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Ketamine Healthcare via Enthea; Now Nationwide

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Ketamine is one of the up-and-comers in the new hallucinogen craze that’s taking over; and it just got pushed to a whole new level. According to recent reports, ketamine is now offered by healthcare provider Enthea, throughout the entire US.

A bit about ketamine and hallucinogens

First off, ketamine isn’t a psychedelic. It’s often classified that way today, as a means of simplifying for the public, what is actually a complicated categorization system of drugs. There are different kinds of hallucinogens, and psychedelics are one grouping. However this grouping only consists of LSD, DMT, psilocybin, and mescaline. Though MDMA is often included in this group, its technically classified as a psychostimulant. These drugs (psychedelics and MDMA) are specifically known to cause an agonist response at serotonin receptors; which means they raise the amount of serotonin in the system.

Ketamine is classified as a dissociative hallucinogen, along with drugs like PCP and DXM. These drugs have a primary action as antagonists at NMDA receptors, among other actions. The other official grouping of hallucinogens, is deliriants; a classing which involves plants like datura, and compounds like scopolamine, or even the allergy medicine Benadryl. These are all anticholinergics, which means they have an antagonistic effect at acetylcholine receptors, and decrease acetylcholine in the system.

Ketamine is a synthetic, lab-made drug, which was formulated in 1962 by the pharmaceutical company Parke-Davis. The idea was to find a powerful anesthetic, which didn’t cause damage, or lower vital body processes; like blood pressure, or breathing rates. Ketamine works as a sedative, but not as a hypnotic; meaning it makes a person drowsy, without putting them to sleep. It causes what’s described as “electrophysiological and functional dissociation between thalamocortical and limbic systems.” In my personal experience it quite literally feels like the parts of the brain are moving away from each other.

Enthea healthcare provides clinic and at-home ketamine therapy
Enthea healthcare provides clinic and at-home ketamine therapy

Unlike a lot of the drugs we speak about here, ketamine is not a Schedule I compound. In fact, it’s a Schedule III compounds, legal for medical use as an anesthetic in humans and animals. However, as per FDA rules for off-label prescribing; wherein a drug can be prescribed by a physician for uses other than what its officially cleared for; ketamine has been at the center of a growing gray medical market. Legal by off-label prescribing, but with no governmental regulation for what its being used for.

This loophole spawned an entire industry of clinics that offer treatments for pain and different psychological disorders. And patients don’t need to worry about their primary care physician (or specialist) giving them a prescription; they can get it directly from the clinic. This is a major benefit, as individual doctor opinions do not update at the same speeds.

Ketamine now offered as healthcare throughout US

Gray markets present an issue for government bodies. Unlike defined black markets, they aren’t necessarily illegal; in fact, by definition, they’re not. But they’re also not legal markets, which means they’re hard to go after legally, but they also provide no additional tax benefit to regulating bodies. As such, regulating bodies either want to get rid of them (think vapes and cannabinoids), or formally regulate them. Currently with ketamine, there’s a standstill; and this is being taken advantage of by Enthea Healthcare.

I’ve covered Enthea before, and its pioneering efforts to provide ketamine as a basic healthcare benefit. The company is the first licensed workplace healthcare provider for psychedelic therapies, and plans to utilize other hallucinogens for treatment upon their approval. Due to recently closed deals, Enthea expanded out to the point of now offering this coverage nationwide.

I reported last year that Enthea partnered with Dr. Bronner’s, making for the first offering of ketamine therapy as a part of worker healthcare. In late summer, Enthea released a progress report indicating that so far these ketamine treatments have been used by a small percentage of the staff, and provided positive benefits.

As per its report: 7% of Dr. Bronner’s staff utilized ketamine services since their initiation into the healthcare program. Initial reporting indicates that workers experiencing PTSD, general anxiety issues, or major depressive disorder, reported improvements of 86%, 65%, and 67% respectively. While no one said ketamine treatments will help everyone; imagine the possible improvement if these percents are relevant across an entire population’s use.

