Native Americans and Alaska Natives have much higher rates of substance abuse and drug addiction than other ethnicities, an an issue which has to be aknowledged for these cultures to endure. While the causes may differ from individual to individual, the majority of of the factors for the high rates of abuse amongst Native American and Alaska Natives related to their culture. First of all, Native American and Alaska Native youth appear to 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 addiction are cultural challenges and their language. Due to this it is important that Native Americans and Alaska Natives in St. Charles, SD. obtain treatment services in a drug treatment facility that is culturally acceptable, and more importantly in one that considers the need to supply drug and alcohol treatment in their language.