Connect with us

Published

on

States are redefining when medical professionals can get mental health treatment without risking notifying the boards that regulate their licenses.

This story also ran on States Newsroom. It can be republished for free.

Too often, health care workers wait to seek counseling or addiction treatment, causing their work and patient care to suffer, said Jean Branscum, CEO of the Montana Medical Association, an industry group representing doctors.

They’ve invested so much time in their career, Branscum said. To have anything jeopardize that is a big worry on their mind.

Montana, like other states, has a recovery program for health professionals who have a substance use disorder or mental illness. However, medical associations say such programs often come with invasive monitoring, even for voluntary care. And gray areas about when a mental illness should become public breeds fear that seeking care jeopardizes a medical career.

Montana is among the states looking to boost confidential care for health professionals as long as theyre not deemed a danger to themselves or patients. In recent years, at least a dozen states have considered or created confidential wellness programs to offer clinicians help early on for career burnout or mental health issues. States have also reworked medical licensing questions to avoid scrutiny for providers who need mental health treatment. The changes are modeled after Virginia legislation from 2020.

During a legislative committee meeting last month, advocates for Montana medical professionals asked state lawmakers to follow Virginias lead. They say the goal is twofold: to get clinicians treatment before patients are at risk and to curtail the workforce burnout thats partly fueled by untreated stress.

Montanas existing medical monitoring program, the Montana Recovery Program, is run by the global company Maximus. Montanas professional advocates had backed another nonprofit to run Montanas program, which didnt win the state contract.

The Montana Recovery Program declined a request for an interview, instead referring KFF Health News to the Montana Department of Labor & Industry, which oversees the states medical licensing boards. Department staffers didnt comment by deadline. Email Sign-Up

Subscribe to KFF Health News' free Morning Briefing. Your Email Address Sign Up

In a Medscape survey released this year, 20% of physicians said they felt depressed, with job burnout as a leading factor. The majority said confiding in other doctors wasnt practical. Some said they might not tell anyone about their depression out of fear people would doubt their abilities, or that their employer or medical board could find out.

Health professionals are leaving their jobs. Theyre retiring early, reducing work hours, or switching careers. That further dwindles patients care options when there already arent enough providers to go around. The federal government estimates 74 million people live in an area without enough primary care services due to a workforce shortage.

Aiming to ensure patient safety, state medical boards can suspend or revoke clinicians rights to practice medicine if substance use or psychological disorders impair their work. Those cases are rare. One study found roughly 4,400 actions against the licenses of U.S. physicians for either substance use or psychological impairment from 2004 to 2020.

Nonetheless, workforce advocates say disclosure requirements cause some health professionals to dodge questions about mental health histories on licensing and insurance forms or forgo care altogether. Theyre worried divulging any weakness will signal they shouldnt practice medicine.

The mental health questions health workers are asked vary by state and profession. For example, nurses in Montana renewing their license are asked if they have any psychological condition or substance use that limited their ability to practice with reasonable skill and safety in the previous six months. Along with being asked about substance use on the job, doctors are required to say whether they’ve experienced a mental condition that might adversely affect any aspect of your ability to perform.

When I see that question on my renewal, do I have to report that I was depressed because I was going through a really tough divorce? Branscum cited as an example of workers uncertainty. You know, my life is turned upside down now. Am I obligated to report that?

A yes wouldnt immediately result in licensing problems. Those who do report mental health troubles would be flagged by state workers as a potential concern. They could end up before the boards same screening panel that recommends whether to revoke a license, or be referred to long-term monitoring with regular screening.

Additionally, health professionals are required to report when other clinicians show unprofessionalism or have potential issues that affect performance. Branscum said medical professionals worry that what they say in a counseling session could be flagged for licensing boards, or that a co-worker may make a report if they seem depressed at work.

Bob Sise, a Montana addiction psychiatrist and co-founder of the nonprofit 406 Recovery, told state lawmakers that job stressors are playing into workers mental health challenges, such as long shifts and heavy patient loads. And with the rising cost of health care, physicians feel theyre sacrificing their commitment to healing as they routinely substitute optimal treatment for lesser care that patients can afford.

Sise said his practice now has roughly 20 health professionals as patients.

They were able to access care before it was too late, Sise said. But they’re the exception.

In Virginia, doctors, nurses, physician assistants, pharmacists, and students can join the states SafeHaven program. Melina Davis, CEO of the Medical Society of Virginia, said the service offers counseling and peer coaching with staffers available to answer a call 24/7.

If you only have a moment at 2 a.m., or that’s when you had the chance to first process the death of a patient, then you can talk to somebody, Davis said.

