Shared Care for Therapists
Medical management of at-home ketamine for clients who remain in your care.
Your client stays your client. There is no cost to you, and no formal referral is needed.
Shared care is a collaborative treatment model for licensed psychotherapists whose clients may benefit from ketamine-assisted therapy. Your client continues psychotherapy with you, including preparation and integration. Dr. Shortt provides the medical component of treatment: assessment, prescribing, and monitoring of sublingual ketamine for at-home use.
Available to adults residing in New Mexico and California. When possible, the first medical visit takes place in person in Santa Fe, so care can continue by telehealth if federal rules change after December 31, 2026.
Who to Refer
Who may be a good fit
Adults with depression, anxiety, or trauma-related symptoms who are doing the work in therapy but have plateaued, including those who have not found enough relief from medication.
Usually not a fit for at-home care
- Active psychosis or a psychotic disorder
- Bipolar I with current or recent mania
- Uncontrolled high blood pressure or unstable heart disease
- Pregnancy
- Active substance use disorder, especially any history of ketamine misuse
- No trusted adult available in the home during sessions
Dr. Shortt makes the final decision after the medical intake.
Roles and responsibilities
- Referring therapistRemains the client's primary psychotherapist and leads preparation and integration.
- Dr. ShorttCompletes the medical intake and eligibility screening, prescribes sublingual ketamine, and conducts monthly medical follow-up visits.
- CoordinationWith the client's written authorization, Dr. Shortt and the referring therapist communicate throughout treatment.
Referral process
- The client schedules a complimentary 15-minute consultation, or the referring therapist contacts Dr. Shortt directly at 415-638-9508. Please leave only your name and number.
- Dr. Shortt completes a medical intake and eligibility screening.
- With your client's written authorization, you receive a short note when your client books, after the medical intake, and after each monthly medical visit. If anything changes clinically, Dr. Shortt contacts you the same day.
Free calls are usually available within two business days, and the medical intake within a week.
If ketamine is not clinically appropriate, Dr. Shortt will inform the client and the referring therapist and recommend alternatives.
Fees
$250 per month
Medical management, including the initial medical intake. Three-month minimum.
Psychotherapy is billed separately by the referring therapist. Private pay; superbills are available on request.
Why Work with Dr. Shortt
- The same doctor at every visit, and you can reach him directly.
- In person in Santa Fe, or by telehealth in New Mexico and California.
- Music-Centered Psychedelic Integration (MCPI), co-developed with Matt Baldwin, LMFT, for clients who work with music in preparation and integration.
- No membership or referral fee for you.
Questions from Therapists
Does my client stay with me?
Yes. Medical care is with Dr. Shortt; psychotherapy stays with you.
Who is responsible for medical safety during at-home sessions?
Dr. Shortt manages the medical side: screening, dosing instructions, and monthly medical follow-up. A trusted adult must be in the home for every at-home session. In an emergency, call 911.
Can a naturopathic doctor prescribe ketamine?
Yes, where state law allows. Dr. Shortt prescribes within the scope of his license in each state where care is offered.
What if my client does not have a therapist?
Dr. Shortt also offers ketamine-assisted therapy with his own preparation and integration sessions, or can suggest a ketamine-trained therapist.
What if my client destabilizes between visits?
Contact Dr. Shortt directly. He will pause or adjust the medication plan and coordinate with you. In an emergency, call 911; for a mental health crisis, call or text 988.
Will you change my client's other psychiatric medications?
Dr. Shortt reviews all current medications for interactions. Any change to other psychiatric medications is coordinated with the client's existing prescriber.
Do I need ketamine training to refer?
No. KAP training helps, and Dr. Shortt can suggest training options.
Additional services
- Ketamine-assisted therapy with Dr. Shortt, for clients without a therapist or seeking a dedicated provider.
- Men's health: integrated evaluation of hormonal, metabolic, and sleep health.
About Dr. Shortt
Mark Shortt, ND, is a naturopathic doctor licensed in New Mexico, California, Arizona, and Washington, and has practiced clinical ketamine care since 2018. He served as Director of Training and Clinical Development at Field Trip Health, co-founded The Ketamine Providers Network, and holds a Certificate in Psychedelic Therapy and Research from the California Institute of Integral Studies (CIIS). He is co-creator of Music-Centered Psychedelic Integration (MCPI).
Dr. Shortt is available to discuss a prospective referral in general terms before a referral is made. To arrange a call, book a consultation or call 415-638-9508.