Because the Native American and Alaska Native cultures struggle with extremely high rates of drug misuse, it is crucial that drug and alcohol treatment centers be made offered to those in Bison, South Dakota which are culturally suitable and offer treatment in their language if required. Since Native Americans and Alaska Natives do sometimes use drugs or alcohol because of cultural issues, it is evident that such problems may be a problem in treatment. If the rehab facility understands these challenges, treatment will progress more smoothly and there will be a much better chance at complete rehabilitation. For example, treatment which is offered in the language of Native Americans and Alaska Natives is going to provide superior results for these people in Bison, South Dakota, simply because this will ensure that every step of the way is understood by both client and rehabilitation experts.