Native Americans and Alaska Natives have significantly very high rates of substance abuse and addiction than other races, an an issue which has to be resolved for these people to endure. Although the causes may vary from individual to individual, many of the causes for the high rates of substance abuse among Native American and Alaska Natives related to their culture. First of all, Native American and Alaska Native adolescents have some of the highest rates of alcohol and drug abuse in the nation. The most apparent barriers to treating Native Americans and Alaska Natives for drug and alcohol addiction are cultural challenges and their language. Due to this it is vital that Native Americans and Alaska Natives in Centreville, Virginia obtain substance abuse treatment in an alcohol and drug treatment program that is understanding of their culture, and most importantly in a drug rehab that understand the need to supply alcohol and drug treatment in their language.