Native Americans and Alaska Natives have much very high rates of substance abuse and drug addiction than other ethnicities, an a circumstance which has to be addressed for these cultures to endure. Although the things which trigger substance abuse may differ from person to person, most of the causes for the high rates of substance abuse among Native American and Alaska Natives related to their culture. First of all, Native American and Alaska Native youth appear to have some of the highest rates of alcohol and drug abuse in the nation. The most obvious barriers to helping Native Americans and Alaska Natives for drug and alcohol addiction are cultural ones and language. Due to this it is crucial that Native Americans and Alaska Natives in Interior, South Dakota receive substance abuse treatment in an alcohol and drug rehab program that is understanding of their culture, but more importantly in one that takes into the account the need to offer drug and alcohol treatment in their native tongue.