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Psychedelics: Case study from Spain | Antón Gómez-Escolar

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The speaker, representing the Spanish Society of Psychedelic Medicine (SEMSI) and the Foundation INO, outlines a strategic effort to build a legal and scientific ecosystem for psychedelic medicine in Spain. Although Spain already possesses certain favorable conditions, such as the national service covering ketamine treatment costs and a decriminalization policy similar to Portugal's regarding natural substances, the organizations have focused on policy advocacy since their founding in 2022 and 2023. Their primary goal has been to shift the field from underground activities to formal, regulated medical practice by engaging universities, political parties, and media outlets to create a supportive environment for future clinical programs. A significant portion of their work involves integrating psychedelic science into academic and clinical settings. Starting in 2022, they organized university lectures featuring international experts like Dr. David Nutt, initially facing resistance but eventually gaining traction among students and faculty who are now becoming potential investigators. To overcome language barriers that prevent Spanish-speaking populations from accessing English-language information, the groups record these events for YouTube and actively connect Spanish hospitals with global clinical trials, assisting with complex bureaucratic documentation and patient recruitment through social media channels. Beyond academic engagement, the organizations have successfully elevated the topic to a national level by organizing major conferences within the official Spanish College of Physicians and securing high-profile media coverage that kept psychedelics in the public eye for weeks. They also established direct communication lines with various political parties and even presented psychedelic science directly to the Spanish Parliament, though early meetings with the mental health commissioner were less successful due to her initial hesitation regarding pharmacological interventions. Despite these challenges, they view these interactions as crucial steps toward future reforms and have begun coordinating a unified protocol among multiple hospitals to generate robust scientific data for eventual authorization. Looking ahead, the main priority is to launch a compassionate access program modeled after initiatives in Germany, targeting the Spanish Medicines Agency and political institutions with whom they have built relationships. The teams are currently sourcing GMP-certified psilocybin and preparing the necessary documentation for submission within the coming months. By unifying hospitals under a common protocol, they aim to produce substantial scientific results that will support their authorization requests, ultimately making safe and effective psychedelic therapies accessible to patients across Spain who meet specific clinical criteria.
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Thank you very much, Thaddeus. Thank you everyone, of course, for being here. It's a nice opportunity and I'm very happy to be part of it. We're going to have a very amazing day and hopefully we'll go back home with a lot of ideas, every one of us, to implement in our own countries, hopefully. My role today is to provide you with a little bit of what we have been doing in Spain in the last few years and what things can be extrapolated to probably other countries and what can you bring home and ideas that might be implemented in your own countries. First of all, just to mention that I'm representing SEMSI, the Spanish Society of Psychedelic Medicine, and also I'm representing INO, the Foundation INO, that Carlos is also with us. This is one of the founders as well. Those two societies were founded in the year 2022 and 2023, but we have we are lacking in Spain to have one very, very old organization that is ICEERS working in this fields in the year 2009, which is a long time, and they have been doing a lot of things, but we are now more more focused in like the policy advocacy. That is some work that ICEERS was not doing so much and that's what I'm going to be talking about today, like the policy advocacy and all all the work we have been doing to to well, to build the ecosystem and to start moving this field in Spain. First of all, just to mention Spain has like the well, the policy in Spain is very similar to many other countries. The exceptions I would mention is that thanks God we have like the national service is paying for the ketamine treatment, so people have access to it for free, like they can they can access like without paying, which is nice for for a lot of people having a little bit of an access early access to the to the ketamine programs without the burden or the burden of paying a lot of money. And also that the has a policy that is very similar to Portugal in terms that the most natural substances are considered to be decriminalized in like when we talk about judgment judgment or trial level. So this is a very nice ecosystem for underground activities happening and there is a lot of expertise in the Spain of underground retreats and therapies. But of course we are here to talk about the legal build up of all this so we're going to be focusing more on that. So the first thing that these two organizations In and Semci started pushing especially In was the pushing for trainings and events at universities to bring this topic. So this is started from the year 2022 and we had the opportunity to bring David Nutt so to give one conference at the main Spanish university Universidad Complutense and also we build up a group of experts that are touring the different Spanish so we offer the universities to have a class on this topic and at the beginning it was very difficult because most of them thought that this is not interesting this no one wants to hear about this but as the time goes by things are starting to improve a lot and now it's way easier to get into universities. And this is a nice opportunity because you can bring not only students to learn about these topics but also academics and teachers at university that can be as well in the future principal investigator investigators of different studies related with psychedelics. So we this this action was to build to start building interest in the academic community because in Spain was not very updated with this topic and still there's a lot of people very disconnected with it but every year it's it's becoming easier and easier which is a good sign I think. Another thing that I forgot to mention is that this gives you the opportunity also to to generate YouTube content and in Spain for us is very important this because there is a lot of information about psychedelics in English, but there is a big language barrier when it comes to Spanish. Spanish people and people from Latin America are not very friends with with the English language and this this is very common for people not to learn anything about this topic because it's not in Spanish. So, we we are starting to generate all that content by recording the all these lectures and publishing them on YouTube. Another thing that that was working from the beginning is like connecting universities with different clinical trials happening all around the world. For for example, when we hear that one pharmaceutical company is starting a phase three trial and they're looking for