Native Americans and Alaska Natives have considerably very high rates of alcohol and drug abuse and alcohol and drug addiction than other ethnicities, an a situation which has to be resolved for these people to survive. While the things which trigger substance abuse may vary from individual to person, the majority of of the causes for the 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 U.S.. The most evident barriers to treating Native Americans and Alaska Natives for substance abuse are cultural challenges and their language. Due to this it is vital that Native Americans and Alaska Natives in Bowman, ND. obtain treatment services in an alcohol and drug rehab facility that is culturally acceptable, but more importantly in a drug rehab that understand the need to provide alcohol and drug rehabilitation in their language.