Native Americans and Alaska Natives have significantly very high rates of drug abuse and drug addiction than other ethnicities, an a situation which must be aknowledged for these cultures to survive. Although the causes may vary from person to individual, most of the factors for the higher rates of substance abuse among 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 nation. The most obvious hurdles to treating Native Americans and Alaska Natives for drug and alcohol addiction are cultural differences and language. Due to this it is crucial that Native Americans and Alaska Natives in Brusett receive rehab treatment in a drug and alcohol rehabilitation facility that is understanding of their culture, but more importantly in a drug rehab that takes into the account the need to provide drug rehab in their language.