places to centers to to recruit and to and to give the treatment, we connect hospitals and professionals and psychiatrists with these companies and we intermediate providing all the support and all the documentation that is needed for these centers to be able to access these opportunities and to become official centers for these for these studies. So, we we help with databasing, we contact hospitals to offer them the possibility of of connecting with these companies and bringing the clinical trials to them. And we support a lot with documentation because these bureaucratic processes are very long and support is very important. Also, a very important thing is that we support as well when it comes to a recruitment. Sometimes and well, most of the times it's very difficult to recruit people because they have like these very specific criteria, which is not very easy to fulfill. But thanks God having this having the support of these organizations as SEMCI and and INO, we are able to to make this make it much easier. We use social networks, we use like all kind of media channels in order to get to the people that is in need of these therapies for them to to lead them to these to these studies. Okay, another very successful strategy quite laborious with requires a lot of work but this is being so successful so far is the organization organizing big conferences. This is the example of Symposium 2025 that was organized by by Fundacion Inno and it was a three-day conference that was organized specifically in the Spanish College of Physicians which the most important institution in Spain when it comes to medicine. The most official institution all the clinical all the doctors in Spain are members of this organization and this organization that like provides all the ruling for the doctors in Spain. So we specific specifically hired this place that is also very beautiful as you can see to organize this this big event. So this was a way to bring the Oh my god. Yeah. Yeah. So so the idea was just to to bring to bring this topic to the noses of all the Spanish doctors. So they was not it was not possible for them to to to to skip it and also to provide a lot to to generate a lot of content for social media for YouTube channel in Spanish and also to feed the Spanish media with the topic of psychedelics. So we bring David so we bring many international speakers and we offer them to the different Spanish media so they gave interviews that were headlines in most of the big Spanish media outlets newspapers TV channels everything. So this topic for a few weeks was was trending in all in all the Spanish media. Next next one please. In parallel to this we started contacting different different political parties and offering the the health commission of the different political parties to provide them with information of this this new development of mental health that can be extremely effective and extremely important for the future of mental health in Spain. So, we had brief meetings with different political parties and provide them with documentation with science and everything that was needed for them in order to defend these topics at the national Congress if they were interested in it, of course. I mean, the idea is just to have this topic on the table of all the political parties so they know this exists. Next next one. So, what No, I'm finishing. I'm finishing, yeah. It's just this is probably the the biggest event that we have had so far and this was right after like talking with a few political parties. We um emailed the the president of the Spanish national Parliament and offer her to organize a national an event to present the psychedelic science at the Spanish national Parliament, which is something that we didn't know it existed, but the political parties told us that we were able to request this possibility and if we were lucky enough, they will accept it and thanks thankfully they did. So, we had this opportunity to present the topic in a during an entire morning. So, we had there like four or five hours to provide different lectures in science, in policy, in developments in other countries. We invited people from Germany, from United States, from different places with different regulatory developments and this was offered to all the Spanish MPs, all the members of the Spanish Parliament. We were emailing them day after day many times. I mean, I I think they hate us probably. I mean, because we we send them like million times, but the important thing is that that we had representation from most of the important political parties. They we have at least one representative and a lot of people from the civil society and especially from the health bosses and and chiefs of service from different Spanish hospitals were also invited to attend. So, it was it was a very important event and thankfully it also had a nice impact on on media. So, we had articles being published in different newspapers. We have been contacting newspapers and all the different media outlets using also a communication agency that we hired specifically for symposium and also for for this event. Next one, please. And we use this event as a way to contact the Spanish mental health commissioner that is the person in charge of all the mental health issues in Spain and offer her all the support and all the all the information and signs that they might need in order to push any reform in this topic in Spain. It was not a very successful meeting unfortunately because she was at the beginning not very interested in any kind of pharmacological intervention so far even though this pharmacological intervention is not similar to any other in the in the past but well, it was at least a beginning and opening of this channel of communication that we're going to be using in the in the future. Next slide, please. And this is the last one. And now just to conclude, we are now working towards using all these we have that have been doing in the last years all this building of the momentum all these showing of this topic to all the media and all the Spanish society and all the scientific societies and all the politicians to work towards compassionate program in the way of Germany and other countries. A program that is open for for all the all the patients that fulfill the criteria by contacting and by targeting mostly the Spanish medicines agency and also the different political parties that we have already built a little bit of a relationship through all these previous events and all these scientific organizations that we have been also working with. And this is now our our main priority. We're working on on finding like sources for psilocybin GMP. We're working on the documentation and we're going to be targeting in the next few months and hopefully I hope that is going to be a successful but we're going to be targeting the different political institutions but mostly the Spanish medicines agency that probably is the only one that can give the okay that we need for for a starting them. And one last thing, very important idea from Carlos was connecting a lot of hospitals in Spain and putting all them together to work with a common protocol so everyone can can express the interest in pursuing this this work with with psilocybin using the same protocol and this way we can build a lot of scientific results as well during the program and having like more more background in information that we need for for our authorization in the future hopefully. Thank you very much. >> [applause] >> Sorry.