Clinical Guidelines

Trial-anchored psychedelic practice guidance

One index for manuals, protocols, and guidebooks linked to psychedelic clinical trials, now cross-checked against practitioner courses, provider pages, and published professional frameworks. Everyone can browse the full index; Pro unlocks full competency depth.

Choose your route

Start with the question you need answered.

This library contains an evidence map, source documents, and practice tools. These three paths keep that depth without asking every reader to begin with the full interface.

  1. 01Evidence mapExplore what practice requiresMove through the full trial- and training-derived competency map by role, care stage, protocol, and evidence source.Start with the full competency explorer
  2. 02Framework comparisonSee where standards agree and divergeCompare Monash, Phelps, APPA and BrainFutures, RANZCP, Oregon, Colorado, and FDA source documents against one shared map.New: seven-source comparison
  3. 03Guided reflectionAssess your current practiceUse the competency map as a structured reflection tool, then identify areas for supervision or development.For practitioners and supervisors

Competency Explorer

One canonical map across trials, courses, and providers

Browse the shared skills taught across psychedelic clinical guidance and practitioner training, then compare what is common, protocol-specific, or only visible on course pages.

Competencies

710

Protocols

8

Matched

45

Filter map

Core competency map

Twelve competency categories. Tap a competency to inspect its linked sources inline.

  • Category page →
  • Category page →
  • Category page →
  • Category page →
  • Category page →
  • Category page →
  • Category page →
  • Category page →
  • Category page →
  • Category page →
  • Category page →
  • Category page →

Guideline Index

All clinical guidelines

242 entries grouped by protocol family.

  • direct trial supplementEvidence score: 100

    Supplementary methods for the acute dose-dependent mescaline trial

    Attribution: Klaiber et al., 2024

    Source guideline: Open link

    Preview competencies (0)

    Competency extraction pending.

    trial protocol paperEvidence score: 90

    Role of the Serotonin 5-HT2A Receptor in Mescaline-Induced Altered States of Consciousness: Study Protocol and Registry Record

    Attribution: Klaiber et al., 2024

    Source guideline: Open link

    Preview competencies (0)

    Competency extraction pending.

    trial protocol paperEvidence score: 90

    Acute Dose-Dependent Effects of Mescaline in a Double-Blind Placebo-Controlled Study in Healthy Subjects

    Attribution: Klaiber et al., 2024

    Source guideline: Open link

    Preview competencies (0)

    Competency extraction pending.

    trial protocol paperEvidence score: 90

    Safety pharmacology of acute mescaline administration in healthy participants

    Attribution: Klaiber et al., 2024

    Source guideline: Open link

    Preview competencies (3)

    • Psychedelic session safety monitoring

      Continuously monitor acute psychological and physical responses during mescaline administration in a controlled clinical setting. Track subjective effects and autonomic signs to detect emerging adverse reactions early.

    • Protection against acute and subacute harm

      Ensure the participant remains safe from acute and short-term harm during and after mescaline administration. This includes vigilance for physiological instability and follow-up for delayed adverse effects.

    • Adverse event recognition and management

      Identify and respond to acute and subacute adverse effects associated with mescaline, with particular attention to nausea and other dose-limiting reactions. Ensure that safety procedures are in place to manage transient physiological changes.

    5 additional competency entries are available in the full framework.

    Unlock full competency framework

    Get complete cross-guideline skills, knowledge, safety, and ethics mappings.

    trial protocol paperEvidence score: 90

    Study Details | NCT04849013 | Role of the Serotonin 5-HT2A Receptor in Mescaline-induced Altered States of Consciousness

    Attribution: ClinicalTrials.gov NCT04849013

    Source guideline: Open link

    Preview competencies (3)

    • Protocol comprehension

      Understands the study protocol and how the therapist/facilitator role fits within trial procedures. This is essential for delivering the intervention consistently and in line with the registered study record.

    • Clinical trial documentation literacy

      Can interpret trial-facing documentation and registration language relevant to study conduct. This supports accurate and compliant participation in a research setting.

    • Role-bound facilitation

      Delivers the therapist/facilitator function within the scope defined by the study. The facilitator should operate according to the trial’s assigned responsibilities and not beyond them.

    2 additional competency entries are available in the full framework.

