peers work. number two, peers navigate. their principal function is to navigate at the community level. it isn't just about mental health and being a peer specialist for mental health. it's about navigating and answering every single need. which means they need to know what the community has available in all the sectors of service. when that person calls and says i need day care next thursday, the peer says, got it. i heard that. to go find you da. and i'm going to call you back and we're going to continue to follow up until you get that day care. number three, effective local community resource directory and local community collaboration. it's a terrific program that is trying to collaborate and create a blue print for how you collaborate with community services. it's a very important function. we think that military family members, military community members which is veterans and care givers and dependents, it's the whole gamut, retired, active duty, they need to have access to an online resource directory at their commun

peers work. four lessons, number one, peers work. did everybody remember the story a very compelling story of the crisis intervention line and its success in the very first day. how many people have you heard carefully that that sequence started with a peer connection? it didn't start with a call directly to the line. it started with a peer connection. peers work. they need to be trained. they need to be certified to a national standard. we think we are i hope i was going to get word sometime today, but maybe not. we're hoping by next week we will have hopefully full funding from a foundation that asked us to design an implement the first national peer training and certification program. i know the v.a. just issued an rfp for exactly that. we talked with the v.a. we said if we build one as well that's completely not attached to the v.a. would you certify it. they said absolutely. go for it. that's what we're going to do. peers work. number two, peers navigate their principal function is to navigate at the community level. it isn't ju

to peer car sharing. we will be reporting back on how that is going. we will know quickly in terms of the impact of peer to peer cars sharing of people choosing not to own a vehicle. as we look at ways of enabling this behavior, not sharing your car is easier than sharing. it will have benefits, monetary, environmental, community, making the world a better place, helping people. i think all of us in this room want that. with this new tax on airbnb, each of these things are deterrents to doing the right thing. i hope we can make more innovative and informed decisions to make it easy to share. i would like to see tax incentives for any sort of sharing behavior. i think that is probably where it will go in the future. until we get that together, there is only a tax on airbnb. >> do you mind if i clarify that? the treasurer just held a hearing, so he has not the decision yet, so things are still open. just wanted to clarify that. >> we are interested in how this economy affects people in their everyday lives,

one thing that's very different about car sharing, especially if you build the product peer to peer, is that you have social trust built into the product. so it's not the same relationship that our customers would have if they were to go rent a car from hertz. they know the person. they know their classmates. it's another individual. and you see who your mutual friends are. this ties it back to chicken farming. social collateral is one of the most powerful mechanisms in place to drive good behavior. microfinance has the best repayment rates in all borrowing and lending out there. and you don't put any collateral down. it's your social reputation that's on the line, and that's very much in play in peer to peer. >> to make an analogy, i don't smoke, but i might smoke in bob's car. >> no, and you may have biology class in bob's car. bob knows who you are and he can come find you. >> bob -- hertz doesn't get angry at me when i wreck their car. they maybe make me fill out forms. bob probably will. there is that. >> i mean, bob would if there wasn't a backup mechanism to take care of bob.

i would suggest peer pressure plus financial incentives create a synergier? plus financial incentives create a synergier synergistic model. >> what is the role of medical schools here? >> i think there is a considerable role. based on my experience recently, these issues aren't being addressed particularly at all. there is a little bit more of a focus on primary care. there is a need to further acknowledge the contribution that other types of practitioners can make there is a lot of anxiety of course about compensation around primary care. but we're not doing nearly enough to in fact introduce these issues to the curriculum in medical school. >> senator baucus, i want to go back to a point i made earlier. we're not training physicians today to enter into a health care delivery system. we're training them to be medical rescuers. we're training high-tech, giving them lots of tools, and that's where the money, and that's where the glamour is. it's a real problem. so medical schools are not doing what is needed today. but i -- you know, so is a lot of the system.

the two issues that you really see are peer support and in-home care. it's peer support because you must build the network of veterans, how they felt like they were in the service. you must have your brothers in arms, you must have your fellow service members standing beside you to overcome stigma, to get through this and to feel that camaraderie that you once felt. and you must get in the home. because pulling a veteran out of home, treating them, and then putting them back in their home is treating a very small portion of the problem. we recognize that consumers in our system often would really be able to provide support to their peers. yet, there really wasn't a mechanism to do that. we decided to start a recovery support institute to train and certify persons who had been through treatment in our system, that then could come out as certified recovery support specialists and work at our providers and provide services. hope stands for helping ourselves pursue enrichment, and we're a recovery, wellness, and reintegration center. we currently have a vol

