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Differences in attitudes and beliefs about psychedelic-assisted therapy among social workers, psychiatrists, and psychologists in the United States

Stacey B. Armstrong, Adam W. Levin, Yitong Xin, Jordan Horan, Jason B. Luoma, Paul Nagib, Brian Pilecki, Alan K. Davis

Journal of Psychedelic Studies August 21, 2023 DOI: 10.1556/2054.2023.00245 (opens in new tab)

Study at a glance

AI-extracted from the abstract
Characteristics Cross-sectional survey Peer reviewed
Sample size 856
Population U.S. social workers, psychiatrists, and psychologists
Topics Psychedelic-assisted therapy
Keywords Social work Clinical psychology
Citations 12
Key findings Psychologists rated the acceptability and reasonableness of psychedelic-assisted therapy higher than social workers, while social workers perceived greater disadvantages and were less optimistic about permanent improvement than both psychologists and psychiatrists.

Abstract

Abstract Background and aims Because psychedelic-assisted therapy (PAT) is likely to be provided by interdisciplinary professional teams comprised of social workers, psychologists, and psychiatrists, understanding the acceptability of this treatment approach among these professional disciplines is essential as the treatment advances through approval processes at the Food and Drug Administration.

Methods: The study includes data from three separate survey studies investigating the attitudes and beliefs about PAT among national samples of social workers ( n = 309), psychiatrists ( n = 181), and psychologists ( n = 366). The combined sample ( n = 856) was predominantly female (64.3%), with a mean age of 49 ( SD = 16.13), and 17 ( SD = 13.56) years of professional experience.

Results: There were no significant differences between groups in confidence that PAT would be effective. However, there were significant between-group differences in psychiatrists' understanding of PAT compared to social workers. Next, psychologists' mean ratings of the acceptability of PAT were significantly greater than social workers' ratings. Mean ratings about believing that PAT was a reasonable treatment approach were higher among psychologists compared to social workers and psychiatrists. Additionally, mean ratings regarding the disadvantages of PAT were significantly greater among social workers compared to psychologists and psychiatrists. Lastly, social workers' ratings that PAT could permanently improve clients' lives were significantly lower than psychiatrists and psychologists.

Conclusions: Findings help elucidate overall impressions of PAT among disciplines likely involved in providing this treatment should it be approved and suggest the need for education and training across professions. However, given the inconsistencies across disciplines, more research is needed to inform successful interdisciplinary training programs and better understand potential barriers to dissemination of this new treatment.

Comparable studies

Other cross-sectional and survey studies on psychedelic-assisted therapy, most cited first.

Study Year Design Participants
Psychological flexibility mediates the relations between acute psychedelic effects and subjective decreases in depression and anxiety. International sample of people who reported having used a psychedelic 2020 Cross-sectional survey n = 985
Psychedelic Treatment for Trauma-Related Psychological and Cognitive Impairment Among US Special Operations Forces Veterans U.S. Special Operations Forces Veterans who completed a psychedelic clinical program in... 2020 Survey n = 51
Population Survey Data Informing the Therapeutic Potential of Classic and Novel Phenethylamine, Tryptamine, and Lysergamide Psychedelics Respondents from the National Survey on Drug Use and Health, 2008–2017, weighted to... 2020 Cross-sectional survey n = 260,964,827
Examination of the Phenomenology of the Ibogaine Treatment Experience: Role of Altered States of Consciousness and Psychedelic Experiences. Individuals who used ibogaine in the past 2017 Retrospective survey n = 27
American Psychiatrists' Opinions About Classic Hallucinogens and Their Potential Therapeutic Applications: A 7-Year Follow-Up Survey. American Psychiatric Association members (resident-fellows and attending psychiatrists) 2024 Survey n = 131

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