North & Central America

This archive covers progress stories from North and Central America, spanning the U.S., Canada, Mexico, and the nations of Central America. Readers will find reporting on health, environment, community resilience, and policy advances across the region.

Dried psilocybin mushrooms on a surface for an article about psilocybin therapy legalization in New Mexico, for article on Oregon psilocybin facilitators

Oregon licenses U.S.’s first-ever legal psilocybin facilitators

Oregon licensed its first three psilocybin facilitators in April 2023, making it the first U.S. state to formally authorize practitioners to guide adults through psychedelic sessions at regulated service centers. The approvals were part of a much larger pipeline, with more than 300 permit and license applications already submitted and the state’s first psilocybin manufacturer licensed the month prior. Voters had approved this supervised-access model back in 2020, choosing a path that doesn’t require a prescription or diagnosis but does require trained guidance. Real hurdles remain, including local bans in over 100 Oregon cities and open questions about affordability. Still, this is the first legal home in the country for a therapy that researchers increasingly believe could transform how we treat depression, anxiety, and trauma.