To characterize statewide utilization and client demographics during the first full year of regulated psilocybin services in Oregon (2025), examine self-reported motivations, and estimate rates of acute adverse events.
Key Findings:
5,935 clients participated in 5,375 sessions in 2025, with peak volume in Q2.
32.6% of participants were from outside Oregon, indicating significant service tourism.
Majority of clients were aged 35-49 (approximately 40%), with 57.4% being women and 27.2% identifying as LGBQ+.
Racial diversity was limited, with 84.1%-91.5% of participants being White.
Adverse events were rare, with rates of 2.42 behavioral and 2.79 medical events per 1,000 sessions.
Interpretation:
The program effectively serves a predominantly midlife adult population and reaches sexual and gender minorities, but significant racial disparities remain, which may impact the program's overall equity and accessibility.
Limitations:
Data is aggregate and de-identified, preventing tracking of individual client trajectories.
Limited racial diversity among participants may affect generalizability.
Potential biases in self-reported motivations could influence the findings.
Conclusion:
The Oregon Psilocybin Services program demonstrates a successful model for regulated psilocybin use, highlighting its potential as a wellness modality and alternative for mental health distress, while emphasizing the need for ongoing monitoring to inform policy.
