There are substance abuse programs available in or near Omak which service both methadone and buprenorphine clients only, 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 neural receptors that cause an individual to feel high from heroin or prescription pain killers are stimulated by these two drugs so therefore an opiate dependent client will ideally no longer become involved in addict behavior and won't experience cravings and withdrawal. There are dangers with drug interactions, side effects, and even overdose with both buprenorphine and methadone, which is why they are heavily controlled and can only be administered in a clinical setting.
Buprenorphine and methadone clients are on these medications consistently so they don't experience withdrawal symptoms, etc. but ideally at a dosage which isn't also making them feel high. Euphoria is possible at a high dosage, more so with methadone than buprenorphine. At programs that treat methadone and buprenorphine clients only, actual rehabilitation activities and therapies are limited beyond this and the main treatment objective is to address the withdrawal symptoms and put an end to the illicit drug use. Some centers do deliver a small amount of counseling and therapy as auxiliary treatment, and it is recommended and encouraged.