Oregon Psilocybin Services: What to Know, and Where Integration Fits
Oregon was the first state to create a regulated program that lets adults take part in psilocybin services. If you live in Oregon or are thinking about the program, the details can be hard to sort out. This guide explains how it works in plain language, what it doesn't do, and where integration support fits afterward.
This article is for education only. It is not medical advice and not a recommendation to use psilocybin.
How Oregon Psilocybin Services works
Oregon voters passed Measure 109 in 2020. The Oregon Health Authority (OHA) runs the program, called Oregon Psilocybin Services, and licensed service centers began opening in 2023.
Who can take part: adults 21 and older. You don't need a prescription, a diagnosis or a referral, and you don't need to live in Oregon.
Preparation session: you meet with a licensed facilitator before anything else. You complete a client information form, review informed consent, and make safety and transportation plans.
Administration session: psilocybin can only be bought and consumed at a licensed service center, with your facilitator present.
Integration session: afterward, your facilitator checks in and must offer you an optional integration session.
What the program is and isn't
Oregon Psilocybin Services is not a medical treatment program. Facilitators complete state training and licensing, but they don't have to be health care providers, and the program doesn't diagnose or treat medical or mental health conditions.
Psilocybin remains a Schedule I drug under federal law. In Oregon, it is legal only within the licensed program. Since September 2024, possessing controlled substances outside the program can be a crime again under state law.
Safety screening and your medications
Before an administration session, facilitators review your client information form. Under Oregon's rules, people are not eligible if they have taken lithium in the past 30 days, have an active psychosis diagnosis, or currently have thoughts of harming themselves or others.
If you take any psychiatric or other medications, talk with your own prescriber about your health history before making decisions. Don't stop or change a medication on your own, since some medications can cause withdrawal or relapse when stopped suddenly.
Cost and availability
OHA doesn't set prices, and costs vary widely between service centers and between individual and group sessions. Many Oregon cities and counties have voted to ban psilocybin businesses, so availability depends on where you are. OHA publishes a license status page where you can check whether a facilitator or service center is licensed.
Where integration fits
Integration is the time after an experience when you make sense of what came up and decide what, if anything, to carry forward. Your facilitator's integration session is one place to start. Some people want more support, especially if the experience was intense, if it brought up old memories, or if mood, anxiety or sleep feel different afterward.
Ongoing integration support with a licensed mental health clinician can help you:
Put a confusing or intense experience into words
Notice how it is affecting your mood, sleep or relationships
Sort out which insights feel useful and which don't
Recognize when symptoms may need more than integration
If you have thoughts of harming yourself or someone else, feel out of touch with reality, or haven't been able to sleep for several nights, call or text 988, call 911 or go to the nearest emergency room.
How I can help
I offer psychedelic integration therapy by secure video for adults located in Oregon, Pennsylvania, New Jersey and Florida. Sessions are talk therapy about experiences that have already happened. I am not a licensed psilocybin facilitator or service center, I don't provide or arrange psilocybin, and I don't offer preparation sessions or recommend specific service centers. Learn more about integration sessions.
