The instances of deaths caused by drug and alcohol related circumstances are a lot higher amongst Native Americans and Alaska Natives than all other race of people, because of high rates of drug and alcohol abuse among these groups of people. Native Americans and Alaska Natives have a tendency to begin abusing drugs and alcohol at much earlier ages than other ethnicities, which is a large part of the issue. Because there are many cultural boundaries and challenges involved when rehabbing Native Americans and Alaska Natives, it is essential that people from these unique groups of people which need help acquire substance abuse treatment at a drug treatment program in Pukwana, South Dakota that can at the same time address their particular needs and more importantly provide rehab in their language. This will help make sure that there is a total understanding between the people in treatment and rehabilitation professionals as to their progress and problems.