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There are substance abuse programs offered in or near Island Heights which service both methadone and buprenorphine clients only, medications that 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 neural receptors which make a person feel high from heroin or prescription pain killers are stimulated by these two drugs so therefore an opiate dependent client will instead no longer become involved in drug seeking behavior and won't have cravings and withdrawal. There are dangers with drug interactions, side effects, 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.
Buprenorphine and methadone clients are on these medications regularly so they don't experience withdrawal symptoms, etc. but hopefully at a dose which isn't also causing them to feel high. Euphoria can be experienced 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 managing the medication and the primary treatment goal is to address the physical symptoms of their dependence. Some programs do offer a limited amount of counseling and therapy as supplementary services, and this is encouraged.
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