Native Americans and Alaska Natives are known to have significantly increased rates of alcohol and drug abuse and drug addiction than other ethnicities, an a circumstance which has to be resolved for these people to endure. Although the things which trigger substance abuse may differ from person to person, many of the factors for the high rates of drug abuse among Native American and Alaska Natives are cultural ones. First of all, Native American and Alaska Native adolescents have some of the highest rates of drug and alcohol abuse in the nation. The most obvious barriers to helping Native Americans and Alaska Natives for drug and alcohol addiction are cultural challenges and language. This is why it is vital that Native Americans and Alaska Natives in Adak, AK. obtain rehab treatment in a drug treatment center that is understanding of their culture, and most importantly in a drug rehab program that understand the need to supply drug treatment in their native tongue.