Native Americans and Alaska Natives have considerably increased rates of alcohol and drug abuse and alcohol and drug addiction than other ethnicities, an a situation which should be addressed for these people to survive. While the reasons may vary from individual to person, many of the factors for the high rates of drug abuse amongst 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 drug and alcohol abuse in the country. The most apparent hurdles to treating Native Americans and Alaska Natives for substance abuse are cultural differences and their language. Due to this it is vital that Native Americans and Alaska Natives in Angela receive rehab treatment in a drug rehabilitation program that is culturally acceptable, and more importantly in a drug rehab that understand the need to provide drug and alcohol rehab in their native tongue.