Zambrano Juliana, Espi Forcen Fernando, Hidalgo Jose, King Iv Franklin
Massachusetts General Hospital, Boston, USA.
Harvard Medical School, Boston, MA, USA.
J Immigr Minor Health. 2025 Jun 9. doi: 10.1007/s10903-025-01702-0.
Despite increasing interest in psychedelic-assisted therapies (PAT), there remains a critical gap in extending these treatments to marginalized and vulnerable populations, including Latinx immigrants. This underrepresentation in both research and clinical practice exacerbates disparities in mental health care access for racial and ethnic minorities, who already face systemic barriers. The Latinx population, despite experiencing mental health challenges at rates similar to their white counterparts, has lower treatment engagement due to factors like cultural stigma, language barriers, and limited access to culturally competent care. Psychedelic-assisted therapies have shown promise in treating depression and PTSD, but their current application primarily targets Western populations, often neglecting cultural adaptations. This paper explores the potential for group-based, culturally adapted models of PAT tailored to Latinx immigrants, emphasizing community healing, collective therapeutic processes, and the incorporation of cultural traditions. It highlights the benefits of group psychedelic therapy in enhancing social connections, reducing isolation, and increasing accessibility, while addressing the unique stressors faced by immigrant populations. Rigorous research and culturally competent care models are essential to ensure that PAT can effectively reach and benefit marginalized communities, reducing the mental health disparities that persist in the U.S.
尽管人们对迷幻剂辅助疗法（PAT）的兴趣日益浓厚，但在将这些治疗方法扩展到包括拉丁裔移民在内的边缘化和弱势群体方面，仍存在关键差距。在研究和临床实践中，这种代表性不足加剧了种族和族裔少数群体在获得心理健康护理方面的差距，而这些群体已经面临系统性障碍。拉丁裔群体尽管经历心理健康挑战的比率与白人相当，但由于文化耻辱感、语言障碍以及获得具有文化胜任力护理的机会有限等因素，其治疗参与度较低。迷幻剂辅助疗法在治疗抑郁症和创伤后应激障碍方面已显示出前景，但其目前的应用主要针对西方人群，常常忽视文化适应性。本文探讨了为拉丁裔移民量身定制的基于群体、具有文化适应性的PAT模式的潜力，强调社区康复、集体治疗过程以及文化传统的融入。它强调了群体迷幻剂疗法在加强社会联系、减少孤立感和提高可及性方面的益处，同时解决移民群体面临的独特压力源。严谨的研究和具有文化胜任力的护理模式对于确保PAT能够有效地惠及边缘化社区并减少美国持续存在的心理健康差距至关重要。
