Native Americans and Alaska Natives are known to have considerably increased rates of drug abuse and addiction than other races, an a circumstance which has to be resolved for these cultures to survive. Although the things which trigger substance abuse may vary from individual to individual, the majority of of the factors 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 U.S.. The most apparent obstacles to helping Native Americans and Alaska Natives for drug addiction are cultural ones and language. Due to this it is vital that Native Americans and Alaska Natives in Billings, MT. obtain treatment services in a drug treatment center that is culturally acceptable, and more importantly in a drug rehab program that understand the need to offer drug and alcohol treatment in their native tongue.