■俄勒冈州和科罗拉多州的选民倡议授权监管psilocybin服务的法律框架，但没有措施监测安全性或结果。
■制定最佳实践的核心措施。
■一个三阶段的e-Delphi过程招募了36名具有5年或更长时间的经验的专家，这些经验在各种情况下促进了psilocybin的经验（例如，仪式设置，土著习俗，临床试验)，或其他相关的psilocybin专业知识。第一阶段,定性的在线调查，开放式文本响应，生成评估过程的潜在措施，结果，和结构反映了高质量的psilocybin服务。在第二阶段,专家使用7点Likert量表来评估第一阶段措施的重要性和可行性。措施优先排序。第三阶段细化顶级衡量标准中的定性访谈和分析。
■专家（n=36；53％的女性；71％的白人；56％的异性恋）报告说，目前提供psilocybin服务（64％）的平均时间为15.2[SD13.1]年，土著迷幻实践的经验(67%)，和/或进行临床试验（36%）。对第一阶段响应的主题分析产生了55个候选过程度量(例如，与客户的准备时间，给予裸盖菇素的总剂量，接触/性界限的文档)，结果衡量标准(例如，不良事件,幸福,焦虑/抑郁症状)，和结构措施(例如，创伤知情护理的促进者培训，医疗/精神病问题的转诊能力)。在第二阶段和第三阶段，专家们优先考虑了一套11个核心流程，11结果，和17种平衡重要性和可行性的结构措施。
■服务提供商和政策制定者应考虑规范本研究中制定的核心措施，以监控安全性，质量,以及基于社区的psilocybin服务的结果。
UNASSIGNED: Voter initiatives in Oregon and Colorado authorize legal frameworks for supervised psilocybin services, but no measures monitor safety or outcomes.
UNASSIGNED: To develop core measures of best practices.
UNASSIGNED: A three-phase e-Delphi process recruited 36 experts with 5 or more years\' experience facilitating psilocybin experiences in various contexts (e.g., ceremonial settings, indigenous practices, clinical trials), or other pertinent psilocybin expertise. Phase I, an on-line survey with qualitative, open-ended text responses, generated potential measures to assess processes, outcomes, and structure reflecting high quality psilocybin services. In Phase II, experts used seven-point Likert scales to rate the importance and feasibility of the Phase I measures. Measures were priority ranked. Qualitative interviews and analysis in Phase III refined top-rated measures.
UNASSIGNED: Experts (n = 36; 53% female; 71% white; 56% heterosexual) reported currently providing psilocybin services (64%) for a mean of 15.2 [SD 13.1] years, experience with indigenous
psychedelic practices (67%), and/or conducting clinical trials (36%). Thematic analysis of Phase I responses yielded 55 candidate process measures (e.g., preparatory hours with client, total dose of psilocybin administered, documentation of touch/sexual boundaries), outcome measures (e.g., adverse events, well-being, anxiety/depression symptoms), and structure measures (e.g., facilitator training in trauma informed care, referral capacity for medical/psychiatric issues). In Phase II and III, experts prioritized a core set of 11 process, 11 outcome, and 17 structure measures that balanced importance and feasibility.
UNASSIGNED: Service providers and policy makers should consider standardizing core measures developed in this study to monitor the safety, quality, and outcomes of community-based psilocybin services.
