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There are substance abuse programs offered in or near St. Donatus which service both methadone and buprenorphine clients only, medications which are dispensed 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 which cause an individual to feel high from morphine or heroin are activated by these two drugs so therefore an opioid addicted client will ideally not 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 methadone and buprenorphine, which is why they are highly controlled and can only be dispensed in a clinical setting.
Buprenorphine and methadone clients are on these medications regularly so they don't experience withdrawal symptoms, etc. but ideally at a dose which isn't at the same time causing them to feel euphoria. Euphoria is possible at at higher dosages, more significantly with methadone than buprenorphine. At programs that treat methadone and buprenorphine clients only, treatment therapies are generally limited beyond managing the medication and the main treatment objective is to treat the physical symptoms of their dependence. Some programs do provide a limited amount of counseling and therapy as secondary services, and it is encouraged.
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