Native Americans and Alaska Natives are known to have much very high rates of substance abuse and alcohol and drug addiction than other ethnicities, an a circumstance which has to be aknowledged for these cultures to survive. While the things which trigger substance abuse may differ from person to individual, the majority of of the causes for the high rates of drug abuse among Native American and Alaska Natives have to do with their culture. In fact, Native American and Alaska Native youth appear to have some of the highest rates of alcohol and drug abuse in the nation. The most evident obstacles to helping Native Americans and Alaska Natives for drug addiction are cultural challenges and language. This is why it is vital that Native Americans and Alaska Natives in Almena obtain treatment services in a drug rehabilitation program that is culturally acceptable, and more importantly in one that considers the need to offer drug and alcohol rehabilitation in their language.