Employment healthcare options to treat stress and depression
Employment healthcare options to treat stress and depression

Now, Enthea is expanding its coverage further with new deals. According to Live5News, Enthea’s new deals are with the clinic chains Skylight Psychedelics and Innerwell. Both provide ketamine therapy throughout the US, which expands Enthea’s reach. The first, offers treatments in its Skylight Journey Centers, as well as at-home treatments, for those who prefer not to be in a clinic.

The second, Innerwell, provides therapy as a combination approach; involving a team of holistic therapists, along with standard medical approaches, and coaching. The company seeks to use data and patient outcomes, to drive the direction of treatment. This company also provides in-house and at-home services.

What does a company need to do to offer these services to their workers? Simply add it on to the plan, as they would for dental or vision coverage. All the employer must do, is sign up. Enthea handles everything else, including: a providers network, established policy which includes standards of care, treatment authorization and reimbursement for companies, educational services, and specifically tailored plans for a company’s precise needs.

Sherry Rais, Enthea’s co-founder and CEO stated, “Nationwide availability represents a pivotal moment in accomplishing Enthea’s mission of helping employers with workplace mental health challenges. Our services at Enthea make it easy on businesses to embrace this safe and effective treatment offering for their employees and we’re proud to have the potential to impact the millions of people in the US living with mental health conditions.”

The problem of workplace depression

How necessary is it to find better treatments and services for employees? I suppose that’s a matter of opinion. Some people love getting up every day to navigate their work environment. Others cringe at the sound of each alarm; sickened by another day of office politics, possible bulling by bosses or peers, long work days away from family, and feelings of being overworked and underpaid. Let’s take a closer look at the issue of workplace depression.

According to an American Psychological Association 2021 Work and Well-being Survey, 59% of respondents said that just within the past month, their work was impacted by work-place stress. A huge 87% said they believe that better handling by employers could reduce mental health issues in workplace environments.

Employers can institute a benefits policy they think is best for workers
Employers can institute a benefits policy they think is best for workers

Further to this, a CDC informational page on workplace depression, states that depression causes a loss of 200 million working days a year, combined. This overall costs employers approximately $17 – $44 billion yearly. Depression issues lead to missed work days, and simply not being present or productive while at work.

According to NORC in conjunction with University of Chicago’s National Safety Council; “employers that support mental health see a return of $4 for every dollar invested in mental health treatment.” This indicates that if employers are more thoughtful of their employee’s issues and mindsets; they can improve their own spending, and essentially, waste less.

What jobs cause the most stress? According to the CDC, 10.8% of personal care and service workers report workplace stress, making for the highest stress jobs. Food industry workers clock in at 10.3% who experience stress. Lower stress jobs such as engineering, architecture, and surveying, report that only about 4.3% of employees are stressed.

Life, physical, and social science workers also experience lower stress, at a rate of 4.4%; the same as installation, maintenance, and repairmen. Of course, not everyone understands the concept of their own depression, or wants to admit to it in any context, given the massive stigma attached. I expect these numbers are actually incredibly low for these reasons of possible skewed reporting.

The National Safety Council, for its part, contributes that mental health issues among workers accounts for an extra $3,000 yearly per worker in healthcare services; and that the cost for days lost to stress-related issues is $4,783 per employee, every year. It’s a bad cycle. Stress issues lower worker ability, which means employers lose out as well. Perhaps this makes them then put more stress on employees.

Conclusion

So far, the broad use of ketamine therapy for workplace employees is still a new and growing concept. With the help of Enthea, however, it can now be utilized by any employer in the US who wants to offer ketamine, and other psychedelic treatments, as they become available. If you are an employer, and you want to offer your employees these services, go here. And if you’re an employee who wants coverage of these services; you’ll soon have a growing number of workplaces offering it. Just hold tight.

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Journeymen Collective: High End Magic Mushroom Retreat

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Options abound for psychedelic adventures. Those looking for the most luxurious mushroom retreat, should check out Journeymen Collective.

Why go to a magic mushroom retreat?

