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What do health professionals think about implementing psilocybin-assisted therapy in palliative care for existential distress? A World Café qualitative study. | LitMetric

AI Article Synopsis

  • Psilocybin-assisted therapy shows promise in relieving existential distress for patients with serious illnesses, but access remains a challenge in palliative care settings in Canada despite recent legal changes.
  • A study involving 16 palliative care professionals revealed their interest in the therapy, but also highlighted concerns such as the need for more education, research, refined protocols, and clarified eligibility criteria.
  • The findings suggest that the acceptability of psilocybin therapy among healthcare providers is crucial for its successful integration into practice, indicating that developing clear guidelines could facilitate wider access and usage.

Article Abstract

Objectives: Promising studies show that psilocybin-assisted therapy relieves existential distress in patients with serious illnesses, a difficult condition to treat with current treatment options. There is growing interest in this therapy in palliative care. Canada recently amended its laws to allow physicians to request psilocybin for end-of-life distress. However, barriers to access remain. Since implementing psilocybin-assisted therapy within palliative care depends on the attitudes of healthcare providers willing to recommend it, they should be actively engaged in the broader discussion about this treatment option. We aimed (1) to identify issues and concerns regarding the acceptability of this therapy among palliative care professionals and to discuss ways of remedying them and (2) to identify factors that may facilitate access.

Methods: A qualitative study design and World Café methodology were adopted to collect data. The event was held on April 24, 2023, with 16 palliative care professionals. The data was analyzed following an inductive approach.

Results: Although participants were interested in psilocybin-assisted therapy, several concerns and needs were identified. Educational and certified training needs, medical legalization of psilocybin, more research, refinement of therapy protocols, reflections on the type of professionals dispensing the therapy, the treatment venue, and eligibility criteria for treatment were discussed.

Significance Of Results: Palliative care professionals consider psilocybin-assisted therapy a treatment of interest, but it generates several concerns. According to our results, the acceptability of the therapy and the expansion of its access seem interrelated. The development of guidelines will be essential to encourage wider therapy deployment.

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Source
http://dx.doi.org/10.1017/S1478951524001494DOI Listing

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