Psychedelic harm reduction and integration (PHRI) is a therapeutic framework and form of psychoeducation for addressing various kinds of psychedelic use. It brings together harm reduction practices around substance use more generally, and an emphasis on the importance of “integration” work around psychedelic use more specifically.
It does not involve the prescription, administration or supervision of psychedelic drugs or experiences; rather, it represents the support that a therapist or coach might provide to an individual who has had or intends to have psychedelic experiences on their own, outside of therapy. For example, an individual who is exploring the use of psilocybin mushrooms may seek the support of an integration specialist to help them plan for experiences they undertake on their own, to minimize risks and increase the likelihood of positive therapeutic outcomes, including through integration sessions following these experiences.
PHRI therapists do not refer clients to underground therapists, and are in no way involved with the sourcing of psychedelic substances, nor do they conduct therapy while individuals are under the influence of psychedelics.