Our Vision
Access Therapy is building a psychedelic-assisted therapy program rooted in safety, relational care, and sustainable growth. We’re not a “high-volume” clinic—and we’re not looking for clinicians who want to sprint. We build slowly and thoughtfully, with the belief that the quality of the container matters as much as the clinical intervention.
For PaT work in particular, every role on the team must be an exceptional space holder—from admin to medical leadership and everyone in between. Psychedelic experiences can elicit doubt, fear, and vulnerability. A steady nervous system, calm confidence, and grounded presence from the whole team shapes the client’s sense of safety and their ability to engage the work.
About the Role
We’re seeking a Nurse Practitioner to support the PaT program through comprehensive assessment, prescribing (when appropriate), treatment planning collaboration, and on-call medical support during medicine days.
This is primarily a remote role. If you’re local to Hamilton and would like to be in-person for parts of the work (team connection, select assessments, program development), we welcome and encourage that—but it’s not required.
Important Scope Clarification (Medicine Days)
- During PaT dosing/medicine sessions, the RN (to be hired) is the on-site clinician who will be with the client, monitoring vitals and supporting physical safety in collaboration with the PaT therapy team.
- The NP’s role is to assess and prescribe, and to be available on-call during medicine days to support the RN and PaT team in navigating any issues that arise.
Reporting & Collaboration
Works closely with and is accountable to: Medical Director, Clinical Director and Director of Operations, within scope and regulatory requirements.
Contractor Structure & Compensation
This is a contractor/referral relationship that will start slowly as we build out the PaT program and will likely increase in volume over time.
Compensation will be determined in conversation with the successful candidate. We’re open to different contractor arrangements and will land on a structure that reflects the actual work involved (assessment and documentation time, prescribing responsibilities, team consultation, and on-call availability on medicine days), while supporting long-term, sustainable practice.
Education & Registration
- Master’s degree in Advanced Nursing Practice (NP) and successful completion of NP registration exam for stream of practice
- Registration in good standing with the applicable provincial nursing regulatory body
- Practices in alignment with legislative requirements and professional standards/guidelines
Relevant Experience
- 3+ years experience in psychiatric, mental health, or psychotherapy-adjacent nursing practice (or comparable settings)
PaT-Specific Training (preferred/expected)
Training (or a clear commitment to training) in psychedelic-assisted therapy principles, safety, ethics, and integration practices (e.g., introductory PaT training and MAPS fundamentals).
Support with training offered through discounts towards ATMA CENA training programs.
Knowledge & Competencies
Demonstrated understanding of:
- Client-centred, respectful, inclusive relationship-building
- Cultural safety and cultural humility, including Indigenous health cultural competency
- Delivering psychedelic-assisted treatment according to acceptable criteria and established protocols
- Recognizing and responding to adverse drug reactions and suspected overdose (including CPR and engaging emergency services)
- Responding to medical emergencies beyond adverse drug reactions
- Harm reduction education (as applicable)
- Standard First Aid + BLS for healthcare providers
- Mental Health First Aid
- Safety/security response to aggressive or violent incidents
- Appropriate referrals and care coordination
- Duties under provincial privacy legislation
Access Therapy Fit
You bring:
- Strong clinical judgment and calm decision-making under pressure
- Excellent communication and documentation habits
- Organization, reliability, attention to detail
- Collaborative, team-oriented presence
- Exceptional space-holding: self-regulation, co-regulation skills, steady confidence without ego
Duties & Responsibilities
Core Service Expectations
- Adhere to clinic policies and procedures
- Observe infection control measures
- Participate in annual performance evaluation and ongoing quality improvement practices
Clinical Responsibilities (PaT Program)
- Conduct complete advanced physical and mental health assessments for clients seeking PaT
- Identify contraindications/risks, and support informed consent and readiness processes in collaboration with the PaT team
- Develop or contribute to individualized care/treatment plans incorporating evidence-informed practices
- Prescribe medications/therapeutic interventions within NP scope and maintain appropriate records
- Collaborate closely with therapists, physicians/medical director, RN, and multidisciplinary team to coordinate care
- Participate in regular case conferences/team meetings to discuss client progress, risk considerations, and treatment strategy
- Provide clinical education/support to the team on PaT safety, holistic care, and mental health considerations
- Educate clients (and where appropriate, support people) about potential benefits/risks and safety planning
- Provide referrals and resource navigation for ongoing support as needed
- Maintain accurate and thorough documentation per clinic policy and regulatory requirements
- Ensure compliance with legal and ethical standards governing nursing practice and PaT service delivery
- Be available on-call on medicine days to support RN and PaT team with clinical decision-making as issues arise
Working Conditions
Community-clinic program environment with potential exposure to emotionally intense content; requires empathy, steadiness, and strong boundaries. Remote-first; optional in-person participation if local.
How to Apply
Please email your resume and a brief cover letter sharing your approach to this work (and what “space-holding” means to you in practice) to: admin@accesstherapy.ca