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At the Intersection of Palliative Care, Psychedelic Medicine, and Healthcare Reform: A Call for a New Hospice and Palliative Care Movement

Ilan Bernstein

Journal of Palliative Care August 4, 2020 DOI: 10.1177/0825859720946898 (opens in new tab)

Study at a glance

AI-extracted from the abstract
Characteristics Theoretical or philosophical paper Peer reviewed
Topics End-of-life distress
Key points Argues that palliative care providers' grounding in the human experience positions them to lead healthcare toward a more integrative approach, drawing lessons from the modern hospice movement and psychedelic clinical research.

Abstract

As palliative care providers, we are expected to expertly address psychological and spiritual distress among our patients. Left unchecked, existential suffering threatens to exacerbate symptom burden and limit therapeutic potential. Tending to the psychospiritual domains of a person’s experience is thus as fundamental to our roles as healers as is familiarity with equianalgesic charts and bowel regimen protocols. Our inherent grounding in the human experience positions palliative care providers to be leaders in the evolution of the healthcare system toward a more integrative approach that serves patients, providers, and communities better. This will be a disruptive effort, reminiscent of the modern hospice movement of the 1960s that sprung our field as we know it into existence. In the remainder of this article, I will strengthen my case for healthcare reform as a patient, provider, and societal imperative. Additionally, I will discuss the historical context for the role of palliative care in the evolution of healthcare delivery and reflect on the lessons that the resurgent psychedelic clinical research field can provide as we reconsider our medical and societal place as healers, leaders, and reformers.