Native Americans and Alaska Natives have considerably increased rates of drug abuse and alcohol and drug addiction than other races, an a situation which must be aknowledged for these cultures to endure. While the things which trigger substance abuse may differ from person to person, many of the causes for the high rates of abuse amongst Native American and Alaska Natives have to do with their culture. First of all, Native American and Alaska Native adolescents appear to have some of the highest rates of alcohol and drug abuse in the country. The most evident obstacles to helping Native Americans and Alaska Natives for addiction are cultural differences and language. For this reason it is crucial that Native Americans and Alaska Natives in Vivian, SD. obtain rehab treatment in a drug and alcohol rehabilitation facility that is culturally acceptable, but most importantly in one that takes into the account the need to supply alcohol and drug rehabilitation in their native tongue.