Native Americans and Alaska Natives have significantly higher rates of abuse and alcohol and drug addiction than other ethnicities, an an issue which must be aknowledged for these cultures to endure. Although the reasons may vary from individual to person, the majority of of the causes for the higher rates of drug abuse amongst Native American and Alaska Natives related to their culture. First of all, Native American and Alaska Native adolescents have some of the highest rates of alcohol and drug abuse in the country. The most apparent barriers to helping Native Americans and Alaska Natives for addiction are cultural ones and language. This is why it is vital that Native Americans and Alaska Natives in Mission, South Dakota obtain treatment services in a drug treatment center that is culturally acceptable, but most importantly in a drug rehab that considers the need to supply alcohol and drug rehabilitation in their native tongue.