Native Americans and Alaska Natives are known to have much increased rates of drug abuse and addiction than other races, an an issue which must be aknowledged for these people to endure. While the causes may vary from person to person, many of the reasons for the high rates of alcohol and drug abuse amongst Native American and Alaska Natives related to their culture. In fact, Native American and Alaska Native youth appear to have some of the highest rates of alcohol and drug abuse in the nation. The most evident hurdles to treating Native Americans and Alaska Natives for drug addiction are cultural challenges and their language. For this reason it is crucial that Native Americans and Alaska Natives in Newell, South Dakota obtain substance abuse treatment in a drug treatment program that is understanding of their culture, but most importantly in a drug rehab program that understand the need to offer drug treatment in their language.