Native Americans and Alaska Natives are known to have considerably higher rates of abuse and addiction than other ethnicities, an a situation which must be addressed for these cultures to endure. Although the causes may differ from individual to person, the majority of of the causes for the higher rates of drug abuse among Native American and Alaska Natives are cultural ones. In fact, Native American and Alaska Native youth appear to have some of the highest rates of drug and alcohol abuse in the U.S.. The most evident barriers to helping 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 Avery obtain treatment services in an alcohol and drug treatment program that is culturally acceptable, and more importantly in a drug rehab program that takes into the account the need to provide drug rehabilitation in their native tongue.