Native Americans and Alaska Natives are known to have significantly higher rates of drug abuse and drug addiction than other races, an an issue which must be resolved for these cultures to endure. Although the things which trigger substance abuse may differ from person to individual, many of the factors for the high 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 apparent obstacles to treating Native Americans and Alaska Natives for substance abuse are cultural challenges and their language. This is why it is crucial that Native Americans and Alaska Natives in Sioux Falls, South Dakota obtain treatment services in a drug and alcohol treatment program that is culturally acceptable, but more importantly in a drug rehab that takes into the account the need to provide drug rehab in their language.