The 21-year-old left the Swedish outfit in August 2016 to pen a three-year-deal at Ashton Gate. The Swedish international has already experienced two loan moves back to his native country in the past 12 months, both with Djurgardens IF. Engvall’s eight goals helped the Stockholm club end their league campaign third in Allsvenskan, qualifying for the Europa League. During his previous spell with IFK, Engvall netted 16 times in 64 appearances. The club will be looking to improve on their tenth-placed finish in last season’s Allsvenskan table. Engvall’s loan move with IFK will expire on July 30th, although City have the option to recall the striker following the reopening of the summer transfer window.Since arriving in BS3, Engvall has made nine appearances for Lee Johnson’s side and is yet to register a goal.
- A government database is supposed to help people seeking treatment for opioid addiction. It often doesn’t
@JWesleyBoydMD Hey, doctors: Why aren’t you stepping up to treat people with opioid addiction? A man holds his bottle of buprenorphine. Ted S. Warren/AP J. Wesley Boyd Related: Tags addictionopioidsresearch If buprenorphine treatment is so vital, why isn’t a database that is supposed to provide a pathway to accessing treatment for opioid addiction kept up to date? And why do so few of the clinicians listed in it actually offer appointments?Sadly, this problem isn’t limited to buprenorphine treatment. Insurers’ lists of in-network psychiatrists are so replete with practices that aren’t accepting new patients, wrong numbers, and individuals who don’t return phone calls that they are often referred to as ghost networks.SAMHSA needs to make its database of buprenorphine providers an accurate and helpful resource for individuals seeking help with opioid addiction and ensure that it correctly lists clinicians who are accepting patients for buprenorphine treatment.The government also needs to remove federal policies limiting who can prescribe buprenorphine so all doctors can treat opioid addiction, not just those who engage in specialized training for buprenorphine prescribing. There must also be sufficient training in medical school and residency so doctors feel sufficiently prepared to treat opioid addiction.Lives hang in the balance.Lila Flavin, M.D., is a psychiatry resident at NYU Langone. J. Wesley Boyd, M.D., is a staff psychiatrist at Cambridge Health Alliance and the founder and co-director of its Human Rights and Asylum Clinic, as well as an associate professor of psychiatry and faculty member in the Bioethics Center at Harvard Medical School. @lilaflavin Recovering from opioid addiction isn’t easy. The pull of the drug is strong. Asking for help to kick an addiction can be difficult for many people, in part because of the stigma associated with addiction.One of the most effective means of beating an opioid addiction is to use a prescription medication, buprenorphine, which binds to the same receptor as opioids and reduces the craving for them.But finding a clinician who prescribes buprenorphine can be a challenge. Some people ask their primary care physician for a reference. Others ask friends or acquaintances who they’d recommend. Many others, though, consult the Buprenorphine Practitioner Locator, a database curated by the federal government’s Substance Abuse and Mental Health Services Administration that lists clinicians who can prescribe buprenorphine.advertisement [email protected] By Lila Flavin and J. Wesley Boyd Jan. 9, 2020 Reprints Lila Flavin But does the government ensure that the database is accurate? Does the database serve as a good starting point for someone looking to get evidence based treatment for their addiction?Given what we had heard from patients over the years, we had our suspicions about the shortcomings of the database. So, along with several colleagues, we examined it.advertisement About the Authors Reprints We did this by identifying providers in the SAMHSA database within a 25-mile radius of the county with the highest death rate from drug overdose in each of the 10 states with the highest number of overdose deaths in 2015: West Virginia, New Hampshire, Kentucky, Ohio, Rhode Island, Pennsylvania, Massachusetts, New Mexico, Utah, and Tennessee.This search turned up 505 providers. We then called each of them to determine whether they actually worked in the practice, had appointments available, and accepted insurance.The number of providers listed in each county ranged from one to 166; five counties had fewer than 10 providers listed. Obtaining appointments was generally difficult and at times impossible: In three counties we were not able to secure an appointment at all, and in another three counties we were able to secure appointments with only two or three providers.Of the 505 providers we called, we reached 355 providers on the first or second call, and were unable to reach 150 of them (30%). More than one-quarter of the numbers listed were incorrect. In addition, 26% of providers listed were no longer prescribing buprenorphine. Among those who were, 76% accepted private insurance and 63% accepted Medicaid. As we just reported in the Journal of Psychiatric Practice, we were able to secure an appointment for initiation of buprenorphine treatment just 28% of the time.Opioid addiction is a scourge of our time. No segment of the U.S. is spared — rural regions are especially hard hit — and the number of overdose deaths is staggering. The kind of medication-assisted treatment that we were inquiring about greatly increases the odds of successful recovery from opioid addiction. For example, when people receive buprenorphine for treatment of opioid dependence, they are more likely to stay in treatment and are half as likely to die from a fatal drug overdose. [email protected] Ghost networks of psychiatrists make money for insurance companies but hinder patients’ access to care Related: First OpinionA government database is supposed to help people seeking treatment for opioid addiction. It often doesn’t
- OSC Dialogue: Crime unit getting results
Related news Keywords Investor protectionCompanies Ontario Securities Commission “These are boiler rooms … ponzi schemes, generally these scams involve a criminal element,” said Atkinson. “They are unregistered, they are not participants nor do they wish to be — they’re criminals.” Within the past two years the unit has helped to put about 15 people in jail, said Atkinson, something that the OSC could not do before the partnership. “We’re getting results,” he said. “I expect that to accelerate once this team really takes off.” The investigations tend to focus on smaller frauds that affect average investors and use the expertise of both organizations, such as the forensic accounting ability of the OSC and the wiretap and undercover capabilities of the police. Overall, the partnership has made the OSC enforcement division stronger, says Atkinson. “One of the results,” he says, “we’re making the OSC as effective, active and visible as possible by taking more cases to the criminal courts of justice.” Share this article and your comments with peers on social media OSC finalizes DSC ban The Ontario Securities Commission’s (OSC) crime unit is picking up momentum and helping to put more fraudsters in jail, says Tom Atkinson, director of enforcement, who spoke at the OSC Dialogue 2013 in Toronto on Tuesday. The crime unit — publically announced in June 2013 — is the result of a partnership formed between the police and the OSC to help bring more charges against people who defraud investors and who do not feel threatened by the regulator’s enforcement processes, including fines. NASAA approves model act for establishing restitution funds Retail trading surge on regulators’ radar, Vingoe says Fiona Collie Facebook LinkedIn Twitter