The instances of fatalities due to drug or alcohol related causes are considerably higher amongst Native Americans and Alaska Natives than just about any other category of drug user, because of significantly higher instances of substance abuse within these groups of people. Native Americans and Alaska Natives have a tendency to begin abusing alcohol and drugs at much earlier ages than most races of people, which appears to be a large part of the issue. Because there are quite a few racial and cultural boundaries and other circumstances which may arise when working with Native Americans and Alaska Natives, it is very crucial that men and women from these unique groups of people which require drug rehab get substance abuse treatment at a drug and alcohol treatment facility in Keystone, South Dakota which can at the same time address their particular treatment needs and more importantly offer rehabilitation in their native tongue. This will guarantee that there is a complete understanding between the men and women in treatment and treatment professionals regarding their advancement and challenges.