June 21, 2023 - High Country Politics - Government and Elections News from the American West

Magic Mushrooms are legal in Colorado! Here’s what you need to know | $1.7MM Biden Administration grant will support expansion of in-home behavioral therapy across Colorado | Auon’tai Anderson and 4 other Democrats are running for Rep. Leslie Herod’s CO House seat in District 8 | Rebirth Brass Band is playing 5 Colorado shows in the next 5 days

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Welcome to High Country - politics in the American West. My name is Sean Diller; regular listeners might know me from Heartland Pod’s Talking Politics, every Monday.

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COLORADO SUN:

Colorado decriminalized psilocybin. Here’s your guided trip through what happens next.

What’s the timeline? Is natural medicine right for you? Should you microdose? We answer these questions and more.

Chryss Cada

4:28 AM MDT on Jun 18, 2023

Four moms gather around a Saturday morning breakfast table exchanging the obsessive anxieties that come from raising teenagers in today’s society.  

They share the usual concerns: Does their daughter have enough friends? Is their son being bullied at school? Are their child’s frequent dark moods typical teenage emotions, or does their angst cross over into depression? 

As they talk, it becomes clear that the constant stress of worry for their teens is spiraling them down into anxiety and depressive disorders of their own. 

Right down to steaming mugs of coffee and plates of avocado toast, the scene is quintessential suburban life in the early 2020s. But this meeting of the moms will likely produce more answers, more insight and more empathy than most. Because the night before these moms consumed some natural medicine known for helping to see things in a new light, bringing clarity to stubborn, problematic patterns. 

These women, along with thousands of others across Colorado, have found psilocybin (the active ingredient in magic mushrooms) useful in bringing relief from the anxiety and depression so prevalent in today’s society. 

Now, after Colorado voters approved Proposition 122 in November, they no longer have to risk state criminal penalties for their use of this indigenous medicine.

The dramatic efficiency of mushrooms to ease mental health disorders that haven’t been helped by traditional medicines and therapies isn’t just anecdotal. Recent studies from respected institutions like Johns Hopkins School of Medicine have shown psilocybin is helpful in treating everything from alcohol dependence to major depressive disorder. 

However, those experienced with this medicine suggest that it be approached with intention, reverence and most importantly understanding.

Under Proposition 122, The Natural Medicine Health Act, Coloradans 21 and older are allowed to possess and use psilocybin, the psychedelic fungi commonly known as “magic mushrooms.” In addition it proposes the eventual decriminalization of the substances dimethyltryptamine, or DMT, ibogaine and mescaline (excluding peyote). The law allows the state to immediately begin the process of the “medicalization” of psilocybin mushrooms by creating a framework for state-regulated “healing centers,” where people can receive medically guided psilocybin treatments. Although decriminalized in Colorado, psilocybin and the other medicines named in the Health Act remain illegal under federal law. 

“The measure is therapeutically oriented, so recreational and retail sales are not allowed,” explained Kevin Matthews, one of the authors of Proposition 122. “You can share these medicines with family and friends or in religious uses, but we didn’t want this to become a for-profit industry.”

A veteran, Matthews found relief from depression during a single psilocybin journey in 2011 and has since worked for increased access to psychedelics for the treatment of trauma. While at a legalization rally he saw a T-shirt slogan that summed up the idea behind The Natural Medicine Health Act in three words: “Healers, Not Dealers.”

“We were very careful in the writing of the proposition to put forth a healing model,” he said. “We know that people will still use these medicines recreationally, as they were before this passed. It’s not always a clear distinction: for some people taking mushrooms with friends and going to see a show at Red Rocks is therapeutic.”

The proposition laid out the problem it was hoping to alleviate, reading in part:

COLORADANS ARE EXPERIENCING PROBLEMATIC MENTAL HEALTH ISSUES, INCLUDING BUT NOT LIMITED TO SUICIDALITY, ADDICTION, DEPRESSION, AND ANXIETY. 

COLORADO’S CURRENT APPROACH TO MENTAL HEALTH HAS FAILED TO FULFILL ITS PROMISE. COLORADANS DESERVE MORE TOOLS TO ADDRESS MENTAL HEALTH ISSUES, INCLUDING APPROACHES SUCH AS NATURAL MEDICINES THAT ARE GROUNDED IN TREATMENT, RECOVERY, HEALTH, AND WELLNESS RATHER THAN CRIMINALIZATION, STIGMA, SUFFERING, AND PUNISHMENT.  

