Road to Access guides

Guides, maps, and tools for access planning

These pages collect the maps, clocks, models, and checklists that explain how psychedelic therapies move from clinical evidence toward real patient access.

Use them to check the next practical question: what is approved, who pays, where care happens, and what still has to be built.

Start by question

Different readers need different evidence

A general reader may need the access clock first. A researcher may need the follow-up horizon. A developer or investor may need the reimbursement and delivery constraints.

Step 3

Reimbursement

Who pays, and under what evidence standard?

Understand health technology assessment, coverage decisions, economic evidence, and payer logic that determine whether patients can afford care.

GuideWho Pays

Europe Access Clocks

Explains the time gap between EMA authorization and real access or reimbursement, using country-level WAIT benchmarks and scenario controls.

Who Pays
GuideWho Pays

Netherlands HTA Access Clock

A Netherlands-specific explainer for the handoff from EMA authorization to ZiN assessment, possible sluis placement, NZa payment design, and practical access.

Who Pays
GuideWho Pays

Psilocybin HTA Uncertainties

A payer-facing map of the clinical, economic, and implementation uncertainties that remain even when psilocybin-assisted therapy shows a positive clinical endpoint.

Who Pays
GuideWho Pays

Psychedelic Therapy Payment Bundle

A service-component map and interactive payment model for reimbursing the medicine, dosing day, therapist time, monitoring, registry work, and follow-up.

Who Pays
GuideWho Pays

Psychedelic Therapy Cost-Effectiveness Model

A reusable cost-utility, cost-effectiveness, and cost-benefit engine for psychedelic-assisted therapy, with illustrative parameter packs, evidence-status labels, and country HTA lenses.

Who Pays
GuideWho Pays

Spravato Access Precedent

A comparator resource for how esketamine moved from EU authorization into different national access outcomes, and what that teaches for psilocybin-assisted therapy.

Who Pays
GuideWho Pays

Real-World Evidence and Registry Design

A registry-design resource for the post-approval evidence questions that trials and economic models rarely settle on their own.

Who Pays
GuideWho Pays

Group Therapy Economics and Implementation

A first-pass resource on when group formats may improve access, when they may add governance burden, and how payment and evidence questions change.

Who Pays
Talk resourceWho Pays

Are Reimbursement Pathways Ready for Licensed Psychedelic Therapies in Europe?

ICPR 2026 talk page with the recording, downloadable slides, slide-by-slide text, and links into Road to Access guides.

Who Pays
Article resourceWho Pays

Payer Evidence Checklist for Psychedelic Therapies

A practical checklist for the evidence payers need beyond clinical efficacy: value, uncertainty, implementation, and post-approval evidence.

Who Pays
Interactive articleWho Pays

The Personnel-Hours Question in Psychedelic Therapy

An interactive implementation article for estimating how preparation, dosing, integration, and group formats change staff time.

Who Pays
Report resourceWho Pays

Psychedelic Therapy Access in Europe: Comparison

A country-comparison resource for understanding medical access, reimbursement status, and practical availability across Europe.

Who Pays

Step 4

Delivery

Can the health system deliver it safely at scale?

Look at care models, workforce needs, training, infrastructure, and operational bottlenecks that shape real-world delivery.