    Unlock full competency framework

    Get complete cross-guideline skills, knowledge, safety, and ethics mappings.

    trial protocol paperEvidence score: 90

    Pharmacokinetics, Pharmacodynamics, and Urinary Recovery of Oral Mescaline Hydrochloride in Healthy Participants

    Attribution: Bouso et al., 2025

    Source guideline: Open link

    Preview competencies (3)

    • Psychedelic dose and time-course literacy

      Understands the dose-dependent pharmacokinetics and expected duration of oral mescaline effects. Can anticipate onset, peak, and offset based on the measured human PK/PD profile.

    • Understanding pharmacokinetics and elimination

      Knows the basic disposition of oral mescaline in humans, including absorption, metabolism, and renal elimination. This supports informed monitoring and interpretation of dose-response findings.

    • Interpreting acute subjective drug effects

      Can assess and track participant-reported acute subjective effects over time. Uses repeated symptom or experience ratings to understand intensity and duration of the psychedelic response.

    4 additional competency entries are available in the full framework.

    Unlock full competency framework

    Get complete cross-guideline skills, knowledge, safety, and ethics mappings.

    trial protocol paperEvidence score: 90

    Acute dose-dependent effects of mescaline in a double-blind placebo-controlled study in healthy subjects

    Attribution: Rucker et al., 2024

    Source guideline: Open link

    Preview competencies (3)

    • Adverse effect surveillance

      Identifies and responds to common acute adverse effects associated with mescaline. Preparedness for nausea and vomiting is especially important at higher doses.

    • Psychedelic dose-response understanding

      Understands the dose-dependent acute subjective, autonomic, and tolerability effects of mescaline. Can use this knowledge to anticipate that higher doses may produce longer and more intense effects without a clear ceiling in the studied range.

    • Monitoring of autonomic effects

      Monitors physiological responses during psychedelic exposure, especially blood pressure and heart rate. Tracks changes that may indicate escalating risk or intolerance during the session.

    6 additional competency entries are available in the full framework.

    Unlock full competency framework

    Get complete cross-guideline skills, knowledge, safety, and ethics mappings.

    trial protocol paperEvidence score: 90

    Acute Dose-Dependent Effects of Mescaline: Double-Blind Placebo-Controlled Study

    Attribution: Klaiber et al., 2024 (NCT04849013)

    Source guideline: Open link

    Preview competencies (3)

    • Pre-session screening and eligibility assessment

      Screen participants for psychiatric, medical, and substance-use factors that could increase risk or confound outcomes. Identify contraindications before administering psychedelic compounds.

    • Psychedelic session oversight

      Provide structured oversight of a prolonged psychedelic drug session in a controlled setting. Maintain continuous responsibility for participant welfare across the active and subacute phases of effects.

    • Physiological safety monitoring

      Continuously monitor key autonomic and physiological parameters that can change during psychedelic administration. Detect clinically meaningful deviations and respond appropriately.

    15 additional competency entries are available in the full framework.

    Unlock full competency framework

    Get complete cross-guideline skills, knowledge, safety, and ethics mappings.

    trial protocol paperEvidence score: 90

    Comparative Acute Effects of Mescaline, LSD and Psilocybin: Randomised Double-Blind Cross-Over Study

    Attribution: Ley et al., 2023 (NCT04227756)

    Source guideline: Open link

    Preview competencies (3)

    • Screening and contraindication recognition

      Identify participants who should not receive psychedelic compounds due to medical, psychiatric, or substance-use risk factors. Careful pre-session screening reduces the likelihood of adverse outcomes.

    • Physiological safety monitoring

      Measure and interpret cardiovascular and physiological responses during psychedelic administration. This includes tracking blood pressure, heart rate, body temperature, and pupil size to identify clinically relevant changes.

    • Psychedelic session monitoring

      Continuously supervise participants during the acute effect phase and maintain a calm, controlled setting for administration and observation. Monitor for changes in subjective state, autonomic effects, and emerging adverse events across the full session.

    13 additional competency entries are available in the full framework.

    Unlock full competency framework

    Get complete cross-guideline skills, knowledge, safety, and ethics mappings.

    trial sop guidebookEvidence score: 70

    Psychedelic Therapy: A Primer for Primary Care Clinicians-Mescaline

    Attribution: 2026 review citing controlled mescaline trials

    Source guideline: Open link

    Preview competencies (1)

    • Source access unavailable

      The provided source text does not contain the article content needed to extract therapist or facilitator competencies. It only shows a reCAPTCHA/browser-check message from PubMed access protection.

More from this library

The competency map feeds a set of standing tools: gap measurement, standards comparisons, a weekly change feed, and tailored exports.

Explore the underlying compound research

Each protocol family above maps to a compound profile with its papers, trials, and indication-level research summaries.