Native Americans and Alaska Natives have considerably very high rates of substance abuse and addiction than other races, an a situation which has to be addressed for these cultures to survive. Although the reasons may differ from individual to individual, many of the causes for the high rates of substance abuse among Native American and Alaska Natives have to do with their culture. First of all, Native American and Alaska Native adolescents appear to have some of the highest rates of alcohol and drug abuse in the nation. The most evident obstacles to treating Native Americans and Alaska Natives for drug addiction are cultural differences and their language. For this reason it is important that Native Americans and Alaska Natives in Meadow, South Dakota receive rehab treatment in a drug and alcohol rehab facility that is understanding of their culture, and more importantly in a drug rehab program that considers the need to provide drug and alcohol treatment in their language.