There are programs offered in or near Maplewood which service both methadone and buprenorphine clients only, controlled medications which are used in what is called opioid maintenance therapy. Methadone is a full opioid agonist just like 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 stimulated by these two drugs so that an opiate dependent client will ideally not engage in addict behavior and won't have cravings and withdrawal. There are risks of drug interactions, side effects, and even overdose with both buprenorphine and methadone, which is why they are heavily regulated and can only be administered in a clinical setting.
Methadone and buprenorphine clients are on these medications regularly so they don't experience cravings, withdrawal, etc. but hopefully at a dosage which isn't also making them feel euphoria. Euphoria can be experienced at at higher dosages, more so with methadone than buprenorphine. At programs which treat methadone and buprenorphine clients only, actual rehabilitation activities and therapies are limited beyond managing the medication and the primary treatment goal is to handle the physical symptoms of their dependence. Some clinics do offer a small amount of counseling and group therapy as supplementary services, and this is recommended and encouraged.
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