fhwa also tested one of the grand cherokee's peer vehicles, the ford explorer. the test on this 1995 model were conducted at even higher speeds, at 70 and 75 miles per hour, and the gas tank did not rupture. we should point out that the gas tank in the explorer is placed in front of the rear axle. >> we took a mission trip as a family when she was like a jirn high school down to mexico, worked in an orphanage. she just loved it. >> the impact occurred and stacey's car rolled multiple times ?oo.s you can still see the gas line where fuel poured out of stacey's car here at the scene. but what gives some measure of come port is knowing that stacey likely was unaware of what would happen after she was hit. nhtsa would not talk on camera because of their ongoing investigation, and has not given any timetable for when they will reach a decision. but in their odi resume, nhtsa says that rear impact related tank failure and vehicle fires are more prevalent in the jeep grand cherokee than in non-jeep peer vehicles. just last week nhtsa added the 1993 to 2001 jeep cheroke

so peers work. number two, peers navigate. their principal function is to navigate at the community level. it isn't just about mental health and being a peer specialist for mental health. it's about navigating and answering every single need which means they need to know what the community has available in all the sectors of service. when that person calls and says i need daycare next thursday, the peer says, got it. i heard that, i listened, i'm going to go find you daycare, and i'm going to call you back, and we're going to continue to follow up until you get that daycare. number three, effective local community resource directory. the community blueprint is a terrific program that is trying to collaborate and create a blueprint for how you collaborate with community services. a very important function. we think that military family members, military community members which is veterans and caregivers and dependents, it's a whole gamut, retired, active duty, they need to have access to an online resource directory at their co

it started with a peer connection. peers work. they need to be trained.y need to be certified to a national standard. hopefully, we will now hold funding from a foundation that ask us to design and implement the first peer training organization. peers work. peers navigate. their principal function is to navigate at the community level. it is not about being a peer specialist or mental health. it is about entering every single need. they need to know what is available in every sector of service. when that member says i need day care, the peers says, i got it. i will get you take care and we will follow up until you get it. local community collaboration. the community is trying to collaborate and create a blueprint on how you collaborate on community services. it is an important function. retired, active duty. they need to have access to an online resources director in their community that rates the services available. it tells what insurance plans day except, what is my point of contact. are you excepting new clients. i have had 25 people rates this 3 star

many of these peers are about 100 years old. this is in line with some of the work we have been doing as a board -- >> [inaudible] supervisor avalos: this is in line with some of the work i have been doing on the board for a number of years to increase the pipeline of workers into local projects. part of that effort, we had supported via budget allocation , the pile driver apprenticeship program to the port which will help enable that program to reach into real work doing our peer maintenance work along the waterfront. this ordinance is going to be changing some of the ways we typically do the projects, typically over $400,000 we will contract out. with this ordinance, we would be approving contracting in and keeping the current work force within the port handling that pierre repair work, which is in line with some of our values, keeping a lot of our work in house. to percent from the port is brad benson and we will let him take it away. >> thank you, supervisor. brad benson from the port of san francisco representing the port d

we want to make sure that consumers, peers, families, as well as providers and policymakers are aware of the wide range of information because, at the end of the day, stigma and discrimination and the expectation of individuals with regard to mental health and addiction is a cultural phenomenon. when we look at the people who are not engaged in substance abuse treatment, 95 percent perceive no need for treatment. even though they meet criteria for abuse or dependence, they perceive no need. it's not that they don't want treatment. it's that they perceive no need for treatment. and that is the conundrum for the healthcare delivery system. if we don't facilitate that awareness at the community level, at the family level, at the employer level and at the provider level, , then we'e always going to be dealing with the extremes of these conditions and people will not recognize that they need to change their behavior early. and as dr. laudet pointed out and dr. peterson pointed out, if the individual has diabetes and doesn't take his or her medication, hypertension doesn't take medication,

it is not peer reviewed. of treatment was used prior to sensory integration modalities with occupational therapy. prior to different types of medication managements. prior to more intensive speech and language work. prior to positive behavioral treatment plans being implemented. some would take -- most of my work is with child advocacy. i certainly use psychotropic medications in my regimes. it's one small part of what we do. the reality is -- >> but it's what these kids -- >> excuse me, i would -- >> let him -- >> -- these kids with behavioral disorder, that's what they get. they get that small part of the doctor's practice he's talking about. they get the drugs. massive doses of drugs. saying you guys dope these kids up. >> i understand. he's cutting me off. he apparently didn't like what i was saying. the reality is the child psychiatrists really don't dope kids up. there are medications. clearly tranquilizers that can potentially be used. that is not what we do in the great majority of children. >> okay.

