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Dr. Steve-O goes to people's homes who live in southern California and help them out with their problems by doing like stunts.
While being a Jackass alumn may not be quite as prestigious bearing the Harvard stamp of approval, it does signal an ability to produce entertaining reality TV.
Usually pranks wind up harming innocent bystanders - in these shows, its the pranksters themselves who receive all manner of psychological and physical trauma. Hey, it's one way to make a living.