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American Indians and Alaska Natives are historically more likely than individuals of other racial and ethnic groups to be in need to treatment for substance abuse and addiction. On the Contrary, American Indians and Alaska Natives are more likely to seek treatment on their own will more than other racial/ethnic groups. Almost 50% of American Indian and Alaska Native substance abuse treatment admissions show up to treatment as criminal justice clients, meaning they have most likely accepted a court ordered diversion program to receive rehab in lieu of jail time. So therefore, there is definitely a need for a variety of service types to cover all of the various needs of this client demographic, including substance abuse treatment services in native languages.
One of the challenges that American Indian and Alaska Natives in Custer face is access to comprehensive and effective treatment facilities, particularly those who reside in secluded regions. Facilities providing drug and alcohol rehab services in rural areas often are not set up to provide strategic planning aimed at meeting the needs of this unique group of people including addiction treatment services in their language. American Indian and Alaska Native people can work with stakeholders and elders involved in mental health services for their region or tribe to determine which types of treatment services are an option for them and through which treatment facilities, and which ones will work best for their particular situation. There have been many grants sanctioned in recent years to help pay for these types of rehab services for American and Alaska Native clients, which have very effectively established recovery programs which offer evidence based treatment that also encompasses culturally sensitive treatment services including those in their language which are performed by bi-lingual treatment staff, medical staff, etc.
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