In November, 53% of Colorado voters agreed with that wording.  

Denver attorney Sean McCallister’s phone started ringing as soon as the votes were counted and hasn’t really stopped since. Primarily working with those in the cannabis industry since the sale and recreational use of weed was legalized in 2012 in Colorado, McAllister is now a pioneer in the emerging field of psychedelics law. 

One of the most frequent questions he is asked by those outside the psychedelic community is, “When will mushrooms become legal?” His answer: They already have. 

“No, you don’t have to wait for decriminalization provisions,” he said. “People can cultivate, possess and give away mushrooms, as well as share them and be paid for bonafide harm-reduction therapy and support services.” 

In an interesting twist, those without licensure will be the first to be able to legally offer natural medicine to clients. 

“Right now those who don’t have a therapy license are able to work with these medicines because they are not bound by the rules of a regulatory agency,” McCallister said. “We are about two years away from the regulations being in place for doctors and therapists to be able to offer this medicine to their patients.” 

In the meantime, a movement of mushroom guides who have worked underground for years or even decades is starting to push into the daylight.

In the first three months following passage of Proposition 122, McCallister wrote up more than a hundred disclaimers for guides to use with their clients. 

Alexandra Jenkins believes so deeply in the medicine’s powers to process and release trauma that she was willing to put herself at risk of prosecution to guide medicine ceremonies underground for the past eight years. Now before the ceremonies she holds with one or two other facilitators she passes out a waiver that spells out what can happen when “sitting with the medicine.” 

The waiver explains that the effects of psilocybin mushrooms include altered perception of time and space and intense changes in mood and feeling. Other possible effects of psilocybin include everything from euphoria and peacefulness to confusion and frightening hallucinations. The effects of psilocybin vary from person to person, based on the user’s mental state, personality and immediate environment. 

Those who have spent time with the medicine will tell you it’s all these emotions and so many more, a roller coaster of a voyage through time and space that can fit what feels like a lifetime into four to six hours.

“When this (Prop 122) passed I felt a release of stress I wasn’t even aware I had been holding,” Jenkins said. “It feels like an open door to give more people access to this medicine.” 

She has seen the medicine ground previously malfunctioning nervous systems, help people connect to their higher selves, and in doing so feel more compassion toward themselves and others and tap into creativity and the interconnectedness of life. “There is this plant that grows in the ground, is free and helps us see ourselves and others differently,” Jenkins said. “It’s cool to be able to believe in miracles.”

The timeline

In addition to decriminalizing the four natural medicines, for mushrooms the new law is retroactive. 

McCallister had several pending cases that were dismissed as soon as Proposition 122 passed. Among them was the case of Ben Gorelick, a Denver rabbi who was facing prosecution after integrating psychedelic use as part of spiritual practice.

When this (Prop 122) passed I felt a release of stress I wasn’t even aware I had been holding.

— Alexandra Jenkins, a guide

“The dismissal of that case was especially meaningful because it highlighted the ways this medicine is used,” McCallister said. 

A representative of traditional and indigenous use and religious use of natural medicine was one of 15 appointees to the Natural Medicine Advisory Board announced earlier this year. The board, which will advise the Department of Regulatory Agencies on the implementation of the regulated natural medicine access program, also includes representatives from law enforcement, veterans, criminal justice reform, mycology, emergency medical services, health care policy, natural medicine and mental health providers.

Colorado Senate President Steve Fenberg, D-Boulder, is drafting a bill that would clarify who would be implementing Proposition 122. He is considering adding Department of Revenue or Department of Public Health and Environment involvement in the rollout of the program.   

Proposition 122 says the state must issue rules for things like drug testing standards, license requirements, and health and safety warnings by Jan. 1, 2024, and the state must begin accepting applications for licensed facilities to administer psilocybin by Sept. 30, 2024.

The law stipulates that decisions be made on all licensing applications within 60 days of receiving them.

