Community Psychedelics: Dimitri's practice coming to Prime Produce
Hi All,
I'm moving the thread over from the "decisions" section to a discussion thread (which is what I meant to do initially.) Since there are still outstanding questions and more discussion to be had, I feel like we should have a more open conversation rather than updating the proposal to address existing blockers. Then when ready we can reopen it for a vote / sense check.
Please feel free to put questions comments below.
Poll Created Thu 24 Apr 2025 11:53PM
Transform the Large Conference Room into a Multi-Use, Relaxed Practice Space Closed Thu 1 May 2025 11:00PM
Decision question:
Is it safe to move ahead with the planning and construction process to reshape the large conference room into a more relaxed space that supports more diverse practices, as well as current guildmate work?
Slideshow of basic proposal (including images)
Hi Everyone!
I've spoken with several people about this proposal--thank you to those who took some time to get into it with me! If we haven't chatted yet, hopefully there is enough info below to make an informed decision. We're hoping to get approval to move to the next phase, but if anyone has any concerns, please feel free to indicate that with a vote and comment if further discussion is needed.
We will aim to resolve any initial concerns within a week of this post, so we can present a more specific design proposal in the next couple of weeks. The Loomio boilerplate below as always applies -- and also, if you want to have a more in-depth conversation, please feel free to reach out to me and/or Dimitri.
I will also aim to be available for open discussion next Monday, 4/28 at 6pm on the pp zoom room (prpr.fyi/zroom)
If you have an Objection, please say why and propose a change to the proposal that makes it safe.
Remember we are seeking consent for a ‘good enough’ decision that is 'safe to try', so we can start working on the final proposal that we want to execute.
Now, the details (it's a bit lengthy as we've tried to address concerns that have already been raised. Thanks @Jacquie for the help getting this together!)
Why is this important for the cooperative?
Dimitri is a pre-member who offers ketamine-based therapy and ceremonial events, partly through Cardea, which is the well-established practice he founded with Ross Ellenhorn and runs with a team of professionals. He also has artistic and activist endeavors he is aiming to work on with the Guild.
By redesigning the space, we can host Dimitri’s practice with Cardea, and also invite a broader range of professionals who need a private space for engagement with individual clients.
This will expand our revenue base, while also diversifying the range of practices we can support.
We also want to create a more comfortable and more aesthetically pleasing space to host new possibilities.
Dimitri wants to create a new model for his practice – Community Psychedelics, that would be specifically attuned to and grow out of his engagement with PPAC and the broader Prime Produce community.
Dimitiri’s practice involves people making art as part of the therapy. The art that is made in the practice by members will be displayed in the room.
We are in line to get a loan of furnishings and artwork that amplifies the practice and will elevate the space of the guildhall. Randy Palumbo is a friend of Dimitri and designer of the previous space. He has generously offered to loan us some incredible materials–including unique mycelium lighting and artworks–to use as part of the remodeling.
Cardea has a small budget (~$5k) to help change the room, which will mainly be directed at a curtain to preserve the use of the Visual Magnetics wall and any other necessary materials for construction. We don’t anticipate spending any money on art or other decorative elements.
Who does this impact / who are the stakeholders?
For Dimitri and Cardea to situate their practice at the cooperative, they need an appropriate space to conduct one-on-one therapeutic sessions.
Various members and their teams use the conference room for meetings (both irl and hybrid) and work sessions and this remodel would continue to support those needs.
What happens if we don’t do it? / What happens if we do?
If we don’t remodel then it would be difficult for Cardea to host their therapy sessions at the guildhall and Dimitri would be less likely to join the cooperative . He is very excited about what we’re doing and how he can contribute, so it would be a huge win to make it possible for them to be here. And the space would be a new nap room for the guild, an amenity that has been missing since we revisioned the third floor.
Were there alternatives considered? Why was this approach chosen?
The meditation room could be an option, though the existing environment is not great for the practice; it would still need to be altered for the practice work. Changing over the conference room seems like a more straightforward and generally beneficial move.
