{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,3,30]],"date-time":"2026-03-30T09:53:37Z","timestamp":1774864417221,"version":"3.50.1"},"reference-count":29,"publisher":"Wiley","license":[{"start":{"date-parts":[[2026,3,30]],"date-time":"2026-03-30T00:00:00Z","timestamp":1774828800000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by-nc-nd\/4.0\/"},{"start":{"date-parts":[[2026,3,30]],"date-time":"2026-03-30T00:00:00Z","timestamp":1774828800000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/doi.wiley.com\/10.1002\/tdm_license_1.1"}],"funder":[{"DOI":"10.13039\/100009717","name":"Eastern Health Foundation","doi-asserted-by":"publisher","id":[{"id":"10.13039\/100009717","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Addiction"],"abstract":"<jats:title>Abstract<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Background and aims<\/jats:title>\n                    <jats:p>Australia recently down\u2010scheduled and authorised psychedelic\u2010assisted therapies, including psilocybin, for certain mental health conditions. Evidence is emerging for potential application in substance use disorder treatment. However, regulatory developments have outpaced implementation readiness. While service leaders and clinicians are crucial to implementation, little research examines their perspectives on what psilocybin\u2010assisted therapy is, how it works, and for whom. This study explored how these stakeholders conceptualise psychedelic\u2010assisted therapy within their own professional setting, in the context of a broader implementation trial of psilocybin\u2010assisted therapy for co\u2010occurring depression and alcohol use disorder (AUD) in a routine alcohol and other drug (AOD) clinic.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Design<\/jats:title>\n                    <jats:p>A qualitative approach informed by the evidence\u2010making intervention approach.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Setting<\/jats:title>\n                    <jats:p>Victoria, Australia, prior to the implementation of psilocybin\u2010assisted therapy in routine clinical services.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Participants<\/jats:title>\n                    <jats:p>Two focus groups were conducted: one with clinicians (n\u2009=\u20099; nursing, psychology, psychiatry, pharmacy, and peer support professionals) and one with health service leaders (n\u2009=\u20099).<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Measurements<\/jats:title>\n                    <jats:p>Focus groups used a semi\u2010structured guide, consisting of open\u2010ended questions about understandings and perspectives on psilocybin\u2010assisted therapy for co\u2010occurring substance use and mental health problems. Verbatim transcripts underwent inductive thematic analysis, informed by the evidence\u2010making intervention approach.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Findings<\/jats:title>\n                    <jats:p>Three enactments of psilocybin\u2010assisted therapy emerged: (1) treatment of last resort for treatment\u2010resistant conditions, which was emphasised by service leaders and aligned with regulatory frameworks; (2) tool to \u201cunlock stuckness\u201d in ongoing relational care when conventional therapies plateau, which was prominent among clinicians; and (3) catalyst for rapid progress applicable at any treatment stage. Clinicians emphasised the need for careful integration, robust support, and aftercare, alongside concerns about access and eligibility. Service leaders highlighted operational and ethical tensions within regulatory requirements. Both groups understood psilocybin\u2010assisted therapy as a complex intervention dependent on interplay between medication, therapist skill, client readiness, and care context.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions<\/jats:title>\n                    <jats:p>Psilocybin\u2010assisted therapy in Victoria, Australia is constituted through local implementation rather than existing as a singular intervention. Implementation approaches must be reflexive and adaptive, with attention to clinical and managerial dialogue, equity considerations, and contextual practice factors.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1111\/add.70403","type":"journal-article","created":{"date-parts":[[2026,3,30]],"date-time":"2026-03-30T08:55:05Z","timestamp":1774860905000},"update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["Unlocking \u2018stuckness\u2019 and catalysing change: A qualitative study of clinician and service leader perspectives on psychedelic\u2010assisted therapy for substance use and mental health problems"],"prefix":"10.1111","author":[{"ORCID":"https:\/\/orcid.org\/0000-0003-2314-1706","authenticated-orcid":false,"given":"Sarah J.","family":"Catchlove","sequence":"first","affiliation":[{"name":"Turning Point, Eastern Health  Melbourne Australia"},{"name":"Monash Addiction Research Centre, Eastern Health Clinical School, Faculty of Medicine, Nursing and Health Sciences Monash University  Melbourne Australia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-0389-7426","authenticated-orcid":false,"given":"Katrin","family":"Oliver","sequence":"additional","affiliation":[{"name":"Turning Point, Eastern Health  Melbourne Australia"},{"name":"Monash Addiction Research Centre, Eastern Health Clinical School, Faculty of Medicine, Nursing and Health Sciences Monash University  Melbourne Australia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-6161-4511","authenticated-orcid":false,"given":"Michael","family":"Savic","sequence":"additional","affiliation":[{"name":"Turning Point, Eastern Health  Melbourne Australia"},{"name":"Monash Addiction Research Centre, Eastern Health Clinical School, Faculty of Medicine, Nursing and Health Sciences Monash University  Melbourne Australia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-7667-8868","authenticated-orcid":false,"given":"Shalini","family":"Arunogiri","sequence":"additional","affiliation":[{"name":"Turning Point, Eastern Health  Melbourne Australia"},{"name":"Monash Addiction Research Centre, Eastern Health Clinical School, Faculty of Medicine, Nursing and Health Sciences Monash University  Melbourne Australia"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","published-online":{"date-parts":[[2026,3,30]]},"reference":[{"key":"e_1_2_10_2_1","doi-asserted-by":"publisher","DOI":"10.1017\/S0033291725101761"},{"issue":"6","key":"e_1_2_10_3_1","doi-asserted-by":"crossref","first-page":"815","DOI":"10.1089\/jpm.2024.0306","article-title":"Health care workers' attitudes toward and knowledge of the clinical application of classic psychedelics for people with serious illness: A systematic review","volume":"28","author":"Barta S","year":"2025","journal-title":"J Palliat Med"},{"key":"e_1_2_10_4_1","doi-asserted-by":"publisher","DOI":"10.1002\/jcad.12429"},{"key":"e_1_2_10_5_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.drugpo.2025.104949"},{"key":"e_1_2_10_6_1","doi-asserted-by":"publisher","DOI":"10.1080\/02791072.2025.2508156"},{"key":"e_1_2_10_7_1","doi-asserted-by":"publisher","DOI":"10.1002\/cpp.2880"},{"key":"e_1_2_10_8_1","doi-asserted-by":"publisher","DOI":"10.1111\/dar.13973"},{"key":"e_1_2_10_9_1","doi-asserted-by":"publisher","DOI":"10.1038\/s41598-024-69688-7"},{"key":"e_1_2_10_10_1","doi-asserted-by":"publisher","DOI":"10.1556\/2054.2023.00294"},{"key":"e_1_2_10_11_1","unstructured":"LauA ArunogiriS Raner\u2010GaluteraB LightwarkS CatchloveS.A missing voice? Peer support workers' perceptions of psychedelic\u2010assisted therapy in Australia: A cross\u2010sectional survey. 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