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There are programs offered in or near Bloomington Springs which service both methadone and buprenorphine clients only, medications that are used in what is known as 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 heroin or prescription pain killers are activated by these two drugs so therefore an opiate dependent client will instead not become involved in drug seeking behavior and won't have withdrawal symptoms. There are dangers with side effects, drug interactions, and even overdose with both methadone and buprenorphine, which is why they are heavily regulated and can only be prescribed in a clinical setting.
Methadone and buprenorphine clients take these medications regularly so they don't experience withdrawal symptoms, etc. but ideally at a dose which isn't at the same time making them feel euphoria. Euphoria is possible at a high dosage, more so with methadone than buprenorphine. At centers that treat methadone and buprenorphine clients only, actual rehabilitation activities and therapies are limited beyond managing the medication and the primary treatment goal is to address the withdrawal symptoms and put an end to the illicit drug use. Some clinics do provide a small amount of counseling and group therapy as supplementary treatment, and this is recommended and encouraged.
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