the peer is basically a big parking lot and this morning, the man's car was in the lot.olice boats scanned the area and they found no signs of this missing man. we did meet a kaiaker who decided to help out. >> at this point in time i think it should be closed off due to not having fences and they should not allow the public to come from at&t park and you know be drunk and wander around on the pier. >> now again, we top know what the circumstances were. somebody reported he had fallen in the water. we have seen patrol cars leave the area and they are headed to a different peer to focus their search efforts there but they are looking with bond knock collars and that is volunteering he is saying, there are areas, familiar with this area or there are place he can seek shelter. the search effort is underway and the coast guard and police will continue searching for the man who they believe has fallen into the water. allie rasmus, ktvu channel 2 morning news. >>> well the giants have extra security at the park with their series with the dodgers. for the first time, san franci

one of your peers, not quite as well known as you, believes not. as i look back, we looked at the 20 largest institutions in the world. since the 1990s, the japanese meltdown that occurred, 16 of the 20 are either government owned or have had taxpayer money injected into them. and so you look at what we've done and many people obviously are coming out with all kinds of models now. you've got the bear model, glass-steagall is being talked about. would you share with the committee the purpose of a highly complex institution, what societal good an institution like yours is and what our financial system would be like if we did not have these highly complex institutions, and secondly, you're obviously renowned, rightfully so, i think, as being one of the most, you know, one of the best ceos in the country for financial institutions. you missed this. it's a blip on the radar screen. but are these institutions today just too complex to manage and the fact that 16 of the 20 have had injections, what does that say about a highly complex institution like you

it creates a marketplace for peer to peer car sharing. she completed the inaugural graduate studies at a new school that focuses on inspiring leaders to understand and fulfill [unintelligible] to adjust humanities' grand challenges. next is molly turner. joe could not make it. she is the director of public policy. next is leah of taskrabbit.com in market place where you could outsource small jobs and tasks. it is a pioneering service network, a concept she conceived and has evangelized. service networking describes the productive power of a web based social network community. since its founding in 2008, she has grown to more than 40 employees and has expanded to boston, chicago, los angeles, new york city, portland, san francisco, and seattle, with several more markets to come. under her leadership, it was named one of the next big things in tech by the wall street journal, the start up to watch by ink magazine. please welcome leah. jamie wong is the co-founder and ceo of viable.com. her vision of a more open world and exchanges through t

down factory model of society to a pear to peer network model of society. large corporations further consolidate wealth and power in the old system. the emerging sharing economy is democratizing wealth and decision making in new networking modes of production, consumption, and governance. the sharing economy is driven by economic, environmental, and social crisis, also new technologies come a new culture of sharing, and a new generation, the first one raised on the net where schering is part of their value system -- where sharing is part of their value system. there is car sharing, open source software.

to peer, schering. it was very much the bread-and- butter, and i think we will see that nationally expand, though it may not be its own initiative. >> yes, i will just add to that that you are one of the largest -- one of the largest time banks in the country is here in san francisco, the bay area community exchange. could start using that to mobilize volunteers, so i encourage you to check it out. another thing to think about is public banking. it is not necessarily a different currency, but it would be a different way of handling money. for instance, san franciscans could do it. a good but the money instead of in wells fargo or whatever, a private commercial bank, into a bank that is owned by us, and that the interest goes into city treasury, and we extend credit to ourselves. there's really innovative things that are happening, and that our public banking laws being lodged in a number of -- i think it is, like, 13 states right now. very innovative things happening. in the back. >> there are a lot of

fhwa also tested one of the grand cherokee's peer vehicles, thed for explorer. the tests on this 1995 model were tested on higher speeds at 70 to 75 miles per hour and the gas tank did not rupture. we should point out the gas tank in the explorer is placed in front of the rear axle. >> we took a mission trip as a family when she was a junior in high school down to mexico and worked in an orphanage. she just loved it. >> the impact occurred and stacy's car rolled multiple times. >> reporter: you can still see the gas line where fuel poured out of stacy's car here at the scene, but what gives the meyers some measure of comfort is knowing that stacy likely was unaware of what would happen after she was hit. the officials would not talk on camera due to the ongoing investigation and has not given a timetable for reaching a decision, but in their odi resume they say rear impact related tank failure and vehicle fires are more prevalent in the jeep grand cherokee than in non-jeep peer vehicles and just last week the 1990 flee to 2001 jeep cherokee and the 2002 to 2007