Psychedelic therapy, including use of magic mushrooms, is gaining widespread popularity and acceptance, for its seeming ability to help with psychological issues; and without causing damage. This does not mean it’s a cure-all, or that everyone will have the same response; but it does mean another treatment option in a world of growing depressive problems.

The thing is, its one thing to simply pop some mushrooms and lie back for a great psychedelic show; and another thing to use the mushrooms to try to expand the mind in a way that allows it to heal. Plenty of people do psychedelics all the time, and still have grave mental issues. One of the things found last century during the birth of psychedelic medicine in modern culture; was that a certain amount of therapy, or guidance, might be necessary to get the right response.

This idea of assisted therapy can go with any hallucinogen drug; however, mushrooms are the drug of the moment when it comes to psychedelics. They’re more well known than DMT or mescaline; and natural, whereas LSD is synthetic. Assisted therapy, as a model; involves a therapist, and therapy sessions to understand a patient’s issues, before walking them through a trip. A retreat is similar in that there is a guide who helps clients through the process of their trip experience.

People go on retreats for many reasons
People go on retreats for many reasons

A retreat takes places somewhere, usually away from city centers, and traffic-type noise. They are generally set up in a serene, beautiful setting; and appeal to both those who want a spiritual experience, and those who want a travel experience. But this is not a rule. A retreat can be just a day, or weeks, or months. They exist for all different purposes beyond mushroom experiences; and vary in cost as per what is offered, and the length of stay.

When it comes to mushroom retreats; its best to remember that the goal of the whole thing is to take a disorienting drug, which lasts many hours. Most of the time, such a retreat comes with the cost of someone having to watch you at what could be a vulnerable time. Though some bring prices down as much as possible beyond this, to accommodate a wider clientele; others keep it all high end.

Luxury Journeymen Collective retreat

If you’re looking for a more bare-bones, and affordable mushroom retreat, you’ll want to look elsewhere (I’ll get there soon). If you can spend top dollar on your experiences, then you might be interested in the luxury Journeymen Collective. This is not a for-everyone experience; it requires being the right fit.

Journeymen advertises on its site that its services are for “Visionaries, Community Builders, Artists, Business Moguls, Serial Entrepreneurs, Actors, Musicians, Change Makers, Thought Leaders, Professionals, High Achievers and Executives….AND YOU!”

According to the company, “We specialize in masterfully guiding visionaries through curated luxurious psychedelic medicine shamanic journeys to create conscious impact for the whole of humanity and the planet.

The Journeymen Collective expertly guide you through the metaphysical wilderness of your soul so that you can weave the transcendental threads of knowledge, accessed during the psychedelic journey, through the eye of the needle of your embodied heart into the tapestry of your visionary reality.”

Magic mushrooms
Magic mushrooms

Journeymen considers these to be purpose-driven experiences to better connect with oneself; gain multi-dimensional awareness; and realistically reconfigure how to think of life, love, and business. The experiences are carefully curated by the Journeymen team; and while promoted for anyone interested with the money, they seem geared to a high level professional crowd.

What actually happens?

The whole thing takes place at one of several estates in British Columbia, in Canada’s Great Bear Rainforest. Specific addresses are not given online to preserve privacy. Clients stay in private rooms, which are six-star-plus, and environmentally sustainable. The entire property is predictably beautiful, and nestled within awe-inspiring natural scenery.

The journey isn’t just about what takes place in the physical location, though; but in offering weeks to months of education and support, both in person and on-line. In fact, Journeymen offers a program – the Bespoke Offering, which can go from six weeks to eighteen months. All preparation and integration work is done through Zoom calls, and access to the group’s video educational portal.

Preparation and integration refer to sessions done before and after the mushrooms sessions. Preparation involves getting to know the client’s issues, and getting them ready for the psychedelic experience, so they can get as much out of it as possible. Integration sessions happen after the psychedelic experience, and are meant to help the client better understand what just happened, and to move forward more seamlessly, in life.

