The instances of deaths as a result of alcohol or drug related issues are considerably higher among Native Americans and Alaska Natives than all other category of drug user, due to significantly higher rates of alcohol and drug abuse within these groups of people. Native Americans and Alaska Natives have a tendency to start using alcohol and drugs at much earlier ages than other ethnicities, which appears to be a big part of the problem. Simply because there are many cultural issues and challenges which may arise when working with Native Americans and Alaska Natives, it is very crucial that individuals from these cultures which require drug rehab obtain substance abuse treatment at a drug and alcohol rehab center in Piedmont, SD. that can cater to their cultural treatment needs and more importantly provide rehabilitation in their native tongue. This will help make sure that there is a complete understanding between the persons in treatment and rehabilitation specialists in regards to their advancement and obstacles.