A landscape analysis of psychedelic facilitation training in the US
This study identifies a growing number of training programmes preparing psychedelic facilitators in anticipation of regulatory approval of psychedelic-assisted therapy (e.g., psilocybin, MDMA).
This study identifies a growing number of training programmes preparing psychedelic facilitators in anticipation of regulatory approval of psychedelic-assisted therapy (e.g., psilocybin, MDMA).
Key findings
Psychedelic facilitation training in the US is rapidly expanding in anticipation of clinical approval, but remains structurally unregulated.
The training landscape is highly heterogeneous, with wide variation in curriculum, duration, and philosophical orientation (clinical, spiritual, Indigenous-informed, hybrid).
There is no national standard for accreditation or core competencies, leaving unclear what constitutes adequate preparation for facilitators.
Training programmes consistently prioritise relational and ethical competencies (presence, attunement, trauma-informed care, boundaries), but implementation is inconsistent.
The field is developing ahead of regulatory clarity, creating uncertainty around workforce roles, licensing pathways, and integration into healthcare systems.
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 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.
Palitsky R, Peacock C, Breau JA, Gillis-Smith P, Sklodowska G (2026) A landscape analysis of psychedelic facilitation training in the US. PLoS One 21(5): e0350037. Read Paper
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