After June 1, 2026, the TNMHA board can decide on the medicalization of the additional substances, DMT, ibogaine and mescaline. This may include “healing centers,” like the ones being established for psilocybin, or some similar system with medical oversight for the use of these three substances.

Is natural medicine right for you?

For years, psychiatrist Craig Heacock has had patients come through his office he knew could benefit from psilocybin, but he was unable to recommend it because it was illegal.

Heacock has been able to provide therapy utilizing ketamine, which works in the brain in ways similar to psilocybin. That said, different psychedelics seem to work better for different conditions. 

“Ketamine is best for endogenous conditions, such as bi-polar depression that has been present throughout the family history,” he said. These are conditions that are caused by factors inside the person’s system.

“I’m most excited about the use of psilocybin in the treatment of obsessive compulsive disorder,” he said. “There’s been cases of people having remission from OCD for weeks or even months following a single dose of psilocybin.”

OCD is one of many anxiety disorders that can develop in response to trauma. It is a coping mechanism your mind develops to try to control the possibility of something traumatic happening to you again. 

The amount of research on psilocybin has been limited by its legal status, leaving practitioners like Heacock eager to explore its possibilities.   

“Psilocybin has a rich and broad palette,” he said. “It connects us with self in a way that can alleviate anxiety, depression and a lack of love.”

His podcast, “Back from the Abyss: Psychiatry in Stories,” has been a pioneering voice in the field of psychedelic-assisted therapy. He and his guests often share their hopes that the healing power of psilocybin can help with society’s big issues, such as the communal depression lingering from the COVID-19 pandemic. 

“With the pandemic we have a whole group of people who are left demoralized and spiritually wounded,” he said. “Psilocybin can help with the big things, like alleviating existential despair.”

Although there isn’t a strict definition, those in the natural medicine community consider a transformative dose  — one in which emotional breakthroughs are likely to occur — of mushrooms to be 3 grams or more.

By disconnecting parts of the brain that form what we call our ego, psilocybin allows you to step back and look at your patterns from a different perspective. It puts you in the audience to watch your life play out on the stage and then whispers in your ear that you could do things a different way.  

It allows you to not only rethink who you are, but also who you want to be. 

Jenkins has seen people shed deep-seated trauma through use of the medicine. 

“People might have something they’ve been holding for so long they may not even know it’s there,” she said. “The medicine shows them that pain and then helps them process it so they can begin to let it go. There is a lot of strength, strength to change, that comes with the love and self-acceptance of this medicine.”

Where do I start?

Hearing of possible relief from anxiety, depression and even existential despair has Coloradans (and people from around the world) wondering how to get their hands on some mushrooms — and they don’t want to wait.

“We were prepared for an increase in interest in psilocybin if the proposition passed,” said Daniel McQueen of Boulder’s Center for Medicinal Mindfulness. “But the sheer size of the wave of interest actually took me by surprise.”

Although he doesn’t want to be specific, given the amount of competition cropping up, McQueen said calls to the center from people interested in trying psilocybin-therapy have “at least doubled” since passage of the law. 

The center, one of the first legal psychedelic therapy clinics in North America, has led thousands of people through cannabis-assisted and ketamine-assisted psychedelic therapy sessions since its founding in 2014, as well as providing training for psychedelic “sitters,” (guides and psychedelic therapists). The training is done by a team of 15, including a medical doctor, nurse and nurse practitioner, four licensed psychotherapists, four pre-licensed psychotherapists, two ministers and two traditional psychedelic guides. 

People lay down on mats in a circle. A woman sits crossed legged at the top of the group with candles and a laptop with music.

The Center for Medicinal Mindfulness & Psychedelic Sitters School. (Britt Nemeth, Contributed)

“Because people are in a very vulnerable state while on a psychedelic journey it is very important that they work with a guide who is well-trained,” McQueen said. “A guide should have professional boundaries, the ability to handle a mental health or medical crisis and work in an environment with oversight and accountability.”

Accountability is one of the reasons Heacock is looking forward to having mushroom guiding moving out of the dark and into the light.

“On the black market it has been ‘buyer beware,’” he said. “There were no checks and balances, it’s not like if someone had a bad experience with a guide they could post a bad review on Yelp.”

In Heacock’s view another advantage of legalization will be testing of the potency of the medicine. 

