Psychedelic-Assisted Therapy Training in the US: A Landscape Analysis

Psychedelic facilitation training in the US is an emerging discipline focused on developing skilled interpersonal support and safety monitoring to enhance therapeutic potential and reduce harm. A quality improvement project interviewed representatives from 13 established and emerging training organizations, identifying common priorities such as careful trainee and faculty selection, content emphases, and addressing spiritual and existential topics. Gaps included the need for continuing education for graduates, parity with other disciplines, and field standards. Greater collaboration and exchange about best practices could benefit programs and trainees as the field evolves.

Study at a glance

Abstract

Skilled interpersonal support and safety monitoring can enhance the therapeutic potential of psychedelic compounds and reduce the potential for harm. In the anticipation of legalized psychedelic care, and the recognition of ongoing psychedelic use across a variety of contexts, numerous training programs have been established to educate psychedelic facilitators in supporting individuals who take psychedelics. However psychedelic facilitation training in the US has not been well characterized, making it difficult to appraise the strengths, needs, and gaps in in this emerging discipline, especially with regard to the development of competencies in spiritually responsive care.This project used a quality improvement approach to identify common priorities, practices, needs, and gaps in the emerging field of psychedelic facilitation training from the standpoint of 13 established and emerging training organizations from the US. Interviews were conducted with one or more representatives from each participating organization. Notes from these interviews, once confirmed by the interviewees, were synthesized to identify common practices, procedures, priorities, and gaps.Areas of focus among the programs included: careful selection of trainees and faculty; content emphases in instruction; addressing spiritual, existential, religious, and theological topics; and teaching strategies used in programs. Several gaps were also identified, pointing to the need for continuing education among program graduates, parity with other disciplines, and development of field standards in training facilitators.Psychedelic facilitation training is an evolving discipline. Training programs and trainees may benefit from greater collaboration, including ongoing exchange about best practices and adjustments to scientific, social, economic, and regulatory developments.