Native Americans and Alaska Natives have considerably very high rates of drug abuse and alcohol and drug addiction than other ethnicities, an an issue which has to be aknowledged for these people to endure. While the causes may vary from individual to person, the majority of of the factors for the high rates of abuse among Native American and Alaska Natives have to do with their culture. In fact, Native American and Alaska Native youth appear to have some of the highest rates of drug and alcohol abuse in the U.S.. The most obvious obstacles to treating Native Americans and Alaska Natives for drug and alcohol addiction are cultural challenges and their language. Due to this it is crucial that Native Americans and Alaska Natives in Bruce, Wisconsin obtain rehab treatment in a drug rehab center that is understanding of their culture, and more importantly in a drug rehab that understand the need to offer drug and alcohol rehab in their native tongue.