Native Americans and Alaska Natives are known to have much very high rates of alcohol and drug abuse and addiction than other ethnicities, an a situation which has to be addressed for these cultures to endure. While the causes 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 nation. The most evident barriers to helping Native Americans and Alaska Natives for drug addiction are cultural challenges and their language. For this reason it is important that Native Americans and Alaska Natives in Oglala, SD. obtain substance abuse treatment in an alcohol and drug treatment center that is culturally acceptable, but more importantly in a drug rehab that considers the need to supply alcohol and drug rehabilitation in their native tongue.