“Even if you take the same amount as you had previously, the strength of the medicine could be substantially different,” he said. “With legalization you will know what you are getting every time.”

Jenkins, who classifies her work with psilocybin as “harm-reduction services,” stresses the importance of finding a guide who is experienced with the medicine.

“I’ve always had the energy to be a holder of liminal space,” she said. “Being able to create a safe container for someone to have a psychedelic journey is crucial.”

Jenkins has spent extensive time in that psychedelic space, including journeys with ayahuasca, referred to as the “grandmother” of all psychedelics. 

“You have to know what they will be experiencing by having experienced it yourself, it’s not something you can learn from a book,” she said.

Jenkins is also trained in a spectrum of holistic healing from yoga to breathwork to somatic experiencing. 

“All the things I trained in up to the point in my life led naturally to holding medicine space,” she said.

Despite helping outline the suggested credentials for mushroom guides, Matthews, the Proposition 122 co-author, still puts the most weight in personal recommendations. 

“Ask people you know, love and respect if they know someone who would be a good match to guide you,” he said. “It’s also important to get a facilitator who can relate to your personal experiences.

“If you struggle with depression, find a facilitator who has also experienced depression and can have compassion for what you are going through.” 

An altar with the sculpture of a woman and child, crystals and a variety of other objects.

A primary part of guidance at the Center for Medicinal Mindfulness is helping individuals explore their spirituality, said Daniel McQueen, founder of the Center. (Olivia Sun, The Colorado Sun via Report for America)

Plunging in 

The “come up” of a psilocybin trip takes about 15 minutes, slowly clicking you up that first big hill of a roller coaster. 

When the cable lets you go, the plunge down is a little different for everybody. Some people hold on for dear life, regretting their choice to get on the ride in the first place. Others put their hands up in the air and enjoy the ride. Some people alternate between the two.  

Either way, there is usually a lot of noise when the medicine “kicks in.” In order to “hold the container,” and keep individuals in their own experience, guides will often request quiet in a group setting.

Sometimes people find it impossible to not let out a squeal, a moan, a cry, a retching, a giggle or a choice expletive.  

“This is an intense experience, sometimes someone gets too loud and there’s the risk that they will compromise everyone in the group’s experience,” Jenkins said. “An experienced guide can maintain the container through this by going to that person and helping them through.”  

While one facilitator tends to the individual who is struggling by taking him or her to another room, the other facilitator sings to the remainder of the group, her voice soaring above the chaos. Trippers have a choice to go on the wings of the medicine to a peaceful supportive place and have their own experience. 

“Rather than saying it was a bad trip, I would say there are moments in every journey that are challenging,” said Matthews, who has found psychedelics helpful in processing trauma from earlier in his life. “Unresolved trauma comes to the surface, and you can witness with clarity how something that has been buried deeply is influencing the way you are in the world.”

Psychiatrist Heacock agrees.

“We don’t learn when things are going well,” Heacock said of difficult ketamine sessions. “It’s the hard sessions, when you feel like you can’t stand another second, that can be the real game changers.”

Single dose

Licensed clinical social worker Michelle Landon, like many in healing professions, has faced her own struggles with mental health. 

She often tries healing modalities out herself before prescribing them to her clients.

“A couple years ago I began hearing a lot about the science of psychedelics and how they can help people heal,” she said. “I wanted to help others with their trauma and disordered thinking patterns, but first I knew I needed to help myself.”

People might have something they’ve been holding for so long they may not even know it’s there. The medicine shows them that pain and then helps them process it so they can begin to let it go.

— Alexandra Jenkins, a guide

Landon, who has been a therapist in northern Colorado since 2004, found psychedelics helpful in coming to terms with the death of her father in 2021.

“The last two weeks of my dad’s life he started telling my sister he was going on a trip and wanted to say goodbye to everyone,” she said. “I was with him, watching him go in and out of this world.”

Psychedelics lightened the impact and pain of the moment. 

“I mean sure it sucked, but it wasn’t traumatic,” she said of her father’s final days and the grief that followed his death. “There were moments of beauty and connection. I saw him through the lens of the medicine and he didn’t look like he was suffering. He was ready to go.” 

