Native Americans and Alaska Natives are known to have much higher rates of drug abuse and alcohol and drug addiction than other races, an a situation which must be addressed for these people to endure. Although the things which trigger substance abuse may vary from individual to person, most of the causes for the high rates of drug abuse amongst Native American and Alaska Natives are cultural ones. First of all, Native American and Alaska Native adolescents appear to have some of the highest rates of drug and alcohol abuse in the U.S.. The most evident hurdles to helping Native Americans and Alaska Natives for addiction are cultural ones and language. Due to this it is important that Native Americans and Alaska Natives in Bullhead, South Dakota obtain rehab treatment in a drug and alcohol treatment facility that is understanding of their culture, but most importantly in one that considers the need to supply drug and alcohol treatment in their language.