KAP Session Talking Points
Talking Points on Ketamine-assisted Psychotherapy (KAP)
Ketamine-assisted Psychotherapy involves:
- An independent arrangement between a medical prescriber (independent from this psychotherapy practice) and the patient, whereby the prescriber, in their clinical judgment and to the extent clinically indicated, prescribes ketamine to the patient.
- An independent arrangement between a pharmacy (independent from this psychotherapy practice) and the patient, whereby the pharmacy fills the prescription for ketamine and dispenses it to the patient, typically through the mail.
- The patient transporting the ketamine from their residence to your office.
- The patient self-administering the ketamine in your office.
- This office providing and securing informed consent from you, the patient on the provision of KAP.
- This practice providing talk psychotherapy to you, the patient, which may include psychological support before, during, and after self-administration of ketamine.
- Such talk psychotherapy shall occur as it would in the normal course of therapy sessions.
- Talk therapy should be provided within the scope of this practice authority and adheres to LCSW ethics.
- The prescribing, dispensing, storing, transporting, and administering ketamine falls outside of the scope of this practice authority. However, it is important to note that your services do not include any of those elements and that the care that you are providing your patient is that which is consistent with what you provide to patients outside of KAP.
Ketamine-assisted Psychotherapy does not involve:
- This practice prescribing ketamine to a patient.
- This practice dispensing ketamine to a patient.
- This practice administering ketamine to a patient.
- This practice advising on the administration, or assisting with the administration, of ketamine to a patient.
- This practice receiving, storing, or maintaining ketamine for a patient.
Please note the following:
These talking points do not represent legal advice.
Journey Clinical recommends that you obtain legal guidance from your attorney prior to implementing KAP into your clinical practice.
The scope of practice differs depending on your clinical license (psychologist versus social worker, for example). In addition, the regulation of licensed professionals, and the enforcement of scope of practice violations, differs by state. Your attorney can provide guidance specific to your state(s) of practice and your clinical licensure.
We recommend discussing your provision of KAP with your malpractice insurer so that they have an understanding of the talk psychotherapy services that you are providing to your patients (and so that they are clear on what is not included in your role: prescribing, dispensing, storing, transporting, and administering ketamine).