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There are programs available in or near Pep that cater to both methadone and buprenorphine clients only, medications that are administered 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 neural receptors that cause an individual to feel high from morphine or heroin are stimulated by these two drugs so that an opiate addicted client will instead not engage in addict behavior and won't experience cravings and withdrawal. There are risks of side effects, drug interactions, and even overdose with both buprenorphine and methadone, which is why they are highly controlled and can only be prescribed in a clinical setting.
Buprenorphine and methadone clients are on these medications regularly so they don't experience cravings, withdrawal, etc. but hopefully at a dose which isn't at the same time making them feel euphoria. Euphoria occurs at a high dosage, more significantly with methadone than buprenorphine. At clinics that treat methadone and buprenorphine clients only, actual rehabilitation activities and therapies are generally 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 provide a small amount of counseling and therapy as secondary treatment, and it is encouraged.