What is the expected impact on the space and/or cooperative operations? Will it change our basic expectations for how the space is set up and reset?
The conference room will shift from table-oriented meeting work to a more informal, comfortable setting well suited to conversations, collaborative work, and relaxation.
As it is a sound-based practice, they would need to be mindful of scheduling and potential interactions with other users of the space, including overlaps with Fresh Produce Studio, Turtle Team and the Earthlings, and people working elsewhere on the second floor.
What needs to happen to allow the proposal to take place? Are there specific asks that need to be shared?
We need to create a small secure storage area in the back of the server closet, which can be part of our upcoming closet visioning and day of care.
Some concerns that have been voiced:
Maintaining the multi-use function of the space
The space will be configurable for multiple kinds of use, ranging from the sound-based therapeutic practice of Cardea, to small group conversations and seated work, creative practices, as well as hybrid work setups. We will investigate the feasibility of having a transformable table that can operate as either a wall element or a work surface.
Trial period
For the practice to get going effectively, Dimitri is requesting that we allow the loaned art, decorations, and furnishings to be in place for a period of 6 months to 1 year. We can check in and modify things, but the quality of the environment is really crucial to the practice and if that could change radically in as little as 6 months, it would severely disrupt the practice and make it challenging to move it to the Guild Hall.
However, we are aware of and want to be mindful of concerns that have been voiced about spaces being overtaken by individual member practices, or stagnating in a particular form that remains through inertia.
To mitigate both these concerns we will be sharing the next phase of the design process for further discussion, and try to get as much input up front as possible. Then, if approved, in 6 months we can do a light status check–though we should only plan to make any changes a bit further down the road.
Building space collaboratively with guildmates
An important part of Dimitri’s practice and general project is to be collaborating with artists, both already in our community, and coming to us anew. This will happen in the Community Psychedelics practice, as art is produced through the ceremonies and therapeutic work, as well as in other facets of Dimitri’s work. Some of the art produced during these sessions will be mounted in the room. Dimitri is also very excited to work with artists on a variety of projects
What is Community Psychedelics?
The Community Psychedelics practice is a new model that Dimitri and the Cardea team are looking to build specifically with Prime Produce. Growing out of their previous nonprofit / low-cost / pro-bono work, it would focus on artists, nonprofit organizations, and activist groups. These services would be available to the Guild community.
How will this produce revenue for the guild?
The nonprofit-oriented work would be happening alongside fundraising/revenue-oriented work, which happens through group salon practices and sessions with paying clients. Some of this work will be starting almost immediately in the Living Room.
Dimitri is already planning on a revenue share model, which we can get detailed projections on at some point.
Also, some spot concerns that cropped up:
the medical aspect is handled by an affiliated Doctor, and the ketamine is a self-administered nasal spray, with no odors or anything. It's fully legal as prescribed.
Scheduling is something we'll have to work in advance to manage, to ensure safety and comfort for participants in the practice and no disruptions to either the participants or other members and users of the guild hall.
Questions & Answers
Carlos's Questions:
Q) A few fundamental questions: What's the name of the nasal spray that's being administered?
This is not brand name ketamine; it is compounded in a fully licensed professional pharmacy, ensuring the highest standards of safety and efficacy made specifically for this use as per the doctor’s prescription and is fully legal.
Q) Is it legal to have a clinic like this in Prime Produce?
CARDEA has never functioned as a clinic (which is where a medical procedure happens) nor will it at the Guild Hall; the only medical procedure is the consultation with the doctor and subsequent writing of the prescription. This occurs offsite. Clients are screened both by the doctor and CARDEA staff. Everything happening at Prime Produce will be completely legal.
Q) Will ketamine be kept in Prime Produce?
No, it will never be stored on-site.
Q) How will the nasal spray be disposed of after use?
Disposal is the responsibility of the client. Dimitri wants to reassure us that in their years of practice, disposal has never been an issue. Part of the protocol is that clients only get the amount needed for the sessions they’ve signed up for, and ensure they don’t leave anything behind - there are procedures for each session that are followed by practitioners.
