The instances of deaths due to drug or alcohol related causes are considerably higher among Native Americans and Alaska Natives than most any other category of drug user, as a result of high rates of drug and alcohol abuse among these ethnicities. Native Americans and Alaska Natives have a tendency to start using drugs at much earlier ages than most other ethnicities, which is a significant part of the problem. Simply because there are countless racial and cultural boundaries and challenges involved when treating Native Americans and Alaska Natives, it is important that persons from these cultures which need help receive substance abuse treatment at a drug and alcohol treatment center in Sentinel Butte, North Dakota which can at the same time address their particular needs and much more importantly offer treatment in their native tongue. This will ensure that there is a total understanding between the persons in treatment and rehabilitation professionals regarding their successes and problems.