the peer program's hallmark is they have very precise outcomes. the aspen point model in three years have served 2921 families in colorado springs. 500 military families have been actively navigated. 65 incarcerated veterans have been placed in jobs. 76% did not come for mental health needs. they came for career and reintegration needs. 73% had more than one sector of care that they needed help with. only 16% initially touched the system for a mental health need. this is a real interesting one. annual community costs without peer navigator to colorado spings $6.9 million. annual community costs with peer navigator $225,000. an 85% reduction. we can solve this problem, but we need to do it at the community level. i can tell you we need your help. we certainly need your money. it is a very, very compelling need, but it's going to be solved at the local community level. not from the top down. thank you all for everything you've done. appreciate it. [ applause ] live now to the brookings institution, where new hampshire senator kelly ayacht will give

of peer support services so important? the most important part in there is because, being a veteran, you can understand another veteran, because you've been there, you're going through these things as well: the operations, deployment tempos, and that sort of thing, the operational picture of everything. you've been there, done that, so to speak, as we always know. so by providing myself and making myself available to veteran organizations, anybody that deals with veterans -either active or reserve or haven't, you know, under the va system- then that helps out. it just supplements the help that they are already getting, you know, through treatment and so forth, to go ahead and relate, to bring that component of compassion and understanding, let them know that there's something we can do, there's hope. i want to go back and talk about a little bit on the issue of homelessness. now, we see post-traumatic stress disorder, we see alcoholism, we see other substance use disorders, and then you also see depression and other mental

and your reference to my peer mentoring and peer visiting amputees at woulder reed over the years, i've gotten to know the current warriors and their families their concerns. in short i think i understand the catastrophic injuries they have overcome through military administration. i understand it from being at their bedside and i understand it from being in that hospital bed myself. as of may 1st, there's 1,459 amputees -- i'm sorry, warriors with amputations. the care for those warriors is at the very core of the v.a.'s mission. it's clear that v.a.'s prosthetics today is at a crossroads. v.a. to me has the chance to regain its leadership role that you referred to. and the excellence in this field of prosthetic provision and amputee care. but the current direction and recent decisions involving prosthetic care suggest that the veterans health administration vha is about to further compromise its ability to serve these veterans. in 2004 eight years ago the secretary testified before this committee that v.a. in his opinion had lost its edge in prosthetics. and it wasn't doing enough to

even his peers saw his form. >> he was able to find a middle ground in which he balanced the ideas of human figuration and representation with abstraction and found it even more meaningful to negotiate that duality. >> another challenge was to create art from a meeting that was typically viewed as kraft material. his transforming moment was an accident in the studio. an oversized vertical sculpture began to collapse under its own weight and spread onto the floor. he sought a new tradition before him, landscape sculpture. >> you feel this extended human form underneath the surface of the earth struggling to emerge. eventually, it does. it articulates his idea that the earth is like flesh, and the archaeology and geology in the earth are like the bones, the structure of the earth. this tied in with his idea of mother earth, with the sense that we are all tied to nature and the earth. >> a half dozen bay area museums and private collectors loan the massive sculptures to the museum for its matter and spirit retrospective. but the most unusual contributions came from stephen himself. a wal

misconduct definition goes to the standard of professional conduct and we have assembled a list of peers of the sheriff who can speak to the conduct requirements from the position of being a peer of the sheriff. that is the legal test associated with the definition of a right conduct standard. i do want to respond to your question about how we have not provided a list of opinions. prior that has to do with a tight schedule we face. at the last hearing where we briefed all the substantive issues and other investigative issues as well. put together all our fact witnesses and found and listed for you all our experts. i have not had time yet to work extensively with each expert to find out what their opinions are. it is not a matter of i have a list of opinions for them. it is a matter of if they have a list of opinions for me. i need to know they have the qualifications and they were willing to participate. that is more or less what can tell you right now. , that was a way to signal to the share of -- sheriff with the other experts would be. chairperson hur: i would invite your response esp

there is an enormous literature out there that is already peer-reviewed and published on i.q. there are dozens of papers. the big question is how well can i take a single person's brain scan and with what confidence can i get a number associated with it that we would derive an i.q. those measures and ways that we do that get better every month, basically, every year we're getting more and more accurate at taking a single piece of information or complex piece of information and fitting it. to my knowledge, it hasn't been done. i am aware there are patents on estimating i.q. using brain imaging which is a measure of metabolites in the brain. i haven't actually -- i'm not aware of any cases in which it's been used. there is no reason why it couldn't be. >> the way it's been, nothing as you have described with the algorithms to map it has been used. brain imaging has been used to try to bolster a claim of lower i.q., not by an algorithm, but by showing brain abnormalities and other things that could be consistent with mental retardation and lower i.q.. >> i would add to that, this