Native Americans and Alaska Natives have significantly higher rates of abuse and addiction than other races, an an issue which must be aknowledged for these cultures to endure. While the causes may differ from individual to person, most of the causes for the significantly higher rates of substance abuse amongst Native American and Alaska Natives are cultural ones. First of all, Native American and Alaska Native adolescents 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 and alcohol addiction are cultural ones and language. For this reason it is vital that Native Americans and Alaska Natives in Big Piney, Wyoming receive rehab treatment in a drug rehabilitation facility that is culturally acceptable, and most importantly in a drug rehab that takes into the account the need to offer drug rehab in their language.