Native Americans and Alaska Natives have considerably very high rates of alcohol and drug abuse and drug addiction than other ethnicities, an a circumstance which has to be addressed for these people to survive. Although the reasons may vary from individual to person, most of the reasons for the high rates of substance abuse amongst Native American and Alaska Natives are cultural ones. First of all, Native American and Alaska Native youth have some of the highest rates of drug and alcohol abuse in the nation. The most apparent hurdles to treating Native Americans and Alaska Natives for substance abuse are cultural ones and their language. Due to this it is vital that Native Americans and Alaska Natives in Arminto, WY. receive rehab treatment in a drug and alcohol rehabilitation program that is culturally acceptable, but more importantly in a drug rehab that considers the need to provide drug and alcohol treatment in their native tongue.