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In rural Oregon, psilocybin is on the ballot – but still a mystery

Gilliam County Commissioner Pat Shannon voted to put a psilocybin opt-out measure on the ballot. He's not convinced that psilocybin therapy can help ailments like depression, anxiety and addiction.
Kristian Foden-Vencil
/
OPB
Gilliam County Commissioner Pat Shannon voted to put a psilocybin opt-out measure on the ballot. He's not convinced that psilocybin therapy can help ailments like depression, anxiety and addiction.

This election more than two thirds of Oregon’s counties will vote on whether to opt out of the state’s new psilocybin therapy program. The debate is largely a rural discussion, and in some places, there’s not much discussion at all.

Pat Shannon is a restaurateur and a commissioner for Gilliam County in north Central Oregon.

He and two colleagues on the county board voted to put a ballot measure opting Gilliam County out of Oregon’s new , in front of voters this November.

He’s also a recovering alcoholic, “I had always been a daily drinker,” he said during a recent conversation in the . “From the day I got out of high school.”

Shannon hasn’t touched a drop in 37 years; today he still attends meetings and sponsors three recovering alcoholics. So he said he tends to see things through the lens of addiction, and he’s not convinced that using psilocybin to deal with depression, anxiety, addiction or other mental health problems will work.

“I just don’t see where you’re going to get any discovery out of going on a trip of mushrooms,” Shannon said.

High Street in Condon, Ore., in October 2022. Most people OPB talked to in Condon say they don’t like what the legalization of cannabis has done in Oregon, and they’re not convinced psilocybin will work.
Kristian Foden-Vencil
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OPB
High Street in Condon, Ore., in October 2022. Most people OPB talked to in Condon say they don’t like what the legalization of cannabis has done in Oregon, and they’re not convinced psilocybin will work.

Measures to ban psilocybin are on the November ballot in ; that includes and the . But Shannon said the issue just isn’t on people’s radars.

“Community members of Gilliam County probably don’t even understand the details of it,” he said.

Shannon said that for many people, psilocybin use is just being lumped in with .

Oregon voters agreed in 2020 to eliminate criminal consequences for the possession of small amounts of illicit drugs, like heroin and cocaine. Instead of taking someone to jail for possession, police can now only issue a violation, like a traffic ticket, up to $100. People can avoid that fine if they’re willing to contact an addiction service.

The goal is to push people toward recovery, not the criminal justice system.

Shannon doesn’t buy it. And he sees a direct line between Measure 110, the drug decriminalization effort, and Measure 109, which voters also approved in 2020. It legalized the use of psilocybin in therapeutic settings. Regulators are now coming up with the precise policy guidelines that will govern the program, which takes effect in January.

Shannon worries psilocybin is a gateway drug, whether or not it’s addictive.

The doesn’t allow people to simply buy the drug and take it home, like cannabis. But Shannon thinks the program will normalize psilocybin’s use and abuse.

To be clear, the new program involves people meeting with a facilitator several times, discussing why they want to take psilocybin, and being closely monitored while they use the drug. Such a system is time consuming and likely to cost thousands rather than hundreds of dollars.

Nurse Carol Phillips has helped patients on drugs many times and she doesn't think psilocybin therapy should be allowed in Gilliam County.
Kristian Foden-Vencil
/
OPB
Nurse Carol Phillips has helped patients on drugs many times and she doesn't think psilocybin therapy should be allowed in Gilliam County.

Still, most of the people this reporter talked to around Gilliam County share Shannon’s views. They say they don’t like what the legalization of cannabis has done in Oregon, and they’re not convinced psilocybin will work.

They also haven’t seen any advertising on the subject or talked to any canvassers.

“Stuff like this is really dangerous,” said Carol Phillips, a local nurse. “People are going to abuse it and then they’re going to blame a doctor or someone innocent.”

