Native Americans and Alaska Natives have significantly very high rates of abuse and addiction than other ethnicities, an a situation which has to be addressed for these cultures to endure. While the causes may vary from individual to person, many of the reasons for the higher rates of abuse among Native American and Alaska Natives are cultural ones. In fact, Native American and Alaska Native youth have some of the highest rates of alcohol and drug abuse in the country. The most obvious obstacles to treating Native Americans and Alaska Natives for substance abuse are cultural differences and language. Due to this it is vital that Native Americans and Alaska Natives in Akiachak, AK. obtain substance abuse treatment in a drug treatment program that is understanding of their culture, and most importantly in a drug rehab that considers the need to offer drug rehabilitation in their language.