Native Americans and Alaska Natives are known to have considerably very high rates of alcohol and drug abuse and addiction than other races, an a situation which has to be resolved for these cultures to survive. Although the things which trigger substance abuse may differ from individual to individual, most of the reasons for the significantly higher rates of abuse amongst Native American and Alaska Natives are cultural ones. In fact, Native American and Alaska Native youth have some of the highest rates of alcohol and drug abuse in the country. The most obvious obstacles to treating Native Americans and Alaska Natives for drug addiction are cultural differences and their language. For this reason it is crucial that Native Americans and Alaska Natives in Okreek, SD. obtain rehab treatment in an alcohol and drug rehab facility that is culturally acceptable, and more importantly in a drug rehab program that understand the need to supply alcohol and drug rehabilitation in their native tongue.