Retiree Debra James has seen people take hallucinogenic mushrooms and didn't like the results.
Kristian Foden-Vencil
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OPB
Retiree Debra James has seen people take hallucinogenic mushrooms and didn't like the results.

Disabled retiree Debra James said she has seen people take hallucinogenic mushrooms in the past.

“The end result is not good,” she said. “They were freaking out. Like maybe too much. They weren’t comfortable. They were upset. They were scared.”

James said she doesn’t think a facilitator would be helpful on a bad trip, whether or not they’re trained and licensed.

Such sentiments aren’t news to Sam Chapman, the executive director of the , a group set up to usher psilocybin into Oregon.

“It’s not entirely surprising that certain aspects of the state are simply saying that they’re not ready to move forward with this,” Chapman said. “That’s OK. We are ready to meet anyone and everyone where they’re at, and we recognize that it takes time.”

Sam Chapman, executive director of the Healing Advocacy Fund, said he’s not shocked many Oregonians question the idea of psilocybin therapy, even though a majority of voters agreed to allow it.
Kristian Foden-Vencil
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OPB
Sam Chapman, executive director of the Healing Advocacy Fund, said he’s not shocked many Oregonians question the idea of psilocybin therapy, even though a majority of voters agreed to allow it.

Chapman thinks attitudes will change as the program goes live in 137 cities and 10 counties next year. He thinks people will become more accepting as they see how psilocybin helps.

Chapman also notes that there are volunteers walking door-to-door in rural areas, trying to educate people about psilocybin therapy. Maybe not so much in Gilliam County, but certainly in places like Jackson County.

That’s because in Jackson County, the big cities like Medford and Ashland are moving ahead with psilocybin while voters in the county consider .

Ashland Mayor, , has a husband who’s a Vietnam vet. He had a stroke, became depressed and lost his sense of balance. She thinks psilocybin might help.

“If you don’t want this therapy you don’t have to get it,” Akins said. “But making it unavailable to people who need it doesn’t make any sense to me.”

Opting out will just mean sick people have to travel to get treatment, she said.

Ashland Mayor Julie Akins on a Zoom call in Oct. 2022, “If you don’t want this therapy you don’t have to get it,” Akins said. “But making it unavailable to people who need it doesn’t make any sense to me.”
Kristian Foden-Vencil
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OPB
Ashland Mayor Julie Akins on a Zoom call in Oct. 2022, “If you don’t want this therapy you don’t have to get it,” Akins said. “But making it unavailable to people who need it doesn’t make any sense to me.”

recently bought the in Jackson County with a view to building a psilocybin service center. He also helped organize the local effort to raise money and awareness of the benefits of psilocybin therapy.

“When the voters had the facts presented to them they were overwhelmingly in favor of what it can provide,” said Katz. “It’s really the absence of education that would lead them to vote against implementing psilocybin services.”

Ashland and Medford’s differences with Jackson County are mirrored in other places around Oregon. For example, Deschutes County has an on its ballot, while psilocybin therapy will go live in Bend next year.

Back in Gilliam County, pharmacist Anna Charapata counts pills for customers at on Condon High Street. She sees psilocybin therapy differently than many locals interviewed by OPB. She thinks psilocybin therapy is a responsible way to learn about the drug.

“I’ve read about the uses in palliative care, so when people are dying,” Charapata said. “To me, that’s where the strongest evidence for any kind of medical use: is people facing their mortality.”

Pharmacist Anna Charapata thinks psilocybin therapy is a responsible way to learn about the drug.
Kristian Foden-Vencil
/
OPB
Pharmacist Anna Charapata thinks psilocybin therapy is a responsible way to learn about the drug.

Whatever voters decide this election, two-and-a-half million Oregonians will have local access to psilocybin therapy next year. That covers several rural areas, including Klamath Falls and Grants Pass.

Copyright 2022 Oregon Public Broadcasting

Kristian Foden-Vencil is a reporter and producer for Oregon Public Broadcasting. He specializes in health care, business, politics, law and public safety.