Harm Reduction & Crisis Support
Most psychedelic use happens outside clinics, and difficult experiences do not wait for regulated access. The organisations tracked here provide the safety layer: crisis lines staffed for psychedelic-specific support, on-site care at festivals and events, drug-checking information, education, and integration support after challenging experiences.
What separates these services is the level of support they can actually provide, from information-only resources through peer support to on-site crisis intervention. Each profile records the channels (phone, text, in person), the populations served, and that crisis-support level, so someone looking for help, or an organiser planning an event, can see at a glance what a service does and does not offer.
- Organisations
- 16
- Countries
- 4
- Source-verified
- 3
Specific Groups
By country
What each service offers
| Organisation | Service Channel | Crisis Support Level | Population |
|---|---|---|---|
| Apollo Neuroscience, Inc. | Harm Reduction Education Content | Non-Crisis Information-Only | General Public |
| Autism Psychedelic Community | Harm Reduction Education Content | Non-Crisis Information-Only | General Public |
| Ayahuasca Wisdom | Harm Reduction Education Content | Non-Crisis Information-Only | General Public |
| Ceiba | Harm Reduction Education Content | Non-Crisis Information-Only | General Public |
| DanceSafe | Drug Checking Information ServicesHarm Reduction Education ContentIn-Person Event Support | Non-Crisis Information-Only | People Who Use DrugsFestival / Event AttendeesGeneral Public |
| Door of Perception | Harm Reduction Education Content | Non-Crisis Information-Only | General Public |
| Erowid Center | Harm Reduction Education Content | Non-Crisis Information-Only | General Public |
| Fireside Project | Phone Hotline / WarmlineSMS / Text SupportIntegration / Aftercare SupportReferral / Handoff Navigation | Crisis Support with Referral Escalation | People in Acute DistressPsychedelic Service UsersGeneral Public |
| ICEERS | Harm Reduction Education ContentIntegration / Aftercare SupportReferral / Handoff NavigationClinician / Professional Training | Peer Support (No Emergency Dispatch) | Psychedelic Service UsersGeneral PublicClinicians / Practitioners |
| PsiloHealth | Harm Reduction Education Content | Non-Crisis Information-Only | General Public |
| PsyCare UK | In-Person Event SupportHarm Reduction Education ContentReferral / Handoff Navigation | On-Site Crisis Intervention | Festival / Event AttendeesPeople in Acute DistressPsychedelic Service Users |
| Psygaia | Harm Reduction Education Content | Non-Crisis Information-Only | General Public |
| San Francisco Department of Public Health | Harm Reduction Education Content | Non-Crisis Information-Only | General Public |
| Tam Integration | Harm Reduction Education Content | Non-Crisis Information-Only | General Public |
| Tripsitters | Harm Reduction Education Content | Non-Crisis Information-Only | General Public |
| Zendo Project | In-Person Event SupportHarm Reduction Education ContentClinician / Professional TrainingReferral / Handoff Navigation | On-Site Crisis Intervention | Festival / Event AttendeesPeople in Acute DistressPsychedelic Service Users |
All Organisations
Apollo Neuroscience, Inc.
Apollo Neuroscience is a US company founded by Dr. David Rabin MD PhD that makes the Apollo Neuro wearable device, which delivers gentle vibrations to modulate the autonomic nervous system, reducing stress and improving sleep and recovery. The company is conducting IRB-approved clinical trials in partnership with MAPS evaluating the device's ability to sustain remission from PTSD following MDMA-assisted therapy, and has published research showing it reduces anxiety and improves integration outcomes in psychedelic-assisted sessions.
Autism Psychedelic Community
Autistic Psychedelic Community (APC) is a U.S.-based, autistic-led community and educational project founded in March 2020. Its website describes it as a neurodivergent-led space for people exploring autism, psychedelics, altered states, healing, identity, and lived experience. APC says it operates as a global community with a Los Angeles home node and offers online peer support and community connection. APC frames its role as building shared language, community support, and safer exploration for neurodivergent people, including autistic people and people with ADHD, who are navigating psychedelics. The organization says it is not a medical, psychological, or clinical service, but it does provide educational material, peer support, integration-oriented resources, and a sensory checklist for harm reduction. It also states that it aims to translate peer support and lived experience into frameworks that can inform clinical and academic work, which makes it relevant to researchers, clinicians, and neurodiversity-affirming psychedelic practice.
Ayahuasca Wisdom
Ayahuasca Wisdom is an ayahuasca integration education platform created by Kerry Moran, a Licensed Professional Counselor with a Master's in Counseling Psychology and 20+ years of psychotherapy experience specializing in plant medicine integration. The platform offers the 10-week online 'Integrating Ayahuasca' course drawing on depth psychology, Buddhist practice, and somatic approaches, alongside articles and resources for post-ceremony transformation.
Ceiba
Ibogaine preparation, integration, and aftercare coaching platform founded in 2009 by Jonathan Dickinson, former Director of the Global Ibogaine Therapy Alliance. Ceiba provides personalized one-on-one coaching across all phases of the ibogaine experience, grounded in harm reduction, neurodiversity, and spiritual emergence perspectives, and offers a free weekly recovery group for ibogaine treatment alumni.
