Because the Native American and Alaska Native cultures struggle with incredibly high rates of drug and alcohol abuse, it is critical that drug and alcohol treatment centers be made accessible to those in Hermosa, South Dakota which are culturally appropriate and provide treatment in their language as needed. Due to the fact Native Americans and Alaska Natives do sometimes use drugs or alcohol due to cultural issues, it is clear that such problems may present a problem in rehabilitation. If the rehabilitation provider understands these problems, rehab will go much more smoothly and there will be a much better probability at complete recovery. For example, rehabilitation which is provided in the native tongue of Native Americans and Alaska Natives will ultimately provide superior outcomes for these cultures in Hermosa, South Dakota, because this will ensure that every phase of the process is understood by both the individual in treatment and rehabilitation specialists.