05/28/2026
Adverse-event reporting is not the same thing as governance.
A study can document distress, anxiety, or destabilization.
An institution must define what happens next.
Who monitors?
Who escalates?
Who follows up?
Who verifies continuity of care after the session ends?
As psychedelic access expands, the field will need more than safety language. It will need operational systems.
The question is no longer whether adverse events occur.
The question is whether institutions are structurally prepared when they do.