DanceSafe
US nonprofit harm reduction organization focused on drug checking, risk education, and event services for safer substance use environments.
Door of Perception
Door of Perception is the practice of Dorien, a Netherlands-based psychedelic guide, coach, and medical anthropologist who co-founded the OPEN Foundation in 2007 and brings over 20 years of experience in harm reduction at festivals such as Kosmicare, Zendo, and Psycare. She offers online courses for safe DIY psychedelic journeys, one-on-one psilocybin truffle sessions in Amsterdam, and training workshops for guides and mental health professionals.
Erowid Center
Erowid Center is a nonprofit educational organization and public information resource on psychoactive substances, including the Erowid Experience Vaults user-report archive and broader harm reduction materials.
Fireside Project
Nonprofit organization operating the Psychedelic Peer Support Line, providing phone and text support during and after psychedelic experiences with escalation to emergency services where needed.
ICEERS
ICEERS is a Spain-based nonprofit focused on the globalization of Indigenous plant medicines, with work spanning education, research, legal support, and community services. Its website describes three connected areas of work: mitigating harms and consequences, co-creating collaborative pathways, and international monitoring and research. The organization serves people navigating psychoactive plant use, health professionals, and Indigenous and community partners across multiple countries. In psychedelic and drug policy work, ICEERS combines harm reduction, public education, and policy advocacy rather than operating as a patient-access organization. Its current public-facing services include free integration and crisis support through El Faro, a drug-interaction information service, educational resources, and legal defense support for people facing prosecution related to traditional medicines. ICEERS also reports work with Indigenous partners and claims its efforts have informed court rulings and public policy, making it relevant to researchers, clinicians, funders, policy groups, and community stakeholders seeking evidence, safety, and rights-based collaboration.
PsiloHealth
PsiloHealth is a psilocybin education, harm reduction, and advocacy organization founded by licensed pharmacist and educator Dr. Sa'ed Al-Olimat, offering a Psilocybin Peer Supporter (PPS) certification, integration workshops, and free educational resources on psilocybin's therapeutic applications. The organization advocates for equitable access to psilocybin-supported care through community education and legislative engagement.
PsyCare UK
UK psychedelic welfare and harm reduction organization providing event-based support, volunteer training, and safer-use community resources.
Psygaia
Canadian nonprofit research and education organization advancing a systems-based and ecological approach to psychedelics in service of planetary health, developed through interdisciplinary research at the University of Ottawa. Psygaia's framework positions psychedelics as ecological mediators that reweave the human relationship with the living Earth, offering the Microdosing Mindfully course, the Psygaia Circle integration community, guided journey support, and the AFTERGLOW seasonal integration event series across North America.
San Francisco Department of Public Health
The San Francisco Department of Public Health is the public health agency of the City and County of San Francisco, operating clinics, HIV/AIDS programs, and behavioral health services for over 125,000 patients annually; through its Behavioral Health Services division, it is conducting the KARE (Ketamine-Assisted Recovery) trial investigating ketamine-assisted psychotherapy for methamphetamine use disorder in publicly-insured adults with or at risk for HIV, integrating harm reduction principles with neuroplasticity-based addiction treatment.
Tam Integration
Tam Integration offers psychedelic integration support through Mt. Tamalpais Integration Circles in the San Francisco Bay Area and a year-long integration coach training program for practitioners. The organization also hosts the annual Mt. Tam Integration Jam conference, fostering community among Bay Area integration practitioners.
Tripsitters
Psilocybin community and harm reduction education hub with a mission to create a world where everyone has safe access to psychedelic medicines. Tripsitters.org covers harm reduction, pharmacology, therapy, ethics, and integration, maintaining a comprehensive directory of psychedelic organizations and practitioners; it is featured as a key resource by the UC Berkeley Center for the Science of Psychedelics.
Zendo Project
Psychedelic harm reduction organization providing peer support training and event-based crisis care for challenging psychedelic experiences.
Frequently asked questions
- Where can someone get immediate support during or after a difficult psychedelic experience?
The crisis support services listed here operate phone and text lines specifically for psychedelic experiences; Fireside Project is the best-known example in the United States. Each profile states the service channels and the crisis level offered. For medical emergencies, none of these replaces emergency services.
- What does harm reduction mean for psychedelics specifically?
In practice: accurate information about substances and interactions, drug checking so people know what they are taking, peer support at events, and integration support afterwards. The organisations here work from the evidence that use happens regardless, and that preparation and support measurably reduce harm.
- Can event organisers bring in these services?
Several organisations here specialise in on-site event support (the Zendo Project model): trained teams providing a calm space and peer care at festivals. Profiles marked with in-person event support are the ones to approach, and their primary links lead to booking or volunteering information.
- Are these services staffed by clinicians?
Mostly no, and deliberately so. The dominant model is trained peer support rather than clinical treatment, with escalation pathways for situations that need medical care. Profiles note where services also offer clinician or professional training alongside direct support.