Through ketamine-assisted therapy, Landon has brought similar relief to clients dealing with a range of mental health challenges from persistent depression to acute post-traumatic stress disorder.

“Some people processing trauma find it so hard to shift things and let go with traditional therapy and prescriptions,” she said. “With psychedelics some people have direct access to knowing they are loved and are able to finally let go of their past trauma.”

Microdose

While a single-dose psilocybin journey can have profound, lasting effects, many people are beginning to take mushrooms as a daily medication — and a lot of those people, at least anecdotally, are moms. 

“People are discovering microdosing to be a good alternative to the pharmaceutical approach that is so prevalent in our culture,” Jenkins said. “It gives your serotonin a bit of a boost and puts you more in tune with yourself.  It can really help people with anxiety without a lot of side effects.” 

Microdosing mushrooms involves taking such small amounts of the medicine (roughly 0.05 to 0.25 grams) that a person doesn’t feel the effects outright. People can take a microdose every day or work in days off to integrate the insights gained on days they do take the medicine.

“When I’ve had a microdose I feel so much more confident in the choices I’m making for my family,” said one mom over post-trip avocado toast. “It’s like the mushrooms are a little cheerleader in my head telling me I’m doing a great job.” 

Another mom had been on prescription antidepressants for a little more than a decade before recently switching to microdosing psilocybin to rein in the ruminating, spiraling, obsessive thoughts she has contended without throughout her life.  

She wanted to find a more natural way to access what her brain needs.

“It was rough going off them (antidepressants),” she recalls. “I was dizzy, nauseous, felt trapped and was really, really, really depressed. 

Then I started microdosing and it was like my whole brain lit up again.” 

Those who work with psychedelics caution that they aren’t an instant cure, but rather one resource that has been helpful to many in their healing. 

“It (psilocybin) is a reminder that we hold the answers inside of ourselves,” Landon said.  “It gets the BS out of the way so you can see your true self and your true potential for happiness.”

COLORADO NEWSLINE:

A new family therapy program in Colorado will meet you wherever you are — even if that’s Costco 

An in-home mental health program for kids that began in January has served 200 people in 20 Colorado counties and has plans to expand

Jennifer Brown

4:00 AM MDT on Jun 15, 2023

A 15-year-old boy is sitting cross-legged on his couch in red flannel pajama pants, his hair looking like he just rolled out of bed. 

Because he did just get out of bed, about three minutes ago. 

Now, he’s sitting across from his therapist, who had to knock on the door for several minutes before the teenager’s mom answered via Ring doorbell from the grocery store. “It’s open,” she told Bobby Tyman, a family therapist and clinical program coordinator with Paragon Behavioral Health Connections. 

It’s not the first time Tyman has had to rouse the boy from sleep for his 10 a.m. therapy appointment.

This is what in-home mental health treatment for adolescents looks like. The teenager, who recently stole and crashed his mother’s car and has been using drugs to cope with depression, is groggy and shy, but tells Tyman that he applied for three summer jobs and is choosing a new high school for the fall. 

The new in-home therapy program, which has served 200 kids and their parents since it began in January, is an extension of the Colorado Boys Ranch. The ranch opened in 1959 as an orphanage in La Junta, then closed its residential program about a decade ago. But its foundation — Colorado Boys Ranch Youth Connect — has continued, pouring its resources into behavioral health care for kids in their homes. 

The evolution of the program is a reflection of what’s changed in the child welfare system in the past decade — Colorado is sending fewer kids to institutions in favor of homes, and has increased efforts to provide in-home mental health care to cut down on the number of children removed from their homes and placed in foster care in the first place. Several youth treatment centers, including Tennyson Center for Children in Denver, have shifted in recent years from residential care to day treatment and in-home therapy.

Some of the children are referred by the juvenile justice system as part of pretrial rehabilitation programs, and by the Medicaid program. Parents can also call for help directly, without a referral from a government program. 

A staff of 40 works in 20 counties, including the entire Denver metro area and throughout the entire state. 

Camille Harding, Paragon’s CEO says “The point is to help kids and teens get better on their terms, as well as to provide a step-down program for adolescents who have visited a hospital emergency room in crisis or been admitted on a mental health hold. The program aims to schedule the first appointment within 24 hours of receiving a call for help.”

