Native Americans and Alaska Natives have considerably increased rates of substance abuse and drug addiction than other ethnicities, an a circumstance which must be aknowledged for these people to endure. Although the causes may vary from person to person, many of the causes for the high rates of abuse amongst Native American and Alaska Natives related to their culture. In fact, Native American and Alaska Native adolescents appear to have some of the highest rates of drug and alcohol abuse in the U.S.. The most apparent obstacles to treating Native Americans and Alaska Natives for substance abuse are cultural challenges and their language. Due to this it is important that Native Americans and Alaska Natives in Allakaket, AK. receive substance abuse treatment in a drug and alcohol rehab facility that is understanding of their culture, and most importantly in one that understand the need to supply alcohol and drug rehab in their native tongue.