Native Americans and Alaska Natives are known to have much very high rates of drug abuse and alcohol and drug addiction than other ethnicities, an an issue which must be resolved for these people to endure. While the reasons may vary from person to individual, the majority of of the reasons for the higher rates of substance abuse amongst 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 drug and alcohol abuse in the country. The most apparent obstacles to helping Native Americans and Alaska Natives for addiction are cultural ones and their language. For this reason it is vital that Native Americans and Alaska Natives in Lead, South Dakota obtain rehab treatment in an alcohol and drug treatment facility that is understanding of their culture, and most importantly in a drug rehab that considers the need to supply drug and alcohol treatment in their language.