The instances of fatalities due to alcohol or drug related circumstances are much higher among Native Americans and Alaska Natives than most any other category of drug user, as a result of high rates of abuse within these races of people . Native Americans and Alaska Natives have a tendency to start using alcohol and drugs at significantly earlier ages than most other ethnicities, which is a big part of the problem. Because there are countless racial and cultural boundaries and challenges which may arise when treating Native Americans and Alaska Natives, it is important that persons from these unique groups of people which require drug rehab acquire substance abuse treatment at a drug and alcohol rehabilitation center in Kadoka which can at the same time address their cultural requirements and more importantly offer treatment in their native tongue. This will guarantee that there is a total understanding between the people in rehab and treatment professionals as to their progress and challenges.