Native Americans and Alaska Natives are known to have much higher rates of abuse and alcohol and drug addiction than other races, an a circumstance which must be addressed for these people to survive. While the reasons may vary from person to individual, most of the causes for the significantly higher rates of substance abuse amongst Native American and Alaska Natives have to do with their culture. First of all, Native American and Alaska Native adolescents have some of the highest rates of drug and alcohol abuse in the country. The most apparent barriers to helping Native Americans and Alaska Natives for drug addiction are cultural ones and language. This is why it is vital that Native Americans and Alaska Natives in Presho, South Dakota obtain rehab treatment in an alcohol and drug treatment facility that is culturally acceptable, but most importantly in a drug rehab program that understand the need to supply drug treatment in their language.