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There are programs offered in or near Dagsboro which service both methadone and buprenorphine clients only, drugs which are used in what is called opioid maintenance therapy. Methadone is a full opioid agonist the same as heroin, and buprenorphine is a partial agonist, meaning the same nerve cell receptors which cause an individual to feel high from heroin or prescription pain killers are activated by these two drugs so that an opioid addicted client will instead no longer engage in addict behavior and won't experience withdrawal symptoms. There are dangers with side effects, drug interactions, and even addiction and overdose with both methadone and buprenorphine, which is why they are heavily controlled and can only be administered in a clinical setting.
Methadone and buprenorphine clients are on these medications daily so they don't experience cravings, withdrawal, etc. but ideally at a dosage which isn't at the same time causing them to feel high. Euphoria can be experienced at a high dosage, more so with methadone than buprenorphine. At programs which treat methadone and buprenorphine clients only, actual rehabilitation activities and therapies are generally limited beyond managing the medication and the main treatment objective is to treat the withdrawal symptoms and put an end to the illicit drug use. Some clinics do deliver a small amount of counseling and group therapy as secondary services, and this is encouraged.
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