Native Americans and Alaska Natives are known to have considerably very high rates of drug abuse and alcohol and drug addiction than other ethnicities, an a circumstance which should be resolved for these people to endure. While the reasons may differ from person to individual, most of the reasons for the significantly higher rates of alcohol and drug abuse amongst Native American and Alaska Natives related to their culture. In fact, Native American and Alaska Native adolescents appear to have some of the highest rates of drug and alcohol abuse in the nation. The most apparent obstacles to helping Native Americans and Alaska Natives for addiction are cultural differences and their language. For this reason it is crucial that Native Americans and Alaska Natives in Deadwood, South Dakota obtain rehab treatment in a drug and alcohol treatment program that is understanding of their culture, but most importantly in a drug rehab program that considers the need to provide drug and alcohol treatment in their language.