Today in the show, Joe talks to Maria Carvalho and Helena Valente, founding members of Kosmicare, a drug testing, and harm reduction service at the Portugal Festival, Boom. Joe talks to Maria and Helena on their personal backgrounds, how they got into Boom, research on recreational use, what harm reduction looks like, and what populations are underserved. Drug use is decriminalized in Portugal, and the focus of risk minimization has been useful in getting the population served versus putting people in prison.
3 Key Points:
- Kosmicare is a harm reduction and psychedelic emergency service starting at Boom music festival in Portugal. Working to support other events in Europe.
- Boom is in Portugal, where drugs are decriminalized and drug testing is legal. Drug policy has directly affected the number of emergencies that Boom has had.
- The Portuguese drug policy has resulted in fewer overdoses, drug-related deaths, and HIV infection. Other countries like the US should consider a drug reform with the current opioid crisis.
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Navigating Psychedelics
Show Notes
About Kosmicare
- Kosmicare is a non-profit organization that looks to transform nightlife culture through humanistic, comprehensive and evidence-based policies and interventions
- They work toward a world where drugs can be used with liberty and wisdom
- Making festivals safe in Europe
About Maria
- Psychologist, graduated in 1999 at University of Porto
- She started working in the field of problematic drug use
- Growing up in a difficult neighborhood was her purpose for getting into studying psychology and drug use
- She began focusing on recreational use
- Her younger brother was into the Electronic Dance scene and positioning himself with using substances
- She was interested in studying other motivations to use drugs than just using drugs to feed a problem
- She heard an announcement by MAPS in 2008 recruiting volunteers to do work in psychedelic emergency at Boom
- It was the perfect match considering her interest in psychology and drug use in recreational environments
About Helena
- Helena is a Psychologist who was interested in drug use
- She wanted to have field experience, and she volunteered in a needle exchange program
- She began working for a harm reduction project to work in recreational settings that needed volunteers
- She became interested in the potential that drug checking has in the harm reduction strategy
- They are working toward a ‘drop-in’ where people can show up to a permanent space for drug checking and harm reduction
The Numbers
- Over 20,000 people showed up to Kosmicare’s information session
- This year for the first time, Kosmicare had an HPLC (High Performance Liquid Chromatography) to identify LSD and pills
- They tested over 700 drug samples in 6 days
- Maria says half of the Boom population gets in contact with Kosmicare
- They serve 1% of the Boom population for psychedelic emergency (about 350 cases out of 35,000 attendees)
- The episodes usually have to do with psycho-spiritual situations versus just an emergency about the drug taken
Psychedelic Emergencies
- Boom is a transformational festival that hosts attendees from over 50 countries
- Boom is different from Burning Man in that Boom is in Portugal which has a much more legal framework which helps with the services that can be offered
- Drug policy has directly affected the number of emergencies that Boom has
- Joe states that there are numbers of regulatory police at Burning Man
- Kosmicare is included in the entire setup of Boom, which helps reduce the number of scenarios that would cause an emergency at the festival, such as providing shaded areas all over
- It gets up to 43 degrees Celcius (108 Fahrenheit)
- But there is a water element so people can refresh themselves
- In the largest dance areas at the festival, they included medical emergency Teepees so attendees could be helped as quickly as possible
Recreational Drug Use
- They did a survey on recreational drug use and most of the respondents said they use drugs in a beneficial way that doesn’t interrupt their lives in a bad way
- Similarly with Boom attendees, most of them want to use harm reduction techniques so they have positive experiences and don’t develop problems with their drug use
- Mat Southwell “drug users are calculated risk takers”
- “The legal framework has a terrible influence on people’s relationship with drugs” – Helena
Lessons Learned
- Maria says they have had many groundbreaking challenges
- In 2016 they had someone die on them while having a psychedelic emergency
- It made her really question why she was doing this
- Her first impression was that she was doing this work to save the inexperienced user
- She was caught off guard by the person who died because they were an experienced user and didn’t taking unadulterated substances
- “People may go over the top for a wide variety of reasons, it was the biggest lesson I learned working for the Psychedelic Emergency services” – Maria
- It’s hard to determine people’s ability to calculate risks
