Evidence map›Paper›PMID 40385526›Full record

ArticlePalliative medicine reports2025

Roadmap for Equitable Access and Responsible Use of Psilocybin-Assisted Psychotherapy in Palliative Care.

Michel Dorval, Sue-Ling Chang, Houman Farzin, Olivia Nguyen, Jean-François Stephan, Diane Tapp, Pierre Deschamps, Yann Joly, Florence Moureaux, Robert Foxman and 3 more

Abstract read
In one paragraph

Article in Palliative medicine reports, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 4 papers.

0numbers the graph read from it
0cells of the map it votes in
4citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

4 citing papers in PubMed.

  1. Article
  2. Article
  3. Review
  4. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

13 authors.

Michel DorvalOncology Division, CHU de Québec-Université Laval Research Center, Quebec City, QC, Canada.ORCID https://orcid.org/0000-0002-3207-8211
Sue-Ling ChangOncology Division, CHU de Québec-Université Laval Research Center, Quebec City, QC, Canada.
Houman FarzinLady Davis Institute for Medical Research, Jewish General Hospital, Montréal, QC, Canada.
Olivia NguyenFaculty of Medicine, Université de Montréal, Montréal, QC, Canada.ORCID https://orcid.org/0000-0001-8335-3773
Jean-François StephanFamily Physician and Psychotherapist in Private Practice, Montréal, QC, Canada.ORCID https://orcid.org/0009-0000-7376-208X
Diane TappOncology Division, CHU de Québec-Université Laval Research Center, Quebec City, QC, Canada.ORCID https://orcid.org/0000-0002-2818-0141
Pierre DeschampsMcGill Research Group on Health and Law, McGill University, Montréal, QC, Canada.
Yann JolyFaculty of Medicine and Health Sciences, McGill University, Montréal, QC, Canada.
Florence MoureauxPatient Partner, Montréal, QC, Canada.
Robert FoxmanPatient Partner, Montréal, QC, Canada.
Marianne Masse-GrenierOncology Division, CHU de Québec-Université Laval Research Center, Quebec City, QC, Canada.
Jean-Sébastien FalluSchool of Psychoeducation, Université de Montréal, Montréal, QC, Canada.ORCID https://orcid.org/0009-0000-7376-208X
P3A Research Group

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Psilocybin-assisted psychotherapy represents a promising addition to palliative care interventions, potentially improving quality of life by addressing existential distress. Despite its safety and effectiveness, this therapy remains limited in Canada, underscoring the need for improved access to ease suffering from life-threatening illnesses. However, important questions remain regarding how to integrate psilocybin-assisted psychotherapy into existing health care frameworks, navigate regulatory challenges, and ensure equitable access for all patients. These unanswered questions highlight the complexity of expanding access and the need for thoughtful, informed approaches to its implementation. To address this, the P3A team (Psilocybin at End of Life: Audacity, Acceptability, Access) held a forum on March 22, 2024, in Quebec, Canada, to explore actionable steps for the responsible use and equitable access to psilocybin-assisted psychotherapy. A total of 57 participants with knowledge in palliative care, including professional and patient associations, patients, health care professionals, researchers, and policymakers, attended the event, which featured presentations, a panel discussion, and small-group workshops. This report provides 16 recommendations across six previously identified key topics: (1) patient eligibility and equity, (2) regulatory framework and respect for autonomy, (3) logistical and organizational aspects, (4) professional education and training, (5) public awareness and information, and (6) research. The elements and recommendations discussed in this article could offer valuable insights for expanding access to psilocybin-assisted psychotherapy in other jurisdictions, particularly in global contexts where similar barriers to care exist.

Indexed as

existential distresspsilocybin-assisted therapyrecommendations

Identifiers

PMID40385526
PMCPMC12084120

What OpenQuestion holds

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LicenceCC BY
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Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.