Native Americans and Alaska Natives have considerably increased rates of alcohol and drug abuse and drug addiction than other ethnicities, an a circumstance which has to be addressed for these people to endure. Although the causes may vary from individual to person, most of the factors for the high rates of alcohol and drug abuse amongst Native American and Alaska Natives have to do with their culture. First of all, Native American and Alaska Native adolescents appear to have some of the highest rates of drug and alcohol abuse in the nation. The most obvious obstacles to treating Native Americans and Alaska Natives for drug and alcohol addiction are cultural challenges and language. Due to this it is important that Native Americans and Alaska Natives in Bombay, NY. obtain substance abuse treatment in a drug and alcohol treatment facility that is understanding of their culture, and most importantly in a drug rehab that considers the need to provide alcohol and drug rehab in their language.