Native Americans and Alaska Natives are known to have considerably very high rates of drug abuse and alcohol and drug addiction than other ethnicities, an a circumstance which must be addressed for these cultures to survive. Although the things which trigger substance abuse may vary from person to person, most of the reasons for the higher rates of abuse among Native American and Alaska Natives have to do with their culture. In fact, Native American and Alaska Native youth appear to have some of the highest rates of drug and alcohol abuse in the nation. The most evident hurdles to treating Native Americans and Alaska Natives for addiction are cultural differences and their language. Due to this it is crucial that Native Americans and Alaska Natives in Herrick, SD. receive rehab treatment in a drug rehab program that is understanding of their culture, and more importantly in one that considers the need to supply alcohol and drug rehab in their native tongue.