Native Americans and Alaska Natives have significantly increased rates of substance abuse and addiction than other ethnicities, an a circumstance which has to be addressed for these people to survive. Although the things which trigger substance abuse may vary from person to person, most of the reasons for the high rates of drug abuse among Native American and Alaska Natives are cultural ones. First of all, Native American and Alaska Native adolescents have some of the highest rates of drug and alcohol abuse in the nation. The most evident obstacles to helping Native Americans and Alaska Natives for substance abuse are cultural challenges and language. Due to this it is crucial that Native Americans and Alaska Natives in Enning, South Dakota obtain treatment services in a drug treatment facility that is understanding of their culture, and most importantly in one that considers the need to supply alcohol and drug treatment in their language.