Differences in attitudes and beliefs about psychedelic-assisted therapy among social workers, psychiatrists, and psychologists in the United States

Among 856 U.S. mental health professionals—social workers, psychiatrists, and psychologists—there were no differences in confidence that psychedelic-assisted therapy (PAT) would be effective. However, psychiatrists showed a better understanding of PAT than social workers. Psychologists rated PAT as more acceptable than social workers did, and psychologists also rated it as a more reasonable treatment approach than both social workers and psychiatrists. Social workers perceived greater disadvantages of PAT than psychologists and psychiatrists, and they were less likely than both other groups to believe PAT could permanently improve clients' lives. The findings indicate a need for education and training across professions as PAT moves toward approval.

Study at a glance

Abstract

Abstract Background and aims Because psychedelic-assisted therapy (PAT) is likely to be provided by interdisciplinary professional teams comprised of social workers, psychologists, and psychiatrists, understanding the acceptability of this treatment approach among these professional disciplines is essential as the treatment advances through approval processes at the Food and Drug Administration. Methods The study includes data from three separate survey studies investigating the attitudes and beliefs about PAT among national samples of social workers ( n = 309), psychiatrists ( n = 181), and psychologists ( n = 366). The combined sample ( n = 856) was predominantly female (64.3%), with a mean age of 49 ( SD = 16.13), and 17 ( SD = 13.56) years of professional experience. Results There were no significant differences between groups in confidence that PAT would be effective. However, there were significant between-group differences in psychiatrists' understanding of PAT compared to social workers. Next, psychologists' mean ratings of the acceptability of PAT were significantly greater than social workers' ratings. Mean ratings about believing that PAT was a reasonable treatment approach were higher among psychologists compared to social workers and psychiatrists. Additionally, mean ratings regarding the disadvantages of PAT were significantly greater among social workers compared to psychologists and psychiatrists. Lastly, social workers' ratings that PAT could permanently improve clients' lives were significantly lower than psychiatrists and psychologists. Conclusions Findings help elucidate overall impressions of PAT among disciplines likely involved in providing this treatment should it be approved and suggest the need for education and training across professions. However, given the inconsistencies across disciplines, more research is needed to inform successful interdisciplinary training programs and better understand potential barriers to dissemination of this new treatment.