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There are programs available in or near Menemsha which service both methadone and buprenorphine clients only, controlled medications that are used in what is called opioid maintenance therapy. Methadone is a full opioid agonist just like heroin, and buprenorphine is a partial agonist, meaning the same nerve cell receptors which cause an individual to feel high from heroin or prescription pain killers are activated by these two drugs so that an opioid addicted client will instead no longer become involved in addict behavior and won't experience cravings and withdrawal. There are dangers with side effects, drug interactions, and even overdose with both methadone and buprenorphine, which is why they are highly controlled and can only be prescribed in a clinical setting.
Methadone and buprenorphine clients take these medications daily so they don't experience cravings, withdrawal, etc. but hopefully at a dosage which isn't at the same time making them feel euphoria. Euphoria is possible at at higher dosages, more so with methadone than buprenorphine. At clinics which treat methadone and buprenorphine clients only, actual rehabilitation activities and therapies are limited beyond this and the main treatment objective is to treat the withdrawal symptoms and put an end to the illicit drug use. Some clinics do deliver a limited amount of counseling and group therapy as supplementary treatment, and it is encouraged.
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