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There are addiction programs offered in or near York New Salem that cater to both methadone and buprenorphine clients only, controlled medications that are administered in what is called opioid maintenance therapy. Methadone is a full opioid agonist the same as 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 therefore an opioid addicted client will instead no longer become involved in drug seeking 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 regulated and can only be prescribed in a clinical setting.
Methadone and buprenorphine clients are on these medications daily so they don't experience cravings, withdrawal, etc. but ideally at a dosage which isn't also causing them to feel high. Euphoria occurs at a high dosage, more significantly with methadone than buprenorphine. At centers that treat methadone and buprenorphine clients only, actual rehabilitation activities and therapies are generally limited beyond managing the medication and the primary treatment objective is to address the withdrawal symptoms and put an end to the illicit drug use. Some clinics do provide a limited amount of counseling and group therapy as auxiliary treatment, and it is recommended and encouraged.
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