Improving access to psilocybin-assisted therapy: barriers, challenges, and recommendations
Frontiers in Public Health January 29, 2026 Vivian W. L. Tsang, Camille Roney, Pamela Kryskow et al.
Psilocybin-assisted therapy (PAT) combines psilocybin with structured psychological support to address psychological, emotional, and existential distress, particularly at end of life. The therapy is relational in nature, recognizing that healing occurs through human connection. Roots to Thrive in Nanaimo, British Columbia, is the only multidisciplinary non-profit healthcare practice in Canada legally offering group PAT, primarily serving terminally ill patients. Between 2022 and late 2024, 471 Special Access Program (SAP) applications were submitted for psilocybin or MDMA in Canada, with about 318 approved.