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There are substance abuse programs offered in or near Sturgis that cater to both methadone and buprenorphine clients only, medications which are used in what is known as opioid maintenance therapy. Methadone is a full opioid agonist the same as heroin, and buprenorphine is a partial agonist, which means the same nerve cell receptors that cause an individual to feel high from morphine or heroin are activated by these two drugs so that an opioid dependent client will instead not become involved in addict behavior and won't have cravings and withdrawal. There are dangers with drug interactions, side effects, and even addiction and overdose with both buprenorphine and methadone, which is why they are heavily controlled and can only be administered in a clinical setting.
Methadone and buprenorphine clients are on these medications consistently so they don't experience withdrawal symptoms, etc. but hopefully at a dose which isn't at the same time making them feel high. Euphoria is possible at a high dosage, more significantly with methadone than buprenorphine. At programs that treat methadone and buprenorphine clients only, actual rehabilitation activities and therapies are generally limited beyond this and the primary treatment objective is to manage 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 treatment, and this is encouraged.
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