Journeymen curated journeys are not short. They last between three and 16 days, all together; including preparation and integration. While on the estate, clients are given integration support for all waking hours. The facility offers vegetarian dishes; which it says are prepared by an ‘intuitive chef’ who, according to the site, can sense the nutritional requirements of the clients.

And, it’s not over when your program ends. Journeymen is indeed a collective. You have to be approved to go on a retreat, and join in the crew. After your experience, you’re still a part of it. Journeymen offers monthly live mastermind calls with everyone from the collective.

Journeymen Collective offers solo and group packages
Journeymen Collective offers solo and group packages

In terms of the actual psychedelic part; Journeymen offers experiences for those going at it alone, which involve working directly with two medicine men for four days. It also offers a plan for partners which is just the two of you and two medicine men; as well as a group journey with just three or four other people.

How much does this cost? And cheaper options

If your go to the Journeymen site, you’ll see a page to apply to have this experience. Costs are not given on the site, and are worked out privately between potential clients, and the group. However, its 2023, and its hard for a company to operate, without such details making it out there. So here’s what you can expect to pay for a Journeymen journey.

According to interviews with founders Gary Logan and Robert Grover, in a Globetrender article from 2022, these experiences might be life-changing, but they sure don’t come cheap. Solo voyagers and partners pay from CA$34,000/person (~$25,000), and group participants pay from CA$15,000/person (~$11,000). This is a 100% luxury experience, down to every detail; so its geared toward high level professionals for a reason. Logan and Grover count themselves as ‘contemporary shamans.’

In comparison, there are less expensive options for people looking to do a mushroom (or other psychedelic) retreat, but maybe not in the fanciest style. For those who would have to get on a plane anyway, there are some interesting programs that offer about the same thing, just at a substantially lower price. One, for example, is Etnikas, in Peru’s Sacred Valley. This is for ayahuasca, not mushrooms; but an experience should only run a person about $675- $1,700, for three or seven days, respectively.

If its definitely psilocybin that you want, then there’s Meehl Psilocybin Retreat in Washington state of the US. Here, the cost for journey-goers starts at $895. Magic mushrooms are also available at Gaia Sagrada in Ecuador, along with other drugs like ayahuasca, and San Pedro. This six-day retreat has pricing that starts around $950 per person. To find out about more retreats on the lower payment end, that still offer a complete spiritual journey and program, look through this guide.

Conclusion

If a super high-end magic mushroom experience in the lap of luxury is what you’re after, Journeymen Collective has a beautiful program; full of mind-expansion, balanced meals, wonderful outdoor scenery, and high level accommodation. If you’re looking for the power of mushrooms, but at a cheaper price; best to check the more affordable options. When it comes to psychedelic healing, its not necessarily in the price you pay, but that the program is a good one. So whether you go high end, or for something more conservatively priced; you can have a great, enlightening, and mind-expanding experience.

Welcome readers! Cool that you’re here with us at Cannadelics.com, where we report on cannabis, psychedelics, and well beyond. Join us frequently to keep up with current stories; and subscribe to the Cannadelics Weekly Newsletter; to ensure you never miss a single thing.



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Edibles Gain Ground as Smoking Declines Among Cannabis Users

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Summary: A report from New Frontier Data reveals a decline in the popularity of smoking among cannabis consumers. The study, “Cannabis Consumers in America, Part 2: Exploring the Archetypes,” categorizes cannabis users into nine distinct archetypes, highlighting varied behaviors, preferences, and usage patterns. The report indicates an increase in edible consumption and a decrease in traditional smoking methods like pipes and blunts.

Shift in Cannabis Consumption: Smoking Loses Its Edge

The comprehensive report by New Frontier Data, a data analytics firm, provides an in-depth analysis of cannabis consumer behaviors and preferences. The study categorizes users into nine archetypes: savvy connoisseurs, contemporary lifestylers, medical lifestylers, modern medicinals, legacy lifestylers, engaged explorers, social nibblers, holistic healers, and infrequent partakers. These archetypes are defined based on factors such as frequency of use, age, gender, product preferences, and motivations for use.

