In reflecting on 2024 and legal psilocybin services here in the state of Oregon, I thought I would share some of the highlights I found in perusing the Oregon Health Authority website! This is all publicaly available information from the Oregon Health Authority website. I have provided links as well.
19,622 psilocybin doses administered
As of Jan 27, 2025:
- licensed facilitators & service centers: 346 & 30
- approved training programs: 22
- reported need for emergency services: 10
- administrative violations: 5*
*most violations were fairly innocuous, such as inopportune center locations or design in terms of meeting requirements for distance from schools. A facilitator was convicted of fleeing from an officer and had their license revoked.
Psilocybin safety reporting in 2025
In 2023, Senate Bill 303 was passed which has been in effect as of the beginning of 2025 and will result in data sharing every quarter. This requires secure collection of de-identified data from service centers and clients. The type of data collected includes:
- Service center data: number of clients (those who received and those who were denied services), dosing sessions (group vs individual), adverse reactions (behavioral and medical adverse events), and average administered psilocybin doses
- Client data: demographics (age, gender identity, sex, income, etc), purpose for seeking services
Oregon: *slow clap*
I’ve been pleasantly surprised and happy to see the hard work of the Oregon Psilocybin Services team and Oregon Health Authority from a transparency standpoint, including their willingness to meet any interested parties curious to learn more. Their email is: OHA.Psilocybin@dhsoha.oregon.gov. Although there may be room for improvement on public health education, implementation, and language around services, psilocybin services have come a long way in Oregon since we became the first place in the US for legal psilocybin services.
Currently, a number of localities such as the City of Coos Bay, Lake Oswego, Central Point, and so on, have either temporarily or permanently decided to prohibit psilocybin-related businesses within their city, which is within the rights of that city and county. Portland and Bend continue to be the cities with the highest density of service centers.
Future directions we may anticipate for psilocybin in Oregon include:
- requiring licensed labs to test for and report psilocin content on product labels
- protect clinicians discussing psilocybin with their patients/clients from being punished by their licensing board
- review of adverse events data
Cheers y’all,
Dr. S
