Supporting desistance from crime: The promise of psychedelic-assisted therapy in correctional and reentry contexts.
The International journal on drug policy December 1, 2025 DOI: 10.1016/j.drugpo.2025.105067 via PubMed
Summary
AI-generated from the abstractPsychedelic-assisted therapy (PAT) may help people stop committing crimes by promoting identity transformation and personal meaning-making. Drawing on psychedelic science and desistance-focused criminological theories, the paper argues that when administered ethically, psychedelics can enhance self-reflection, emotional processing, and inner insight—mechanisms that support sustained behavioral change. Because many justice-involved individuals experience trauma, depression, and substance dependence, PAT could be a particularly relevant intervention. The paper recommends community-based, post-release settings rather than correctional institutions for PAT delivery. It acknowledges that causal evidence on recidivism outcomes is lacking and calls for carefully designed pilot studies. Using Czechia as a policy context, it offers a roadmap for research and implementation, positioning PAT as a complementary component within broader rehabilitation and reintegration strategies.
Study at a glance
| Characteristics | Theoretical or philosophical paper Peer reviewed |
|---|---|
| Intervention | Psychedelic-assisted therapy |
| Topics | Psychedelic-assisted therapy |
| Keywords | Desistance from crime Prison aftercare Rehabilitation |
| Key finding | Psychedelic-assisted therapy may support desistance from crime by promoting identity transformation and personal meaning-making, and should be delivered in community-based, post-release settings as a complementary component within broader rehabilitation and reintegration strategies. |
Abstract
This paper proposes a psychedelic theory of desistance, arguing that psychedelic-assisted therapy (PAT) may support the desistance from crime - the cessation of criminal behavior - by promoting identity transformation and personal meaning-making among criminal justice-involved individuals. Drawing from psychedelic science and desistance focused criminological theories, it suggests that, when administered within ethical and therapeutic frameworks, psychedelics can enhance self-reflection, emotional processing, and inner insight - mechanisms known to underlie sustained behavioral change. Because many individuals in the criminal justice system experience trauma, depression and substance dependence, PAT may offer a particularly relevant intervention. The paper contends that community-based, post-release settings are more appropriate and ethically defensible for PAT delivery than correctional institutions. While acknowledging that causal evidence on recidivism outcomes is currently lacking, it outlines the need for carefully designed pilot studies conducted in collaboration with clinicians and reintegration services. Using Czechia as a policy context, it offers a practical roadmap for both future research and practical implementation of PAT in marginalized - justice involved - populations. The central claim is that PAT should function as a complementary component within broader rehabilitation and reintegration strategies, supporting narrative and identity change necessary for long-term desistance from crime.