Native Americans and Alaska Natives are known to have considerably increased rates of alcohol and drug abuse and drug addiction than other races, an a circumstance which has to be addressed for these cultures to survive. Although the reasons may differ from person to person, the majority of of the factors for the higher rates of abuse amongst Native American and Alaska Natives related to their culture. In fact, Native American and Alaska Native adolescents have some of the highest rates of alcohol and drug abuse in the U.S.. The most obvious hurdles to treating Native Americans and Alaska Natives for substance abuse are cultural challenges and their language. Due to this it is vital that Native Americans and Alaska Natives in Buffalo, SD. obtain substance abuse treatment in an alcohol and drug rehab program that is culturally acceptable, and most importantly in a drug rehab that takes into the account the need to provide drug treatment in their native tongue.