Native Americans and Alaska Natives are known to have significantly very high rates of substance abuse and alcohol and drug addiction than other ethnicities, an a situation which has to be aknowledged for these cultures to endure. While the causes may vary from individual to person, most of the reasons for the higher rates of drug abuse among Native American and Alaska Natives have to do with their culture. In fact, Native American and Alaska Native youth have some of the highest rates of drug and alcohol abuse in the U.S.. The most obvious barriers to helping Native Americans and Alaska Natives for drug addiction are cultural challenges and their language. For this reason it is vital that Native Americans and Alaska Natives in Vale, South Dakota obtain treatment services in an alcohol and drug rehab program that is understanding of their culture, and more importantly in a drug rehab program that understand the need to offer drug and alcohol treatment in their native tongue.