Those in the program are assured that those conversations are privileged and cant be used in lawsuits. This year, the state is considering adding medical diagnoses under the programs confidential protections.

States that have followed suit have slight variations, but most create a safe haven with two types of wellness and reporting systems. Those who seek out care before theyre impaired at work have broad privacy protections. The other defines a disciplinary track and monitoring system for those who pose a risk to themselves or others. Indiana and South Dakota followed Virginias lead in 2021.

States are also narrowing the time frame that licensing boards can ask about mental illness history. The American Medical Association has encouraged states to require health care workers to disclose current physical or mental health conditions, not past diagnoses.

Last year, Georgia updated its license renewal form to ask doctors if any current condition for which you are not being appropriately treated affects their ability to practice medicine. That update replaces a request for seven years of mental health history.

Even outside the safe haven framework, some states are grappling with how to grant doctors privacy while guaranteeing patient safety.

The Medical Board of California is creating a program to treat and monitor doctors with alcohol and drug illnesses. But patients advocates have argued too much privacy, even for voluntary treatment, could risk consumers well-being. They told the state medical board that patients have a right to know if their doctor has an addiction.

Davis said states should debate how to balance physicians’ privacy and patients safety.

We in medical professions are supposed to be saving lives, she said. Where’s the line where that starts to fall off, where their personal situation could affect that? And how does the system know?

Acording to the Montana Recovery Program website, its not a program of discipline but instead one of support, monitoring, and accountability. Participants may self-refer to the program or be referred by their licensing board.

Branscum, with the Montana Medical Association, said the states monitoring program is needed for cases in which an illness impairs a clinician’s work. But she wants that form of treatment to become the exception.

Vicky Byrd, CEO of the Montana Nurses Association, said nurses dont tend to join the program until theyre forced to in order to keep their license. That leaves many nurses struggling in silence until untreated illness shows up in their work, she said.

Let’s get them taken care of before it has to go on their license, Byrd said.

Because after that point, she said, its hard to recover.

Katheryn Houghton: khoughton@kff.org, @K_Hought Related Topics Health Industry Mental Health States California Georgia Legislation Montana Substance Misuse Virginia Contact Us Submit a Story Tip

Continue Reading

Sports

Kiley McDaniel’s favorite Day 1 draft picks, biggest surprises and best available Day 2 prospects

Published

on

By

Kiley McDaniel's favorite Day 1 draft picks, biggest surprises and best available Day 2 prospects

With Day 1 of the 2025 MLB draft complete, it’s time to look at which picks in the first round stood out most.

After weeks of speculation about the various directions the Washington Nationals could go with the No. 1 pick, they surprised the industry by taking Oklahoma high school shortstop Eli Willits — and the Los Angeles Angels followed up with a surprising pick of their own at No. 2 by taking UC Santa Barbara pitcher Tyler Bremner

Though the nature of the baseball draft means that some of the picks we aren’t quite sure about on Day 1 will become clearer when we see how teams spread their bonus allotment around later in the draft, here are the early picks I liked the most and some eye-opening selections along with the top players still available entering Day 2.


Five favorite moves

Mariners and Pirates get their guys

The buzz leading up to the draft was that Kade Anderson was atop the Mariners’ draft board and Seth Hernandez was the top target (after Willits, who wasn’t going to get there) of the Pirates. Seattle was the other team taking a long look at Hernandez, but the shenanigans at the top two picks (more on that later) means that both Seattle and Pittsburgh got their preferred arms.

A’s select Arnold and Taylor

The Athletics had only two picks on Day 1 but received excellent values at each. Jamie Arnold was the top prospect in the draft entering the season and seemed primed to go somewhere between No. 2 and No. 8 after an uneven season. He somehow was the prospect left holding the short straw, falling to the 11th pick. Devin Taylor was in the mix at multiple picks in the comp round but lasted five selections into the second round.

Twins embrace risk with Quick and Young

The Twins took two hit-first college infielders as their first picks last year (Kaelen Culpepper and Kyle DeBarge), took another one in the 2023 second round (Luke Keaschall), and two more in the top two rounds in 2022 (Brooks Lee, Tanner Schobel) — and also took one with their first pick this year in Marek Houston.

What interested me though is what Minnesota did after that, taking big swings with the upside of Riley Quick (four potential plus pitches but below-average command) and Quentin Young (80-grade power potential with big questions on contact rate).

Phillies try to jump the reliever trade market?

