Oregon launches legal psilocybin access amid high demand and hopes for improved mental health care
EUGENE, Ore. — Psilocybin tea, wind chimes and a tie-dye mattress await those coming to an office suite in Eugene to trip on psychedelic mushrooms. For roughly six hours, adults over 21 can experience what many users describe as vivid geometric shapes, a loss of identity and a oneness with the universe.
Epic Healing Eugene — America’s first licensed psilocybin service center — opened in June, marking Oregon’s unprecedented step in offering the mind-bending drug to the public. The center now has a waitlist of more than 3,000 names, including people with depression, PTSD or end-of-life dread.
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No prescription or referral is needed, but proponents hope Oregon’s legalization will spark a revolution in mental health care.
Colorado voters last year passed a measure allowing regulated use of psychedelic mushrooms starting in 2024, and California’s Legislature this month approved a measure that would allow possession and use of certain plant- and mushroom-based psychedelics, including psilocybin and mescaline, with plans for health officials to develop guidelines for therapeutic use.
The Oregon Psilocybin Services Section, charged with regulating the state’s industry, has received “hundreds of thousands of inquiries from all over the world,” Angela Allbee, the agency’s manager, said in an interview.
“So far, what we’re hearing is that clients have had positive experiences,” she said.
While psilocybin remains illegal in most of the United States, the Food and Drug Administration in 2018 designated it a “breakthrough therapy.”
This summer, the FDA published draft guidance for researchers designing clinical trials for psychedelic drugs.
Researchers believe psilocybin changes the way the brain organizes itself, helping a user adopt new attitudes and overcome mental health issues.
The Oregon Psychiatric Physicians Association, however, opposed Oregon’s 2020 ballot measure legalizing psilocybin, saying it “is unsafe and makes misleading promises to those Oregonians who are struggling with mental illness.”
Allbee noted that psychedelic mushrooms have been a part of tribal spiritual and healing practices for thousands of years. Her agency is focused on safety, she said.
First, customers must have a preparation session with a licensed facilitator who stays with clients as they experience the drug. The facilitator can deny access to those who have active psychosis, thoughts of harming anyone, or who have taken lithium, which is used to treat mania, in the past month.
The clients can’t buy mushrooms to go, and they must stay at the service center until the drug wears off.
Besides approving psilocybin, Oregon voters in 2020 decriminalized possession of hard drugs, cementing the state’s reputation as a leader in drug-law reform. Oregon was the first state to decriminalize marijuana possession and one of the first to legalize its recreational use.
But these days, the regulated marijuana industry is struggling with massive oversupply. And drug decriminalization has not greatly expanded addiction treatment or reduced overdoses as hoped. According to AP VoteCast, 58% of Oregon voters in the 2022 midterm elections thought Oregon’s drug decriminalization effort had been a bad thing.
It’s too early to assess Oregon’s mushroom legalization.
Oregon Psilocybin Services spent two years establishing regulations and began accepting license applications in January. There are now 10 licensed service centers, four growers, two testing labs and dozens of facilitators.
While Epic Healing Eugene has a long waitlist thanks in part to early media attention, other service centers say business is picking up as awareness spreads.