The rates of deaths caused by alcohol or drug related circumstances are significantly higher amongst Native Americans and Alaska Natives than all other ethnicity, because of high rates of substance abuse within these races of people . Native Americans and Alaska Natives have a tendency to start using alcohol and drugs at much earlier ages than most races of people, which appears to be a significant part of the problem. Simply because there are countless cultural issues and other circumstances which may arise when treating Native Americans and Alaska Natives, it is important that persons from these cultures who are seeking help receive treatment services at a drug rehabilitation program in Butte, Nebraska which can at the same time address their cultural requirements and much more importantly provide rehab in their language. This will ensure that there is a complete understanding between the people in rehabilitation and rehabilitation specialists in regards to their successes and challenges.