Because the Native American and Alaska Native cultures typically have extremely high rates of drug and alcohol misuse, it is critical that drug and alcohol rehab facilities be made offered to those in Akutan, Alaska which are culturally appropriate and supply treatment in their language if required. Because Native Americans and Alaska Natives do sometimes use drugs and alcohol due to cultural problems, it is evident that these issues may present a challenge in rehabilitation. If the rehab provider recognize these challenges, treatment will go much smoother and there will be a much better chance at total rehab. For instance, rehab which is provided in the language of Native Americans and Alaska Natives will ultimately produce superior results for these people in Akutan, Alaska, because this will ensure that every step of the way is understood by both client and treatment professionals.