Native Americans and Alaska Natives are known to have considerably very high rates of abuse and alcohol and drug addiction than other races, an an issue which has to be resolved for these people to endure. While the reasons may vary from individual to person, the majority of of the causes for the high rates of drug abuse among Native American and Alaska Natives related to their culture. In fact, Native American and Alaska Native youth appear to have some of the highest rates of drug and alcohol abuse in the nation. The most obvious obstacles to treating Native Americans and Alaska Natives for substance abuse are cultural ones and their language. Due to this it is important that Native Americans and Alaska Natives in Akiak, AK. receive treatment services in a drug and alcohol rehabilitation program that is culturally acceptable, but more importantly in one that considers the need to offer drug treatment in their native tongue.