Q) What are the insurance implications for PPAC? Is Cardea insured?
Based on CARDEA’s experience and the broader field and legal consultations, ketamine has been effectively utilized for workshops and therapeutic practices across various settings. There should be no specific implications for PPAC or the building.
CARDEA’s doctor is fully insured, ensuring that all practices adhere to the highest professional standards. If we (the co-op) think additional liability coverage is needed, CARDEA can acquire a policy.
Q) What happens if there's lost or stolen ketamine?
In the event of lost or stolen medication, this matter would be addressed between the doctor/prescriber and the patient. CARDEA has a strong track record, having never experienced an incident of medication being left behind on-site. It's also worth noting that millions of individuals manage prescription medications daily, and there are established procedures in place for such situations (again, this is between the client and their doctor.)
Q) More broad questions for other people's practices: Although sessions may be scheduled around Turtle team, which works with minors, will parents feel safe about having their children go to afterschool programs where ketamine is administered? What if there are minors in the space while there's a session going on? Sometimes they don't come on a schedule and just show up in the space.
There shouldn’t be any upfront issues around anyone else, including the minors, in the space. Nothing about the practice has any specifically adult considerations except that the clients have their own prescription medication (again, in the form of a nose spray like Flonase) and are engaged in a session with someone in the same way as any other one-on-one practice or meeting.
CARDEA working with people on a wholesome, healing practice that is done very safely and has been accepted widely, but not readily available to working people, especially those doing frontline and supportive work.
CARDEA focuses on hospitality and holding space; guiding people through their experiences in processing the grief and trauma they deal with in their work. There is a great deal of care taken in supporting people as they occupy the space (which is core to the practice.)
Are there any particular concerns here?
Q) Concluding Thoughts: (Dave broke this up to respond better)
Ultimately I don't think Prime Produce has a space outfitted well for a ketamine therapy clinic to go in.
See above re: clinic
The large conference room is a prized location where folks take meetings and needs a professional atmosphere.
With this proposal, we are aiming to improve the professional and aesthetic quality of the space. We believe the changes will make it perform better for a wider range of practices that it currently does not support, while maintaining much of its current functionality.
Turning it into a clinic would suffer from sound bleed from outside, Fresh Produce Studio, the hallway, and the neighboring conference room for it to be a meditative space.
The sound bleed is not a huge issue for the practice; it accounts for the sounds coming from the environment. If anything, this setup will be less difficult to deal with acoustically. If there are sessions scheduled for the studio to be doing especially noisy work, Dimitri can work with the Studio Team and other guildmates to schedule non-overlapping sessions if it presents an issue. We can also address this more in the design phase; this is not a fundamental problem for the practice.
The risk implications of having a controlled substance in the guildhall is very high for a community space that struggles with avoiding putting paper towels down the toilet.
Again see above; the controlled substance will not be kept in the space (for reference, guildmates already bring their own prescription controlled substances into the space.)
It's a well intended service that I do believe helps and changes lives but we are lacking a lot of the resources to support that kind of work.
Are there any particular resources you can identify that are needed, beyond what’s in this proposal?
We appreciate these concerns and want to assure you that we operate in a highly controlled and respectful environment. Dimitri and CARDEA are committed to maintaining a healing and welcoming atmosphere and are more than willing to adapt our schedules to ensure that our operations do not interfere with the community. Most importantly, Dimitri sees the space and community working very well for the practice.
With 25 years of experience in the field of psychedelics, Dimitri and CARDEA are committed to maintaining a safe, effective, and expertly maintained environment.
Hope this resolves the concerns, please let us know further thoughts!
Results
Results | Option | % of points | Voters | |
---|---|---|---|---|
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Consent | 80.0% | 4 |
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Objection | 0.0% | 0 | ||
No opinion | 0.0% | 0 | ||
Block | 20.0% | 1 |
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Undecided | 0% | 26 |
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5 of 31 people have participated (16%)
Carlos Johns-Davila
Thu 24 Apr 2025 11:53PM
I really appreciate all the thought and intentions with this proposal, however there's outstanding questions that I think need to be brought up before the idea of changing the large conference room into a medical / health and wellness facility.
