Native Americans and Alaska Natives are known to have significantly very high rates of alcohol and drug abuse and addiction than other ethnicities, an a situation which must be addressed for these cultures to endure. While the causes may vary from individual to individual, most of the causes for the high rates of alcohol and drug abuse amongst Native American and Alaska Natives related to their culture. In fact, Native American and Alaska Native adolescents appear to have some of the highest rates of alcohol and drug abuse in the nation. The most obvious obstacles to treating Native Americans and Alaska Natives for substance abuse are cultural differences and language. Due to this it is crucial that Native Americans and Alaska Natives in Calexico, California receive rehab treatment in a drug rehab facility that is culturally acceptable, but more importantly in one that considers the need to provide alcohol and drug treatment in their native tongue.