Because the Native American and Alaska Native people typically have incredibly high rates of drug and alcohol abuse, it is vital that drug rehab centers be made accessible to those in Pierre, SD. which are culturally appropriate and provide rehabilitation in their native tongue as needed. Because Native Americans and Alaska Natives do sometimes use drugs and alcohol due to cultural issues, it is clear that such problems may be a challenge in treatment. If the treatment facility recognize these problems, treatment will progress more smoothly and there will be a significantly better chance at total rehabilitation. For instance, treatment which is offered in the native tongue of Native Americans and Alaska Natives will ultimately result in much better final results for these cultures in Pierre, SD., simply because this will make certain that each and every step of the way is grasped by both the individual in treatment and rehab experts.