Saint Helena, Ascension and Tristan da Cunha

Reimbursed Care Access

Saint Helena, Ascension and Tristan da Cunha are British Overseas Territories with their own domestic laws but subject to strict controls on illicit substances; possession or importation of controlled drugs carries severe penalties. Routine medical/psychiatric access to classical psychedelics is not established locally; the only widely recognised clinical medicine among the list (ketamine as an anaesthetic) is used in standard medical practice internationally, while licensed antidepressant formulations derived from ketamine (esketamine/Spravato) are not commonly provided on public healthcare systems in the UK context and are unlikely to be available through local public reimbursement. [https://www.gov.uk/foreign-travel-advice/st-helena-ascension-and-tristan-da-cunha/safety-and-security|GOV.UK Travel Advice].