The problem is that even among large socially connected groups who are into psychedelics, the event of someone having a psychotic break is often rare to none.

The problem is that even among large socially connected groups who are into psychedelics, the event of someone having a psychotic break is often rare to none. Whereas in other groups a cascade effect sometimes happens and many people in such groups can experience mental health issues, and trauma. There's that common call to examine "set and setting" but it's often a crap-shoot, due to the chaotic number of variables.