Our community needs to understand more about ketamine therapy. Some of these I just found out by looking at the Cardea website FAQ but has no mention here. I know Dimitri presented this already to the board but i was unavailable that day and believe the rest of the PPAC community should be in the know.
A few fundamental questions:
What's the name of the nasal spray that's being administered?
Is it legal to have a clinic like this in Prime Produce?
Will Ketamine be kept in Prime Produce?
How will the nasal spray be disposed of after use?
What are the insurance implications for PPAC?
Is Cardea insured?
What happens if there's lost or stolen ketamine?
More broad questions for other people's practices:
Although sessions may be scheduled around Turtle team which works with minors will parents feel safe about having their children go to afterschool programs where there's ketamine being administered? What if there's minors in the space while there's a session going on? Sometimes they don't come on a schedule and just show up in the space.
Concluding Thoughts
Ultimately I don't think Prime Produce has a space outfitted well for a ketamine therapy clinic to go in. The large conference room is a prized location where folks take meetings and needs a professional atmosphere. Turning it into a clinic would suffer from sound bleed from outside, Fresh Produce Studio, the hallway, and the neighboring conference room for it to be a meditative space. The risk implications of having a controlled substance in the guildhall is very high for a community space that struggles with avoiding putting paper towels down the toilet. It's a well intended service that I do believe helps and changes lives but we are lacking a lot of the resources to support that kind of work.
***Updates as of 4/28/25****
I appreciate the timely replies to my questions in the Loomio. Unfortunately, there's still a lot of ambiguities that we need descriptive answers to:
I understand the ketamine is not a brand name ketamine, rather it is something compounded in a fully licensed professional pharmacy. Who is the pharmacy and where are they located?
Reading on the FDA's website compounded intranasal ketamine has had safety reports that have put people's lives at risk. It's not FDA approved which I understand doesn't mean it's illegal but means there's not enough data to recommend an approved dosage or safety protocols in place to prevent harm. If it's Spravato (esketamine) it's subject to strict safety controls on dispensing and administration under a safety program called a Risk Evaluation and Mitigation Strategy (REMS). The Spravato REMS program requires Spravato (esketamine) to be dispensed and administered in health care settings that are certified in the REMS. Spravato (esketamine) cannot be dispensed for use outside the certified healthcare setting. Patients must be monitored inside the healthcare setting after administration for a minimum of two hours until patients are safe to leave. Other than telling us it's legal and safe can we understand what are the safety protocols that are put in place to ensure patient and community safety?
It's good the person clarified that a licensed medical professional will be on-site. But what type of doctor? Are they board certified (e.g., psychiatrist, anesthesiologist)? Is the doctor licensed in New York State? Does their malpractice insurance cover activities at off-site locations like our building? Will they name our co-op as additionally insured on the malpractice or general liability insurance? Are they willing to sign a waiver or indemnification agreement protecting the co-op from claims? Our building’s liability insurance likely does not cover medical procedures, including ketamine-assisted therapy. If something went wrong (adverse reaction, slip and fall while under the influence) we could be liable unless protected.
I understand that Prime Produce Cardea has never operated as a clinic but we are approaching a gray area that can legally make us a clinical facility or treatment site. The activity itself could be seen by NYC health regulators or even zoning authorities as clinical if it becomes routine (like weekly sessions for multiple patients) and if our building isn't already approved for medical use.
Factors that could trigger reclassification:
Regular frequency of medical sessions. How often will sessions occur? How many patients per session?
Advertising the location as a therapy site.
Emergency interventions happening on site. What safeguards will be put in place in case of emergencies like adverse reactions?
Storage or handling of controlled substances (even if just transient).
