Due to the fact that Native American and Alaska Native cultures struggle with incredibly high rates of alcohol and drug misuse, it is critical that drug treatment centers are offered to those in Nisland, South Dakota which are culturally acceptable and supply treatment in their native tongue as needed. Because Native Americans and Alaska Natives do sometimes use drugs because of cultural issues, it is evident that these issues may present a challenge in rehab. If the rehabilitation provider understands these challenges, rehabilitation will go much smoother and there will be a significantly better chance at total rehab. For example, rehab which is provided in the language of Native Americans and Alaska Natives will ultimately result in superior outcomes for these cultures in Nisland, South Dakota, because this will ensure that each step of the way is comprehended by both client and rehab experts.