Native Americans and Alaska Natives are known to have much very high rates of drug abuse and drug addiction than other races, an a situation which should be resolved for these people to survive. While the things which trigger substance abuse may differ from individual to individual, many of the reasons for the higher rates of substance 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 country. The most apparent hurdles to helping Native Americans and Alaska Natives for drug addiction are cultural challenges and their language. This is why it is crucial that Native Americans and Alaska Natives in Spearfish, SD. receive rehab treatment in a drug rehab program that is understanding of their culture, but most importantly in a drug rehab program that understand the need to supply drug and alcohol rehab in their language.