> so, one of the major decisions we made was we wanted to make a statement with this building. we wanted this building to be a

lead platinum building which is very few buildings in san francisco that achieved this mark. >> leadership and energy environmental design, it takes a look at the way we think about the places where we live and work. i like to think of it as designed for human and environmental health. lead addresses five categories that enhances environment. indoor air quality, energy, water, materials and resources, and sustainable sites are the five categories for the lead. you can go for several gold or platinum certifications. >> the city wanted to be silver lead status. . maybe gold was a stretch. and people said, if we're going to be a sustainable organization that the pucs this has got to be the top of the line. it's got to be a lead platinum building. what does that mean to us? we run water, power, and sewer. so, those are some of the biggest things involved in lead platinum. ♪ ♪

>> by late 2008 the project, as we got the contractor on board and we were able to start pricing it, we're a multi-, multi-, multi-million dollar over budget. >> the story a lot of people don't know after we got select today do this project, the first price we came in with was $180 million. and the city said, you know, this is a great building, but we just don't want to spend that much money. so, the project was on the verge of being canceled. >> if you're looking at why this building came to be, in many ways it also included mayor gavin newsome, particularly, who really had an affection for this building. he saw the design. he saw the potential. he wanted to make sure that that building got built. and he said, do what you need to do, but please, if you can make that building work, we need to have that building in civic center. >> i happened to be at a green conference santa clara.

he said you shouldn't cancel that project. can you work with us? michael cohen phoned me up the next day. can we cut $40 million out of this project? it was one person more responsible than any others, it's tony irons, was the architect that was responsible for the revitalization of city hall who came to my office and said, we cannot abandon this. we can't walk away from this project. we have an opportunity to really take a lot of our values and principles, particularly raising the bar as we did as a city on our green building standards, mandating the most aggressive green building standards for private construction anywhere in the united states. and showcasing them in this new building. >> the city for the sfpuc, it was critical that the building stay as a lead building. the easiest thing to do to cut out millions of dollars, let's just go from lead platinum to lead gold. but that wasn't the objective. this needed to be the best example of energy conservation

of any office building in the united states. >> we became involved in the san francisco public utilities headquarter project during the time when the project was at a stand still for a number of reasons, largely due to budget issues. and at the time we were asked to consider an alternative design using concrete rather than the scheme that was potentially planned for previous to that, which was a steel frame structure that used hydraulic dampers to control seismic motion. >> so, i met with my team. we worked hard. we came up with a great idea. let's take out the heavy steel structure, let's put in an innovative vertical post tension concrete structure, great idea. we did that. a lot of other things. and we came up with a price of 140 million. so, we achieved that goal. and, so, when we first started looking at the building, it was going to cost a lot of money. because of the way it was being built, we could only get 12 floors. we wanted more space for our employees. we ended up going and saying,

okay, if we do a concrete building instead, which was web core's idea, we can get 13 floors, not 12 floors. the concrete doesn't require much space between the floors as a steel building does. and it could be cheaper. yes, more space, less money, great idea. ♪ ♪ >> we know that right now there are things happening in power, with sewer, with water that are not always proven technologies, but they're things that are enough proven you should take a bit of a risk and you should show others it can be done. >> we're showing the world, suddenly had wind turbines which they didn't have before. so, our team realizing that time would change, and realizing where the opportunities were today, we said, you know what, we started out as really something to control wind as an asset, when

you combine today's technology becomes something entirely different. >> wind turbines in an urban environment is a relatively new concept. there are a few buildings in other major cities where they have installed wind turbines on the roof. and wind turbines in buildings are effective. >> the discussion was do we do that or not? and the answer was, of course. if they're not perfect yet, they're building a building that will last 100 years. in 100 years someone is going to perfect wind efficient turbines. if these aren't right, we'll replace them. we have time to do that. >> the building that's two renewable energy generations. wind turbines located on the north facade. two different levels of photo volume takes. >> we have over 600 solar panels and three platforms on the building, and four integrated wind turbines. the wind turbines and the solar panels produce 7% of the building's energy. and we're reducing the use of energy here by 32% in the office building.

>> the entire building is controlled by a complex computer system which monitors and adjusts air, heating and lights as well as indoor shades. >> the building is going to be a smart building. it's going to have all integrated features. so, it has a monitor on the roof that knows where the sun is. as it gets warmer or colder, it heats and cools the building. as it gets lighter, shades can go up or down to make sure that you're not over using any kind of heat or air conditioning, but as it gets darker the shades can go back up. the lights inside the building self-adjust depending how close they are to the light sources outside, how light it is, how dark it is. so, you're not using energy more than you need. >> we also have occupancy sensors. if nobody is in that room, lights turn off. it's likely to have sustainable features. it's another thing to have an

integrated systems sustainability. >> when you have a building that's lead platinum, there are a couple themes important. one is daylight harvesting where you harvest the daylight and have it penetrate the building so that people have views, they see sunlight, which means that partitions and workstations are much lower so that people can see. >> so, human comfort combined with light reduction, the amount of electric light reduction, all with the aim of creating, you know, a marvelous workplace that people want to come to, feel comfortable working in, thrive at what they're doing, all kind of integrate together. and the daylighting lighting strategy is a very important part of that equation. >> one of the keys to this building is that we're maximizing the use of natural daylight to light the building. >> here in our south facade we have light shells.

