Native Americans and Alaska Natives are known to have much increased rates of alcohol and drug abuse and addiction than other ethnicities, an a circumstance which must be resolved for these cultures to endure. While the causes may differ from person to person, most of the factors for the significantly higher rates of abuse amongst Native American and Alaska Natives have to do with their culture. 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 evident obstacles to helping Native Americans and Alaska Natives for drug addiction are cultural challenges and their language. Due to this it is crucial that Native Americans and Alaska Natives in Cable, Wisconsin receive substance abuse treatment in an alcohol and drug rehab center that is understanding of their culture, but more importantly in one that takes into the account the need to provide drug and alcohol rehabilitation in their native tongue.