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Katherine Cheung¹, Caleigh Propes¹, David B Yaden²

¹Bloomberg School of Public Health & Berman Institute of Bioethics, Johns Hopkins University. 1809 Ashland Ave, Baltimore, MD 21205, USA.

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Summary

Oregon

Keywords:

Evaluation Oregon Psilocybin Psychedelic Safety

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Area of Science:

Public Health
Psychedelic Policy
Substance Regulation

Background:

US jurisdictions are exploring policies for psychedelic access.
Balancing expanded access with safety is a key challenge.
Oregon's psilocybin services program is an early case study.

Purpose of the Study:

Examine safety and access balance in Oregon's psilocybin program.
Analyze data from the first full year of the Oregon Health Authority's program.
Assess the implications of Oregon's policy on psychedelic access and safety.

Main Methods:

Analysis of Oregon Health Authority data for the first year of psilocybin services.
Review of Oregon's Psilocybin Services Act regulations.
Examination of reported adverse reactions and client access demographics.

Main Results:

Adverse reactions were uncommon, but reporting thresholds are high.
Access is limited, with high-income and out-of-state clients predominating.
Services are used for general wellness and clinical motivations (e.g., depression, anxiety).

Conclusions:

Oregon's broad eligibility and supervision model may pose safety concerns for clients with clinical symptoms.
The program expands supervised psychedelic use beyond purely medical applications.
Further evaluation is needed to ensure safety alongside access expansion.