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There are programs offered in or near Fletcher which service both methadone and buprenorphine clients only, controlled 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 neural receptors which make a person feel high from morphine or heroin are activated by these two drugs so therefore an opioid dependent client will instead not become involved in drug seeking behavior and won't experience cravings and withdrawal. There are dangers with side effects, drug interactions, and even overdose with both buprenorphine and methadone, which is why they are highly controlled and can only be dispensed in a clinical setting.
Methadone and buprenorphine clients take these medications consistently so they don't experience cravings, withdrawal, etc. but hopefully at a dose which isn't also causing them to feel high. Euphoria occurs at at higher dosages, more significantly with methadone than buprenorphine. At programs which treat methadone and buprenorphine clients only, actual rehabilitation activities and therapies are generally limited beyond managing the medication and the primary treatment goal is to manage the withdrawal symptoms and put an end to the illicit drug use. Some programs do provide a small amount of counseling and group therapy as supplementary treatment, and this is recommended and encouraged.
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