- If the person had collapsed in front of an urban hospital in the city, the Hospital couldn’t have done anything more than what they did at Kosmicare
Collaborations
- Kosmicare has a collaborative relationship with Zendo
- MAPS was hired by Boom to direct the harm reduction services
- They use a lot of Stan Grof techniques for transpersonal psychology
- They are partnered with many other organizations in Europe that are trying to deliver the same type of psychedelic emergency and harm reduction services
The Risks of Drug Policy
- Joe points out that there are so many festivals happening without these services
- The Rave Act prevents companies from attending festivals because it “harbors” drug use
- In Portugal, the fact that drug use is decriminalized, it opened up a legal framework around harm reduction
- Portugal is one of the few countries where drug checking is allowed by law
- The Portuguese drug policy has resulted in fewer overdoses, drug-related deaths, HIV infection, tuberculosis and other things
- Helena says that the US should rethink their drug policy considering the opioid epidemic
- In Portugal, there were only 12 overdose cases with heroin and opioids
Portugal before the Drug Policy
- In the 80’s, there was a heroin epidemic, which had an epidemic of high infection rates and HIV. This motivated the policy change
- It was evident that prohibition was not working
- Usually when it affects only poor people, no one cares, but the fentanyl crisis is affecting all sorts of populations
Links
Check out this FREE online course, “Introduction to Psychedelics”
About Maria
Maria Carmo Carvalho, Kosmicare Manager, Boom Festival, Portugal, is a Lecturer at the Faculty of Education and Psychology at the Catholic University of Portugal. She researches if the field of psychoactive substance use and has completed a MSc and a PhD at the University of Porto on the field of psychoactive substance use, youth and recreational environments. She is Vice-President of ICEERS and Kosmicare Boom Festival manager since 2012.
About Helena
Helena Valente began working with people that use drugs in 2004, focusing in nightlife settings. Helena has a vast experience in coordinating national and European projects in the drug field. At the moment she is a researcher and PhD. Candidate at the Faculty of Psychology and Educational Sciences of the Porto University and founding member of Kosmicare Association.
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Shane earned his Bachelor of Arts Degree in Psychology from the University of Colorado in Boulder, CO, completed extensive coursework towards a Master of Arts Degree in Sport & Performance Psychology at the University of Denver, and earned his Master of Arts Degree in Sport & Exercise Psychology from Argosy University.
Dr. Ben Sessa, M.B.B.S., M.D., B.Sc., M.R.C.Psych., is a consultant child and adolescent psychiatrist working in adult addiction services and with custodial detained young people in a secure adolescent setting. He trained at UCL medical school, graduating in 1997. He is interested in the developmental trajectory from child maltreatment to adult mental health disorders. Dr Sessa is currently a senior research fellow at Bristol, Cardiff and Imperial College London Universities, where he is conducting the UK’s first clinical st
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Dr. Brown Specializes in whole health psychiatry. This approach differs from many other practitioners who more and more practice symptomatic management when it comes to mental health. Dr. Brown takes the perspective that the body has the ability to heal itself, but from time to time may need assistance through balancing the things that are important for physical health that are also important from mental health. These include, sleep, diet, exercise, meditative/spiritual practice and cultivating positive social relationships. Dr. Brown also has a strong command of how to balance vital nutrients in our body with the aid of supplementation to augment traditional psychopharmacological therapies. Dr. Brown’s method is aimed primarily at the treatment of Depression and Anxiety as well as other mood disorders and ADHD. Dr. Brown is a specialist in the treatment of OCD specifically and is board certified by the ABPN in both adult as well as child and adolescent psychiatry.
In addition to his work with Medicinal Mindfulness, Daniel has a successful spirituality and life coaching practice with his wife, Alison, through their company, Aspenroots Counseling LLC. Highly skilled in identifying and cultivating giftedness in young people and supporting significant life transitions, Daniel is inspired to support passionate and talented individuals striving to live into their calling. A primary focus of his practice involves assessing and addressing the benefits and difficulties related to psychedelic and cannabis use and misuse.
supportive ways, working collectively toward shared goals while enhancing the personal journey of each individual. Cosmic Sister promotes love, higher consciousness, abundance and creativity, and members pledge to hold each other’s best interests at heart as allies and affiliates. We want to see women shine.
