Native Americans and Alaska Natives have considerably increased rates of alcohol and drug abuse and drug addiction than other ethnicities, an a circumstance which must be aknowledged for these people to survive. Although the things which trigger substance abuse may differ from individual to individual, most of the factors for the significantly higher rates of abuse among Native American and Alaska Natives have to do with their culture. In fact, Native American and Alaska Native adolescents have some of the highest rates of drug and alcohol abuse in the country. The most obvious obstacles to helping Native Americans and Alaska Natives for addiction are cultural ones and their language. This is why it is vital that Native Americans and Alaska Natives in Summerset, South Dakota receive rehab treatment in an alcohol and drug rehab program that is understanding of their culture, but most importantly in one that considers the need to supply drug and alcohol treatment in their language.