Native Americans and Alaska Natives have considerably very high rates of drug abuse and addiction than other races, an a situation which must be aknowledged for these cultures to survive. While the causes may differ from individual to person, most of the factors for the high rates of abuse amongst Native American and Alaska Natives are cultural ones. In fact, Native American and Alaska Native youth have some of the highest rates of alcohol and drug abuse in the U.S.. The most obvious barriers to treating Native Americans and Alaska Natives for drug addiction are cultural challenges and their language. This is why it is vital that Native Americans and Alaska Natives in Bear obtain treatment services in a drug and alcohol treatment program that is culturally acceptable, and more importantly in one that takes into the account the need to provide drug rehab in their language.