they help shade the floor, but as well light bounces off of the light shells into the interior of the floor providing more daylight into the interior of the floor. lighting is both the greatest use of energy consumption in an office building, but it also contributes to the largest amount of heat gain in the building. we're maximizing the use of natural daylighting. we also have light sensors that minimize the use of artificial lighting. >> by having light outside the building skin, what that does is we are mitigating it before it hits the glass. we have a high performance, low formal gain graph. the system does not have to work as much to either cool the building or heat the building. >> this building also incorporates or utilizes under floor system for delivery of heating and cooling to the building. this in conjunction with the high efficiency equipment that we've installed in the building

reduces the consumption of energy for heating and cooling by 51%. >> we have two destination elevators. destination elevator save 35 to 40% of the electrical energy over traditional elevator. these elevators save energy by using a regenerative drive. when the cars are going up empty or down full of people, they generate electricity that goes back into the building grid. these elevators have energy by grouping people going to the same floor in the same cab. and the way they work is you have a shared elevator call button in the lobby. you would indicate which floor you're going to, for instance like 3, and it will direct me to elevator c. so, i'll go to an elevator with people that are going to that same floor. what's also interesting is inside the elevator floor cab there are no selection buttons because i selected my floor in the lobby. this takes some getting used to as we're all accustomed to choosing our floor inside the elevator cabs. ♪ ♪

>> another thing we saut that was a challenge for this building was the permitting process for the delivery machine to use reclaimed water in an office building. and i think that we really broke the ground for future use to be much more commonplace for utilization of reclaimed water in office buildings. this building uses 60% less water than a typical osv building. that's achieved by using rainwater for landscaping, treating wastewater on-site for reuse in the building's toilets. >> the machine is an ecological waste treatment system for water resouls. so, the living machine to accelerate what happens naturally in nature is biomimickery that happens in tidal estuaries. it brings in nutrients to the

microbes. it's delivered in the air, and does the rest of the process, chewing up those nutrients in the water and producing nitrogen and carbon. we're doing that in a system where we're creating 12 to 16 tides per day. >> the wastewater for our building begins its journey by travel tog our primary tank which is a fairly normal looking manhole. beneath these manholes is a 10,000 gallon primary tank. there are two chambers. the trash chamber which filters out the trash and plastics and the organic solids settle out just as normal wastewater treatment process is. the water then flows to an equalization tank, a recirculation tank, and then on to tidal flow wetlands cell 1a. all those these cells look to be only 3 or 4 feet deep, they're actually 8 feet deep below this concrete sidewalk.

the water repeatedly cycle into the cell from the bottom up. as the water comes up into this cell, it meets the microbes here to treat the wastewater. they flourish off the organics found in the wastewater. after multiple cycles, most of the wastewater treatment has already occurred and the water then flows to the vertical cells located around the corn iron polk street. 2c is located half outside on polk street and half inside in the building lobby. after the final polishing, the water flows to the disinfection room of the basement of the building. there the water goes through two disinfection processes. first ultraviolet light, and second a dosing of chlorine. the treated water is stored in a 5,000 gallon reclaimed water tank where it is pumped throughout the building for toilet flushing purposes. the treatment cycle is complete and the water is reused again and again. this new building features a rainwater harvesting system. rainwater is captured from the

building's roof and the children's play area along the side of the building and sent down to our disinfection room where there is a 25,000 gallon sis tern. the rainwater receives minor treatment and is used to irrigate the building's trees and landscaping. >> when we're resues using water we have on-site, we're not purchasing new water and we're also not putting sewage down into the sewer system which is costs money. this is a demonstration project of 5,000 gallons a day. it is the beginning of understanding and feeling comfortable with this technology that can be scaled up into eco districts and community scale systems, campus-type systems where in those situations when the water is reused and the numbers are much higher, 50,000, 100,000, 200,000 gallons a day, imagine the savings on that that you're getting. you're not purchasing freshwater and you're not using the sewer and being charged appropriately. this wastewater processing and reuse technology is cutting edge. and although it's been

successfully implemented in other cities, it will be one of the first such installations in an urban office building. >> here is a city agency that treats wastewater, but they send no wastewater to the treatment facility. that says a lot. >> it's got a 12 gallon per day occupancy using 5,000 gallons per day with a building officing 1,000 people. that turns out to save over 2.7 million gallons a year. >> the public utilities commission runs water, power and sewer services for san francisco. we can't afford to be out of business after an earthquake. so, we're thinking about building a building. that building is going to hold our operations center and our emergency operations center for things like earth quack. that building had to be immediately occupiable. great. but we can do better than that. so, this new technology that we ended up using