Native Americans and Alaska Natives have significantly increased rates of drug abuse and drug addiction than other ethnicities, an a circumstance which must be aknowledged for these people to survive. Although the things which trigger substance abuse may vary from person to individual, many of the causes for the higher rates of abuse amongst Native American and Alaska Natives are cultural ones. In fact, Native American and Alaska Native adolescents have some of the highest rates of alcohol and drug abuse in the U.S.. The most apparent obstacles to treating Native Americans and Alaska Natives for substance abuse are cultural challenges and their language. For this reason it is important that Native Americans and Alaska Natives in Highmore, SD. obtain rehab treatment in an alcohol and drug rehab program that is culturally acceptable, but more importantly in one that takes into the account the need to provide alcohol and drug treatment in their language.