Gage Wood has a chance to start long term but can also go straight to the upper minors — if not the big leagues — and potentially help the bullpen later this season, like a trade deadline addition. The Phillies’ next pick, Cade Obermueller, is another possible starter who also could move quickly as a lefty turning 22 later this month with two knockout pitches in his fastball/slider combo. Odds are good that at least one of them can provide big league value in the next 12 months if Philly wants to utilize them that way.

The Red Sox land Witherspoon, Phillips and Eyanson

The Red Sox are interested in creating more pitching depth and selected a number of interesting arms on Day 1. Kyson Witherspoon had a lot of interest in the top 10, but the Red Sox got him at No. 15.

He’ll need to sharpen his execution a notch and his short arm action is unique, but there’s midrotation upside. Marcus Phillips has a chance to start but could also bring another distinctive look as a late-inning arm with four plus pitches from a low slot and a triple-digit fastball. Anthony Eyanson is a different sort, with fringy fastball velocity but standout command along with a slider and splitter that keep hitters off-balance.

Five eye-openers

Eli Willits at No. 1

The buzz ahead of the draft was that there were three players in play for the top pick and Willits was my third-ranked player in the class, so the same group is what I would’ve been considering — and I love Willits as a player. The bonus will be a factor in evaluating how successful this pick will be viewed — I’ll guess it starts with an eight — but I think this will be seen as a solid decision, as long as Kade Anderson or Ethan Holliday don’t become stars.

Tyler Bremner at No. 2

The biggest piece of late buzz I was hearing is that Bremner was in play at No. 3 to the Mariners. I didn’t hear his name at all at No. 2 so that made this pick the first shocker in the draft.

Bremner was considered in this area (on a deal) because he could easily be the best pitcher in this class — but only if he can develop a better slider, which isn’t a small if. The Angels seem to have a thought about how to solve this, and how he progresses will be one of the more followed storylines of this draft.

Tigers take Yost and Oliveto

I like both players, but it’s fascinating that these two and the most-rumored prep hitter tied to Detroit that they didn’t take (Coy James, who had a tough summer) were all missing strong 2024 summer performances.

Jordan Yost and Michael Oliveto were the only two prep position players in the first-round mix who weren’t in the major national events on the summer circuit, thus creating a lot of uncertainty about how to project them.

The Tigers are right to assume this could create a potential quick gain in value if Yost and Oliveto can perform early in their pro careers, but I don’t remember seeing a team double down on lack of summer exposure in the early rounds.

Orioles take two catchers in the first round, and two pitchers in the second

It’s certainly a bit odd that the Orioles took two college catchers with their first two picks after taking another one (Ethan Anderson) in the second round last year. Obviously, teams don’t draft for big league need — the O’s already have Adley Rutschman — and they need at least two catchers at all four full season minor league affiliates, it’s just odd to see them invest in this position early multiple times. And after all of the position players they have drafted under Mike Elias, they did sneak in two arms on Day 1 with Joseph Dzierwa (a command-forward lefty) and J.T. Quinn (one of my favorite college relievers with the traits to start in pro ball).

Guardians lean into power

The Guardians often draft, or sign internationally, hit-first players who are often underpowered, with Steven Kwan a prominent example. They swerved a lot this year, taking Jace LaViolette with their first pick (I compare him to Cody Bellinger or Joey Gallo; he hit .258 this season) and Nolan Schubart (24% strikeout rate, 22% in-zone whiff rate) with their fifth pick on Day 1. Those two have big power and strong pull/lift rates, and LaViolette has the athleticism to play center field, so there’s real talent, it’s just not usually the type that the Guardians have targeted.


Best available for Day 2

Listed by top 250 draft rankings

43. Mason Neville, OF, Oregon
44. Matthew Fisher, RHP, Evansville Memorial HS (Ind.)
53. Josiah Hartshorn, LF, Orange Lutheran HS (Calif.)
55. Brock Sell, CF, Tokay HS (Calif.)
61. Jack Bauer, LHP, Lincoln Way East HS (Ill.)
69. Coy James, SS, Davie County HS (N.C.)
70. Alec Blair, CF, De La Salle HS (Calif.)
71. Mason Pike, RHP, Puyallup HS (Wash.)
72. Cam Appenzeller, LHP, Glenwood HS (Ill.)
73. Briggs McKenzie, LHP, Corinth Holders HS (N.C.)

Continue Reading

UK

Gregg Wallace: Over half of allegations against MasterChef presenter upheld, including one of unwanted physical contact

Published

on

By

Gregg Wallace: Over half of allegations against MasterChef presenter upheld, including one of unwanted physical contact

An investigation into Gregg Wallace’s “inappropriate behaviour” on MasterChef has found more than half of the allegations against him have been substantiated, including one of “unwanted physical contact”.