Vilmarie Narloch, PsyD., is the Drug Education Manager at Students for Sensible Drug Policy. In this role, Vilmarie oversees the development and implementation of the SSDP Peer Education program, which is a training program for SSDP Members to become certified to deliver our drug education program, Just Say Know, to their peers. Vilmarie is passionate about reforming drug education in the U.S. and abroad, and has dedicated years of study on the topic for her dissertation. Vilmarie has taken on this position because as an organization driven by students with exceptional knowledge on drug policy and other drug use related issues, SSDP is uniquely positioned and qualified to be developing a drug education program. Additionally, Vilmarie educates staff and the network on the current state of research and treatment issues with regard to substance use disorders and mental health. Vilmarie aims to aid in the connection of policy and practice by helping our network understand the impact of policy on access to treatment and care while utilizing the latest research.
She received her Master’s of Science in Nursing from the University of Miami, Florida and post master’s certificate in psychiatry at the University of California-San Francisco. Julie maintains licenses in family medicine and psychiatry in an effort to close the gap between medical and psychiatric care, incorporating the mind/body connection for most effective treatment. She currently is in private practice in the San Francisco/Bay Area.
Peter Sjöstedt-H is an Anglo-Scandinavian philosopher who specialises in the thought of Schopenhauer, Nietzsche, and Whitehead within the fields of Philosophy of Mind and Metaphysics – especially with regard to panpsychism and altered states of sentience. Peter received a Bachelor’s degree in Philosophy and a Master’s degree in Continental Philosophy from the University of Warwick, where he was awarded a first-class distinction for his dissertation on Kant and Schelling in relation to ‘intellectual intuition’. He subsequently became a Philosophy Lecturer in London for six years but is now engaged in his PhD at Exeter University where he also teaches philosophy modules and writing skills. Peter is the author of 
Kevin graduated from Northeastern University in 2013 with a degree in neuroscience. As an undergraduate he completed an internship as a research assistant at Harvard Medical School working on the Phase 2 dose-response study investigating the therapeutic potential of MDMA-assisted psychotherapy for treatment of cancer related anxiety. Kevin was also one of the founders of the Northeastern chapter of Students for Sensible Drug Policy, and in 2009 the group hosted and co-sponsored the Boston Ibogaine Forum. He now lives in New York City where he is enrolled in a clinical psychology graduate program at The New School for Social Research and is pursuing a doctoral degree. Kevin has worked part-time for the Drug Policy Alliance, and also works as a writer covering topics related to psychedelic therapy, addiction, and mental health advocacy. His recent contributions include: New Scientist, Reason.com, Reset.me, Reality Sandwich, and VICE.com.
talie earned her Master’s in Social Work from Columbia University in 2014, and her Bachelor’s in History from Yale University in 2011. At Columbia, Natalie served as a Policy Fellow at the Drug Policy Alliance, where she helped legalize medical marijuana in her home state of New York, and worked to end New York’s racist marijuana arrests. Natalie has also worked as a court-mandated therapist for individuals arrested for prostitution and drug-related offenses, and as a middle school guidance counselor at an NYC public school. Natalie’s clinical work with trauma survivors spurred her interest in psychedelic-assisted therapy, which she believes can ease a wide variety of both mental and physical ailments by addressing the root cause of individuals’ difficulties, rather than their symptoms. Through her work at MAPS, Natalie advocates for research to provide evidence-based alternatives to both the war on drugs and the current mental health paradigm.
away the stigma around psychedelic use.
Thomas B. Roberts promotes the legal adaptation of psychedelics for multidisciplinary cultural uses, primarily their academic and spiritual implications. He formulated Multistate Theory (2013) coined Singlestate Fallacy, mindapps, neurosingularity, metaintelligence, and ideagen, and he named and characterized the Entheogen Reformation (2016). He is a founding member of the 