Despite most cannabis consumers reportedly using products daily and preferring smoking, the report notes a significant shift in consumption habits. There is a growing trend towards edible consumption, while traditional smoking methods are becoming less popular. This change is attributed to product innovations, particularly in the development of fast-acting edibles, which may continue to decrease smoking across all consumer archetypes.

The report also compares archetypes across various influencing factors, such as reasons for use, preferred product forms, primary sources for products, and acquisition frequency. For instance, it details the percentage of each archetype that would regularly spend $100 or more on a purchase. Additionally, the report provides in-depth profiles for each archetype, offering insights into their unique characteristics and consumption habits.

New Frontier Data gathered the data for this report through an online survey of 4,358 respondents in the first quarter of 2023. The findings reflect a dynamic shift in the cannabis market, with consumers increasingly exploring alternative forms of consumption beyond traditional smoking.

Source: Marijuana Venture


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Anne Lopez cannabis

Hawaii Legalization Plan Via Attorney General

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Hawaii had a difficult time with cannabis legalization efforts under previous Governor Ige. With Ige now gone, Hawaii has a new plan, which was put forth by the attorney general of the state.

New Hawaii legalization plan

As per a November 17th report in Hawaii News Now, Hawaii’s Attorney General Anne Lopez, who had stated in April that her office was in support of recreational cannabis legalization; followed up that statement, with the release of a comprehensive bill. As of yet, not everyone agrees on it. Some want more in the vein of equity measures, some think it keeps weed use too criminalized. Some don’t think cannabis should be legalized at all. It’s expected there will be a revised version, that will take into account some of these concerns.

While Lopez was at one point opposed to cannabis legalization, her stance has clearly changed. Her 294-page bill covers the regulatory laws surrounding a cannabis legalization, and a sales market. It includes provisions such as the following:

In terms of taxes, all cannabis products would receive a 10% sales tax (except medical products), and a 4.25% excise tax. It seems rather than a higher excise tax, there is instead a higher sales tax. This could indicate that what is generally picked up as an excise sin tax, is now picked up as a sales sin tax. It does include grants and a support system to get illegal legacy operators into the legal market; and it establishes the creation of a regulatory agency to oversee everything from the production and sale of products, to product testing, social equity provisions, and law enforcement.

Hawaii has cannabis legalization bill to consider
Hawaii has cannabis legalization bill to consider

Lopez doesn’t want this to drag on forever. According to her plan, legal dispensaries should be up and running within 18 months, assuming the bill is approved. Said House Judiciary Chair David via Hawaii News Now, “The attorney general has done a really good job pulling together all of the different input and providing a comprehensive bill.” State Sen. Jarrett Keohokalole agreed, saying this plan represents “the best version to date. And part of it is the efforts to try and address a lot of the issues that came up along the way.”

Consistent with other legalization bills, there is an expectation that medical dispensaries could sell recreational cannabis first; as these enterprises already meet all the regulation requirements. “They’re already standing up, they’re already growing, they are already prepared to go to market,” said Lopez.

The legacy aspect

The legacy part of the bill is important. What this really means, is that the state would encourage illegal growers/producers/dealers to work legally instead of in the black market. The state would help accommodate this in two ways; since its already understood that legal weed markets with expensive regulation requirements and a need for a decent amount of capital; are not automatically accessible to equity and legacy operators.

The first way is through grants and other supportive help; to provide some of the money, know-how, general help, and additional resources, to get a person started. The second way, is through law enforcement. For example, if a dealer is caught, and doesn’t choose to change over to a legal enterprise, they face a 14-member specialized law enforcement unit. So its help, but with a large threat attached.

Lopez addressed the issue like this, saying “The most important thing we can do is we can bring the people who have been growing and selling marijuana illegally into the legal market.” She continued, “It’s going to be a concerted investigative process to ensure that the law is followed.”