MasterChef’s production company Banijay UK shared a summary of its report into historical allegations of misconduct against the 60-year-old presenter, carried out by independent law firm Lewis Silkin over seven months.

The report said the number of sustained allegations made Wallace’s return to MasterChef “untenable”.

Last week it emerged Wallace had been sacked as MasterChef presenter, with reports of more than 50 fresh allegations against him.

The investigation heard evidence from 78 witnesses, including 41 complainants. The investigations team spoke to Wallace three times for the report, conducting 14 hours of interviews with him.

There were 83 allegations against Wallace, and 45 of them were upheld. All were related to MasterChef.

The upheld allegations were:

• Twelve claims he made inappropriate jokes and innuendo;

• Sixteen reports he made sexually explicit comments;

• Two allegations that he made sexualised comments to or about someone;

• Four complaints that he made culturally insensitive or racist comments;

• Three claims that he was in a state of undress;

• Seven allegations of bullying;

• One allegation of unwanted touching.

Nearly all the allegations against Wallace were related to behaviour which is said to have occurred between 2005 and 2018, with just one substantiated allegation taking place after 2018.

Wallace and Anne-Marie Sterpini in 2014
Image:
Wallace and Anne-Marie Sterpini in 2014

Ahead of the publication of the summary, Wallace had said he had been “cleared of the most serious and sensational accusations” made against him.

He also said his neurodiversity had “now formally (been) diagnosed as autism”, saying in the social media post that it was “suspected and discussed by colleagues across countless seasons of MasterChef”.

BBC held no ‘central’ information over Wallace concerns

Additionally, the report summary found there were 10 standalone allegations about other people between 2012 and 2018/2019, two of which were substantiated. These were unrelated to Wallace, and those people were not named in the summary.

The investigation found that complaints had previously been raised with the production company between 2005 and 2024.

Gregg Wallace on MasterChef. Pic: BBC/ Shine TV 2024
Image:
Gregg Wallace on MasterChef. Pic: BBC/ Shine TV 2024

While the report flagged inadequate reporting procedures before 2016, when Endemol merged with Shine ahead of Banijay acquiring Endemol Shine in 2020, it said there were significant improvements to HR processes and training after 2016.

The investigation said some formal action was taken by the BBC in 2017, but it also noted the corporation held no information regarding concerns raised over Wallace centrally, resulting in issues being addressed as a first offence.

Sky News has tried to contact Gregg Wallace today.

Gregg Wallace after being made a Member of the Order of the British Empire (MBE) by the Princess Royal in an investiture ceremony at Windsor Castle. Picture date: Tuesday February 28, 2023.
Read less

Picture by: Andrew Matthews/PA Archive/PA Images
Date taken: 28-Feb-2023
Image:
Gregg Wallace after being made a Member of the Order of the British Empire (MBE) by the Princess Royal in an investiture ceremony at Windsor Castle. Picture date: Tuesday February 28, 2023.
Read less

Picture by: Andrew Matthews/PA Archive/PA Images


Responding to the findings of the report, the BBC said the corporation had “no plans to work with [Wallace] in future”, saying his behaviour “falls below the values of the BBC”.

The BBC said “opportunities were missed” to address Wallace’s behaviour, adding, “We accept more could and should have been done sooner”.

Concerning the allegations against other individuals flagged in the report, the BBC said they had asked Banijay UK to take action to address these issues, and said it would “be completed as a priority”.

The corporation has yet to decide if the unseen MasterChef series that was filmed with Wallace last year will still be aired.

Production staff deserve ‘much, much better’

Banijay UK chief executive Patrick Holland called the report “uncomfortable reading”, but said its findings provided “valuable insight” for production teams moving forward.

In a nod to Wallace’s recent autism spectrum disorder diagnosis, Mr Holland said Wallace’s neurodiversity was “relevant to certain behaviours identified in the report”, admitting “the production could have done more to identify, manage and communicate patterns of inappropriate behaviour”.

Philippa Childs, head of creative industries union Bectu, said the report findings made it clear that “inappropriate behaviour has gone unchecked for far too long,” adding: “This is a real failure by Banijay to take these issues seriously and act accordingly”.

Ms Childs said the report highlighted the precarious position of production staff, the majority of whom are freelance workers, who she said deserve “much, much better”.

Wallace was the original presenter of the BBC show Saturday Kitchen in 2002 and has also featured on Eat Well For Less?, Inside The Factory, Turn Back Time, Harvest and Supermarket Secrets.

