Journal of palliative medicine
August 1, 2022
William E Rosa, Zachary Sager, Megan Miller et al.
49 citations
Psychedelic-assisted therapy (PAT) is a promising treatment for conditions like treatment-resistant depression, substance use disorder, and PTSD. In palliative care, a single PAT session can produce lasting reductions in anxiety, depression, and demoralization—symptoms that harm quality of life for seriously ill and end-of-life patients. Although interest in psychedelics has revived, few resources exist for applying PAT in hospice and palliative care. This article provides 10 evidence-informed tips for palliative care clinicians, developed with international experts, to help familiarize teams with PAT, address legal and logistical barriers, discuss therapeutic competencies, and highlight approaches to maximize safety and benefits for patients and caregivers.
Journal of holistic nursing : official journal of the American Holistic Nurses' Association
March 1, 2019
William E Rosa, Stephanie Hope, Marianne Matzo
27 citations
Entheogens—medicines that induce experiences of the sacred—show promise in helping patients with advanced serious illness find meaning, reduce fear, and increase joy and acceptance. Clinical trials have yielded impressive preliminary findings on their healing potential, yet nursing literature has not engaged with these advancements. The article introduces scholarly dialogue on integrating entheogens into spiritual and holistic nursing care, provides a brief history of their global use, and includes a case study. Evidence-based knowledge on this sensitive topic is needed to foster understanding, advance scientific knowledge, and create healing environments for patients, nurses, and researchers.
Psychedelic medicine (New Rochelle, N.Y.)
September 1, 2023
Megan Miller, William E Rosa, Alden Doerner Rinaldi et al.
9 citations
Psychedelic-assisted therapy (PAT) and hospice/palliative care share deep synergies that could help integrate PAT into mainstream health systems. Hospice and palliative care, though now evidence-based standards, began as grassroots movements. Their holistic, interdisciplinary, relationship-centered, and spiritually attuned models offer practical lessons for scaling human-centered PAT. Key aspects include interdisciplinary care, holistic views of health, bearing witness to suffering, customized care, decentralized models, generalist/specialist competencies, fostering spirituality, and growth from community organizations to mature systems. Conversely, PAT's radical emphasis on meaning-making and relationship may also innovate hospice and palliative care.
Palliative & supportive care
January 21, 2025
Caroline Dorsen, Lola Noero, Michelle Knapp et al.
5 citations
Fifteen facilitators of naturalistic psychedelic groups in the United States described community as essential to every aspect of psychedelic work: from motivation to use psychedelics, through the dosing experience, to integrating lessons into daily life. Thematic analysis identified two overarching themes: the arc of healing through community (with subthemes of intention, the group journey experience, and integration) and naturally occurring psychedelic communities as group therapy (with subthemes of belonging, authenticity, corrective experience, trust, and touch). The findings suggest that existing knowledge about therapeutic group processes may help structure and optimize group psychedelic work. More research is needed on group size, composition, substance selection, facilitator training, and community integration. Psychedelic groups may provide benefits that individual work does not.
Journal of hospice and palliative nursing : JHPN : the official journal of the Hospice and Palliative Nurses Association
April 1, 2025
Megan Miller, Molly Meyers, Annona Martin et al.
3 citations
A rapid review of 34 articles from 2021 to 2024 finds that psychedelic-assisted therapy (PAT) is safe and shows initial efficacy for improving psycho-spiritual-existential outcomes in carefully screened patients with serious illness, predominantly cancer. Psilocybin was the most studied compound. Protocols commonly included participant screening, preparation, dosing, and integration. The review highlights current efforts and challenges in integrating PAT into palliative care systems. More research is needed with diverse samples, provider training, care delivery models, and policy solutions. Many patients lack basic psychosocial-spiritual-existential care, so careful integration is essential. The psychedelic substances discussed are not FDA approved.
Psychedelic medicine (New Rochelle, N.Y.)
June 1, 2026
William E Rosa, Stephanie Napolitano, Natalie Mcandrew et al.
Meaning-centered psychotherapy (MCP) is a manualized, brief intervention that enhances meaning and purpose and appears to be a natural therapeutic partner for psilocybin-assisted therapy (PAT) in patients with cancer and major depressive disorder. In a phase 2 open-label trial, seven patients (ages 53-80) and six therapists (with 9-44 years of experience) participated in surveys and focus groups to adapt MCP for psilocybin. Focus groups highlighted the value of psilocybin experiences, group support, and MCP both separately and together. A 5-session model called MCP-PSIL was developed. The group format was emphasized, though individual MCP may be appropriate in some cases.
Journal of palliative medicine
March 1, 2026
Robert K Horowitz, William E Rosa, Ali John Zarrabi et al.
Psychospiritual distress causes profound suffering in people with serious illness, yet treatment options are few. A palliative care-embedded ketamine-assisted psychotherapy (KAP) program called Pal-KAP was developed and delivered at an academic medical center. Between May 2023 and September 2025, 59 patients were referred for screening; 43 met eligibility criteria, and 30 elected to participate. Patients (age 19-76, mean 53) completed a median of 1.5 medicine sessions (range 1-5). Most had cancer (80%) or neurological disease (13.3%). Ketamine dose averaged 0.93 mg/kg intramuscularly, with minor adverse effects and no serious adverse events. This experience suggests that KAP can be delivered safely and ethically in palliative care.