Native Americans and Alaska Natives have considerably increased rates of alcohol and drug abuse and addiction than other ethnicities, an a situation which has to be addressed for these people to survive. While the reasons may vary from person to person, the majority of of the causes for the high rates of drug abuse amongst Native American and Alaska Natives related to their culture. In fact, Native American and Alaska Native youth appear to have some of the highest rates of alcohol and drug abuse in the nation. The most evident obstacles to treating Native Americans and Alaska Natives for substance abuse are cultural challenges and language. For this reason it is vital that Native Americans and Alaska Natives in Circle, AK. receive treatment services in a drug and alcohol rehabilitation facility that is culturally acceptable, and more importantly in one that considers the need to supply drug and alcohol rehabilitation in their language.