Native Americans and Alaska Natives are known to have much increased rates of substance abuse and alcohol and drug addiction than other races, an an issue which must be addressed for these people to survive. While the causes may differ from person to individual, many of the causes for the higher rates of alcohol and drug abuse among Native American and Alaska Natives are cultural ones. In fact, Native American and Alaska Native youth have some of the highest rates of drug and alcohol abuse in the nation. The most apparent hurdles to helping Native Americans and Alaska Natives for drug and alcohol addiction are cultural challenges and their language. Due to this it is important that Native Americans and Alaska Natives in Bonesteel, SD. receive treatment services in a drug rehab program that is culturally acceptable, and more importantly in one that takes into the account the need to provide drug and alcohol rehab in their language.