Kids who are “trying to have their own personality and a say in who they are” can accomplish that better at home, not in an unfamiliar office with a therapist staring at them.

“Having it on their own terms is so much more empowering. You get to decide what we do. We can go for a walk. We can go to the park down the street. Developmentally, it just makes more sense.” 

Some kids in the program have such intense needs that someone from Paragon is in their home 10 hours a week. A therapist helps work on their mental health. A care manager can help enroll in school, sign up for a GED program, or help the family find housing or food assistance. A specialist can teach interventions specifically for kids who have intellectual disabilities along with behavioral health issues. 

The team approach means kids get better help and staff are less likely to burn out. The program’s technology is unique, too. Paragon is installing geo locations on its staff, many of whom are social workers or case managers with bachelor’s degrees, and can send reinforcements quickly. That means that if a teenager is threatening suicide or having a violent outburst, a more experienced counselor can assist in person or virtually.

A $1.7 million grant, part of Colorado’s federal pandemic relief aid, is helping the program build the technology and hire a psychiatrist. 

Therapy beside someone’s bed or in a Costco aisle

Tyman prefers standing on a client’s doorstep to sitting in an office waiting for a client who doesn’t show up. 

He’s done therapy on the floor next to someone’s bed because the person was too depressed to get up. 

And one mom is so overwhelmed by her life that the only time she finds for therapy with Tyman is when she’s at the park with her kids or walking through Costco. Tyman tells her she can say he’s a neighbor or a friend if they run into someone she knows. 

“It’s OK if we start 15 minutes late because you had to get up and make coffee and put on clothes, or whatever it is you had to do to deal,” he said. “If your mental capacity isn’t super high, and you’re not functioning well, and you’re not getting out of bed on time, and you’re not able to manage your appointments, you’re never going to make it to therapy.

COLORADO NEWSLINE:

Auon’tai Anderson, vice president of the Denver Public Schools board of education, announced he will end his run for reelection to instead go for a seat in the Colorado Legislature. 

Anderson, a Democrat who has been vocal against police in schools, announced his campaign to replace Democratic Rep. Leslie Herod in House District 8. 

As of Monday, five candidates have filed with the secretary of state’s office looking to take the District 8 seat, including Anderson, Victor Bencomo, Christi Devoe, Lindsay Gilchrist and Sharron Pettiford. All candidates so far are Democrats. Gilchrist filed her candidacy the same day as Anderson. 

Anderson told Colorado Newsline his decision was influenced by the recent shootings at East High School in Denver, when a student asked Anderson what he was going to do about gun reform.

“We need Democrats that are going to be Democrats 24/7, not Democrats when it’s convenient,” Anderson said. “I feel like we’ve had some very convenient Democrats in the Legislature when it comes to these heavy issues like rent control, or our assault weapons ban that was killed by Dems. So, for me, this was an opportunity to stand up and say ‘I’m going to run.’” 

As he wraps up his time on the Denver school board, Anderson touted newly enacted board policies that make dyslexia screenings accessible for DPS students, as well as a 90% reduction in tickets and citations for students in the district, during his time on the board.

Anderson said “We can’t regress into an era where we’re going back to criminalizing Black and brown children” 

If elected to the Colorado House, Anderson said he would prioritize four areas in his first legislative session: banning assault weapons, enshrining access to reproductive health care in the state Constitution, expanding protections for LGBTQ students, and increasing the state minimum wage. 

And your unsolicited concert pick of the week, Rebirth Brass Band! A New Orleans Institution since 1983 - Flea of the Red Hot Chili Peppers says “UNBELIEVABLE. HARD AS HELL, FREE AS A RAY OF LIGHT, THERE IS NOT A BAND ON EARTH THAT IS BETTER. STUNNING."

Stunning and hardworking too, with Colorado shows tonight and the following 4 nights- Cleland Park in Delta, Ophelia’s Electric Soapbox in Denver, Stoke in Salida, Gardens on Spring Creek in Fort Collins, and finally the Durant Street VIP Tent in Aspen. 

Welp, that’s it for me! From Denver I’m Sean Diller. Original reporting for the stories in today’s show comes from Colorado Sun and Colorado Newsline.

Thank you for listening! See you next time.

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