Native Americans and Alaska Natives are known to have significantly increased rates of abuse and alcohol and drug addiction than other ethnicities, an a situation which must be addressed for these people to survive. While the things which trigger substance abuse may differ from individual to individual, most of the factors for the higher rates of alcohol and drug abuse amongst Native American and Alaska Natives have to do with their culture. First of all, Native American and Alaska Native adolescents appear to have some of the highest rates of alcohol and drug abuse in the country. The most evident barriers to treating Native Americans and Alaska Natives for addiction are cultural differences and language. This is why it is crucial that Native Americans and Alaska Natives in Carlton obtain substance abuse treatment in a drug rehabilitation facility that is culturally acceptable, but most importantly in a drug rehab that understand the need to supply alcohol and drug rehab in their language.