We could also be opening ourselves up to complaints or inspection from city agencies if neighbors or members raise concerns. Even if a doctor is present, if the space itself is used regularly for administering controlled substances, the authorities (state or city health departments) may consider it a "treatment site," which could trigger regulatory requirements (certifications, inspections, insurance). When I said we don't have the resources, one major one that comes to mind is that the second floor conference room is not ADA compliant which I believe we would have to be if we are a treatment site.
This is such a gray area for me and I'm sure many of us, but there are a lot of red flags here for me than benefits at the moment. I don't feel safe moving forward with this idea because of all the ambiguity that arises in the answers. It would at least be helpful to have more time to talk about this to gain a better understanding of the risk and safety practices involved. One possible solution would be to understand where CARDEA's previous practice took place. Did their landlord share the same concerns? How was that navigated? Can the board talk to them? What is the reason CARDEA is moving their practice to Prime Produce?

Danny
Thu 24 Apr 2025 11:53PM
There is a lot to process here and already many more details have been uncovered since the initial proposal which veer away from proposal concerning the remodeling of the space and instead focus on how the practice that intends to lead and subsequently use the remodeled room fits within Prime Produce. In my reading and synthesis of the discussion, the next proposal should focus on gaining consent around Dimitri's practice at Prime Produce and how impacts (or does not impact) the guild from an insurance aspect.
I don't see any explicit objections about remodeling the space and nor do I have one myself. I however understand that it may not be in Dimitri's interest to put resources into remodeling the space if their practice cannot be performed there. So I can understand if this proposal's outcome needs to be revisited after consent is gained for another proposal that explores the practice itself.
David Tue 29 Apr 2025 5:37PM
Re: Doctor, yes the doctor is fully licensed and board-certified (we did cover this in some previous calls and discussions, though I could have put that in the proposal here. On the Cardea website Team section, you can read about Dr. Mike Pappas. He has malpractice coverage, though I'm not sure how we would be added or even related to that aspect of the practice. As for liability, we are asking CARDEA to take out a specific liability policy and have us as named insured, just as we do for clients that carry any extra liability risk.
Michael Middleton Tue 29 Apr 2025 9:37PM
Thank you @David for the extremely comprehensive Loomio, and for moving this to discussion. It is great to see this practice working well.
For everyone else's context...in addition to sharing some of Carlos' concerns, there were a number of other things about the proposal as-is that were concerning to me. I was preparing to vote 'Block' so we could discuss them, but Dave beat me to it and changed this to a Discussion, which is perfect.
I present a summary below, followed by recommended next steps.
SUMMARY OF LEGAL & INSURANCE CONCERNS
Because I am not an expert in any of this, I consulted with four individuals: 3 attorneys (one of whom used to work for the city), and the guy who used to run New York state underwriting for the insurance company I worked for back in the day. None of these people were speaking in an official capacity, but they did share a number of very real concerns they said we should be crystal clear on before deciding how to proceed.
1 - Disposition of the Building and the Landlords
The 3 attorneys agreed that allowing any practice on site that included the use of prescription drugs - even when they are prescribed off-site and self-administered - would be grounds to reclassify the building as an 'Ambulatory Diagnostic or Treatment Facility', or something to that effect. This would require:
the building owner to update their insurance across the board, resulting in higher premiums (whether these would be much higher, or a little higher, was an unknown.)
zoning approval - we would need to ensure we are in the commercial + medical category (I don't know if this is its actual name, or just a description)
additional building code implications could also be applied, but these might not be meaningful
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ADA 'place of public accommodation' status would apply to the entire building and any other service available in it.
This last point could be mitigated by offering 'similar services' on the accessible ground floor.
2 - Disposition of Insurance
All 4 people agreed that because the space was not a dedicated, lockable space reachable by a public hallway (like in a typical building), the entire building - and everyone operating in it - would now be operating in a treatment facility for legal and insurance purposes.
They all agreed that this would affect any personal and professional insurance coverage anyone attached to the space has. (Almost any claim made would be invalidated when the insurer found out there was a ketamine practice on site, unless this had been previously disclosed and accounted for.) They recommended everyone speak to their insurance companies for guidance and coverage adjustments.
