Australia is the first nation to approve the legal use of MDMA and psilocybin.
Despite the promise of psychedelic drugs, they also place users in a vulnerable state due to their altered mental status during treatment, said Alpert of Harvard Medical School. As MDMA and psilocybin become legalized for prescription in Australia, the country is thinking proactively about how to ensure proper surveillance and quality of treatment.
They have specified that the medications may only be prescribed by psychiatrists in medically controlled environments. They're requiring specific training for clinicians to create safe therapeutic conditions, which includes medical and psychiatric evaluation prior to use, monitoring of response, and supportive integration therapy.
In this May 24, 2019, file photo, a vendor bag of psilocybin mushrooms is shown at a cannabis marketplace in Los Angeles."Australia will need to have clinicians demonstrate some familiarity working with these substances, provide a sort of additional training requirement or possibly some degree of clinical supervision while getting started, as well as accountability measures to identify a standard of care for these treatments and consequences for violations," Alpert said.
Although no other countries have legalized psychedelics for depression and PTSD, others are taking steps to make them more accessible.
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