Native Americans and Alaska Natives have much very high rates of substance abuse and addiction than other races, an a circumstance which should be aknowledged for these people to endure. Although the things which trigger substance abuse may vary from person to individual, the majority of of the causes for the high rates of drug abuse among Native American and Alaska Natives related to 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 evident barriers to helping Native Americans and Alaska Natives for addiction are cultural differences and their language. This is why it is vital that Native Americans and Alaska Natives in Miller, SD. receive treatment services in a drug and alcohol rehab facility that is understanding of their culture, but most importantly in a drug rehab that considers the need to supply drug and alcohol treatment in their native tongue.