Pretty much everywhere, the black market continues to dwarf legal markets. Whereas adding close to 15% in taxes isn’t a move to promote competition with it; Lopez thinks the state might be able to simply take the illegal market, and convince it to be above board. While this could work, if it really is set up properly; it faces the same issues as other equity initiatives. It likely can’t account for the huge amount of money needed to build a business and meet unnecessarily pricey regulation; there isn’t a great way to get loans for this population; and it simply hasn’t worked well yet, in other locations.

Hawaii has medical and decriminalization policies
Hawaii has medical and decriminalization policies

Pushback to the bill

Like most stuff that happens in government, not everybody is on board. In fact, according to some, law enforcement is generally against it. Of course, this sentiment should be taken with a grain of salt; as law enforcement is made up of many different people and job titles. All with their own opinions on the matter.

Even so, according to Honolulu Prosecuting Attorney Steve Alm, law enforcement officials are very much against legalizing cannabis in general. Alm says its not about Lopez’s plan, per say, but a lack of desire to change from the current status quo. Alm specifically used the words ‘not broken’ when referring to prohibition; and then said that an adult use cannabis market would lead to more hospitalizations, without mitigating the black markets.

As per what he told Hawaii News Now “To me, there is no impetus to changing the system. Teenagers go to the emergency room thinking they’re going crazy because it’s such a strong drug. It’s a different drug entirely.” This is odd though, because he also just said that a legal market wouldn’t mitigate the black market. Which means these products already exist; and are already sold. A legalization wouldn’t therefore introduce something new. But it would divert some sales to a legal market. Probably more if unnecessary taxes aren’t leveraged.

Of course, Alm himself is specifically anti-cannabis. He spoke of cannabis being the cause of traffic accidents and mental illness, when these things are not backed up anywhere. On the other hand, Alm doesn’t represent all law enforcement; and The Department of Law Enforcement actually collaborated with the Attorney General’s office on the bill.

Hawaii cannabis woes

Right now, Hawaii has a medical legalization; which was the first instituted in the US, which didn’t come from a ballot measure. The law originally changed in 2000, when cultivation for medical patients was legalized. Dispensaries didn’t open until 2016; and even now, there are only a few of them throughout the state.

Hawaii also has a decriminalization measure from 2019. Governor Ige, who vetoed other cannabis measures, didn’t agree with this decriminalization; but also seemed to understand he couldn’t stop it from happening. He made a big deal of allowing the bill to pass through to law, without ever signing it. Governor’s have a certain amount of time to respond to a bill. If they don’t officially sign it or repeal it within this time, it automatically passes into law.

Former governor Ige vetoed previous cannabis bills
Former governor Ige vetoed previous cannabis bills

Around the same time he allowed the decriminalization to pass through, Ige vetoed two bills. One bill was to open inter-island medical weed transportation throughout the state, and one for an industrial hemp licensing program. In terms of the former, Ige’s excuse was that it could create confusion for foreigners who “erroneously believe they are immune from federal prosecution.” He said this because “airspace and certain areas of water fall within the exclusive jurisdiction of the federal government.”

Of course, every place with a legalization, is bordered by a place without it; and yet we somehow depend on the public to not be dumb enough to apply the rules of one place, to another. And as of yet, it hasn’t seemed to cause some huge confusion in the population. The idea is actually pretty well understood that different states have different laws. In my mind, it was quite insulting to the general population on Ige’s part, to say it.

Other legalization efforts stalled out in Hawaii during Ige’s time; as it was posited that there wasn’t much chance he would actually let one through. Now that Ige is no longer in office, it seems the state shouldn’t have much problem; and unless Alm represents the majority, a legalization is likely. As a showing that things are already changing, an inter-island transportation law was approved in June of this year; much like what Ige vetoed earlier. Plus, new Governor Josh Green, already said he’d sign a legalization bill if it came across his desk.

Conclusion

It seems that Hawaii might be next on the docket for a recreational cannabis legalization; with this new bill through the attorney general’s office. If it passes, it would join 24 other states with recreational measures. Stay tuned to find out if it does.

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