He was best known, however, for presenting MasterChef, MasterChef: The Professionals, and Celebrity MasterChef.

Continue Reading

UK

Postman who murdered and beheaded girlfriend jailed for at least 23 years

Published

on

By

Postman who murdered and beheaded girlfriend jailed for at least 23 years

Warning: This article contains details readers may find distressing.

An “evil” postman who moaned about being lonely hours before he severed his girlfriend’s head and tried to dismember her body has been jailed for a minimum of 23 years.

Ewan Methven murdered 21-year-old Phoenix Spencer-Horn in the flat they shared in East Kilbride, South Lanarkshire, in November last year.

The High Court in Glasgow heard the killer dumped his partner’s body parts in their hallway and failed to call emergency services for two days.

Phoenix Spencer-Horn
Image:
Phoenix Spencer-Horn was murdered in November

The 27-year-old then bought drugs, watched pornography and sent sickening texts to Phoenix’s worried mum pretending she was still alive.

Phoenix was stabbed 20 times – including 10 times in the face – using three knives in an attack that unfolded after she returned from her waitressing job in Lanarkshire.

The 21-year-old had described Methven as her “soulmate” on social media, saying in one TikTok video: “Life is so much more beautiful and full of colour with you.”

A few months later she was murdered by the same man she had been in a relationship with for two years.

Ewan Methven.
Pic Police Scotland/PA
Image:
Ewan Methven was jailed on Monday. Pic: Police Scotland

Methven received a life sentence with at least 23 years behind bars when he retuned to the dock on Monday.

The judge, Lord Matthews, described it as a “dreadful crime”.

He told Methven: “You were a trusted member of her family, but you betrayed that trust and robbed her of life in the cruellest way.

“Not content with what you had done to her, you robbed her of all dignity in death by decapitating her and trying to dismember her in an attempt to defeat the ends of justice.”

The pair had been in a relationship for two years.
Image:
The pair had been in a relationship for two years

Lord Matthews highlighted victim impact statements supplied by Phoenix’s family and said he had “rarely read such outpourings of grief”.

The judge said: “The way you treated this innocent young woman after her death meant that her family did not even have the comfort of saying goodbye to her.”

He added: “I have this morning seen a letter written by you, but it answers none of the questions which must be plaguing the family. You blame the effect of substances but that is no excuse.”

‘Personification of evil’

Sky News has interviewed the couple’s neighbour who lives directly next door.

Toni Brown, 25, described the horror of discovering what happened.

She said: “I think I stayed out of the house for about a week after that. I couldn’t even sit.

“It’s horrific. It gives me shivers thinking about it. It is crazy to think I stayed next door to a monster like that.

“What scares me the most is knowing she was lay there and I was in here oblivious.”

Toni Brown
Image:
Neighbour Toni Brown spoke to Sky News

Asked whether she heard any noises or violence around the time of the murder, Ms Brown said: “There was a bad smell in my house in the early hours of the morning she was found.

“There was a bad smell in my kitchen basically where the walls join together.”

Methven’s own defence lawyer told the court that society will see the killer as the “personification of evil”.

When he eventually called 999, he claimed to have suffered a drug-induced blackout during the violent killing.

Phoenix Spencer-Horn was murdered by the man she once called her "soulmate"
Image:
Ms Spencer-Horn was murdered by the man she once called her ‘soulmate’

Another life lost to gender-based violence

The case has raised questions once again about the growing prevalence of gender-based violence.

Fiona Drouet’s daughter Emily was 18 when she took her own life at university in Aberdeen in 2016, days after being choked and slapped by her ex-boyfriend.

Angus Milligan was later convicted of physical and psychological abuse.

Fiona Drouet
Image:
Fiona Drouet’s daughter was a victim of physical abuse from an ex-boyfriend

Ms Drouet, who now campaigns on violence against women across the UK and Ireland, has set up a charity called Emily’s Test in her daughter’s name.

Reacting to the death of Ms Spencer-Horn, Ms Drouet told Sky News: “There is another mother and father that have just been plunged into utter hell.

“Somebody once said to me that if God came to you and said, ‘I am going to give you this beautiful daughter, but you’ll only have her for 18 years and then we need to take her back, would you still want her?’ and I would take those 18 years and go through the pain rather than have nothing.

“Although just now that probably offers no words of comfort for Phoenix’s parents, maybe one day it can.”

If you suspect you are being abused and need to speak to someone, there are people who can help you, including The National Domestic Violence Helpline on 0808 2000 247 or Women’s Aid online.

Continue Reading

Trending