They also noted that this would need to be noted in most grant applications, especially for any government grants.
3 - Disposition of the Cafe
All 4 people agreed that the practice would be cause for immediate revocation of any liquor license on the premises. (The attorney for the city described this as a 'slam dunk'.) As he pointed out, you cannot have someone who has just been encouraged to take ketamine, able to walk downstairs and order a beer, without physically leaving the space from a legal classification point-of-view).
2 of the attorneys also strongly believed it would result in the revocation of food licenses/classification; the third (city) said he was not sure of the current situation, and it may instead require any food license to be resubmitted...but he said he was reasonably sure revocation was more likely. He recommended we consult with the city for updated guidelines.
4 - Personal Liability
The attorneys were most concerned that we understand and account for personal liability. This already is a concern and factor with any co-op or co-working space; and is generally accounted for in typical insurance policies. But the switch to a therapy designation would render these all as requiring re-classification, and make liability potentials far more severe.
As I described the space to one attorney, he gave me an example:
A client on ketamine decides to go home; they walk out of the room and turn right, into the coworking space (Collaboratory), where they trip on a milk carton belonging to a Guild member who is not related to that ketamine practice. This happens while two other Guild members are working at their desks, as well as several guests, one of whom is the one who moved the milk carton to the new area. Suffice to say, this would create an extremely complex legal situation, and the attorneys feel everyone who is a member of the co-op - and anyone who was in the room - would become a named party in the lawsuit.
How to Mitigate These Risks
I asked about mitigating these risks, and it is an area I plan to continue discussing with them. Here was their advice. These can be starting points for creative discussion.
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Separation. They pointed out that a dentist's office can be in the same building as a Starbucks because of separation; each has discernible, lockable, dedicated space. (The building still needs full zoning, but that is a building problem. In fact, the dentist's office cannot even legally move in, to begin with, unless it is all in place.)
It is not sufficient to have a lockable cabinet for storage, nor to lock the door when using the space; it must be a physical, permanent separation, and the client must be able to exit to the outside/public spaces without entering another 'area' that is being used for business, versus a hallway.
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Co-Op Insurance & Legal Steps
The building would need to be asked to carry significant, extra insurance coverage (typically asked of any such practice).
The landlords, as well as the Guilds, should be added as 'additional insured' on the policy.
Specific indemnification should be built in for Prime Produce, and all co-op members.
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Personal Insurance & Legal Steps
We would want to develop a checklist of questions/steps/coverages for any Guild member to ask their insurance companies (personal, professional).
We would want to consider making all visitors sign an indemnification form as a condition of entering the building, for any practice or event.
Recommended Next Steps
This was all unofficial, back-of-the-envelope guidance from friends. We can formalize a list of questions or concerns through this process, to work on shaping ongoing alternatives (if one can be found).
Additionally, I am pretty sure I can get one of the attorneys to give us some pro bono time for a Q&A session.
I also am going to review my own insurance, and may contact them to ask about the implications and to see what the recommended steps would be.
Hopefully, this process will help guide us towards the best realistic solution for all parties, while ensuring no one inadvertently exposes themselves to any unforeseen complications. Thanks!
Yuko Thu 1 May 2025 4:09PM
Thank you so much everyone for all these comments. Especially Mike, thanks for bringing up these legal aspect. Adding to Mike's next step, we will need to have focused area conversations to clarify these.
1) Board x Landlord
2) Board x Dimitri (Cardea team)
3) Board x Dimitri (Cardea) x Cafe team
4) 3 + Legal team,
5) all guild members
Q&A session with attorney sounds wonderful first step. perhaps we can put some questions together?
David · Tue 29 Apr 2025 5:25PM
@Carlos Johns-Davila Going to respond to some points separately as I can!
"I understand the ketamine is not a brand name ketamine, rather it is something compounded in a fully licensed professional pharmacy. Who is the pharmacy and where are they located?"
I don't know if we have access to that information, as it may be something between the doctor and client. Can you help me understand why we need this level of specificity?