Native Americans and Alaska Natives are known to have significantly higher rates of drug abuse and addiction than other races, an a circumstance which should be aknowledged for these people to endure. While the causes may differ from person to individual, many of the factors for the high rates of abuse among Native American and Alaska Natives related to their culture. First of all, Native American and Alaska Native youth have some of the highest rates of drug and alcohol abuse in the nation. The most apparent barriers to helping Native Americans and Alaska Natives for substance abuse are cultural ones and language. For this reason it is vital that Native Americans and Alaska Natives in Okaton, South Dakota receive rehab treatment in a drug and alcohol rehabilitation program that is culturally acceptable, but most importantly in one that understand the need to supply alcohol and drug rehabilitation in their language.