Native Americans and Alaska Natives are known to have considerably very high rates of substance abuse and drug addiction than other races, an a circumstance which must be resolved for these people to endure. While the causes may differ from individual to individual, many of the factors for the significantly higher rates of drug abuse among Native American and Alaska Natives have to do with their culture. First of all, Native American and Alaska Native youth have some of the highest rates of alcohol and drug abuse in the nation. The most evident hurdles to helping Native Americans and Alaska Natives for drug and alcohol addiction are cultural differences and their language. Due to this it is vital that Native Americans and Alaska Natives in Ideal, South Dakota receive substance abuse treatment in a drug treatment facility that is culturally acceptable, and more importantly in one that understand the need to offer drug and alcohol rehab in their native tongue.