The Manual of Psychedelic Support

Alter Consciens ha participado en la redacción y corrección de The Manual of Psychedelic Support, una completa guía para la prestación de servicios de atención y cuidados a personas que atraviesan experiencias difíciles tras la ingestión de sustancias psicoactivas en grandes festivales y otros eventos, una publicación en la que llevamos trabajando durante más de dos años un numeroso y amoroso equipo de personas de todo el mundo.


The Manual of Psychedelic Support is a comprehensive guide to setting up and running compassionate care services for people having difficult drug experiences at music festivals and similar events. The Manual grew out of the work of its original creators at KosmiCare, the psychedelic care service at the iconic Boom Festival in Portugal. Whilst psychedelic care services have been in operation for decades, and have grown in number and in scope in the past few years, a general guide on how to establish and run them did not exist in the public domain, nor indeed—beyond training manuals for specific organisations—at all. We envisaged a work that would address all aspects of such a project, containing material to guide the care service leader, team leads and carer givers, and those fulfilling vital supporting roles (such as psychiatrists and nurses) through the entire gamut of preparation, training, logistics, operations, and the wrap-up of a care service.

What started off as a small project grew into something much larger, involving over fifty people from around the world. These people came from all walks of life – psychiatrists, therapists, scholars, psychonauts, artists, and many more – all united by a common love and interest. Some brought deep knowledge and rich experience gained from work with KosmiCare in Portugal, with the Burning Man organisation in the United States, and from other groups worldwide. A core principle, from the beginning of this project, was that the Manual should be independent of any external organisation, its content open to adaptation (for example, utilised in training manuals for particular care services), and never to be used directly for commercial purposes. To this end, the work has been published under a Creative Commons License, and is freely available as a PDF download.



1. A History of Psychedelic Care Services
2. The Principles and Ethics of Psychedelic Support
3. Legal Considerations
4. Planning and First Steps for a New Project
5. Recruiting a Team
6. Supporting Roles
7. Building and Training a Team
8. Logistics
9. The Care Space
10. Running the Service
11. Screening
12. Complementary Therapies
13. Team Welfare
14. Working with Other Organisations
15. Risk Management and Performance Improvement
16. Case Studies and Impressions
17. Online Resources and Obtaining Assistance
Final Words
Appendix A: Street Names for Commonly Encountered Psychoactives
Appendix B: Monitoring, Evaluating and Researching—Recommendations from an Academic Perspective for an Evidence-Based Approach to Psychoactive Crisis Intervention

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