Native Americans and Alaska Natives are known to have considerably very high rates of alcohol and drug abuse and drug addiction than other ethnicities, an an issue which has to be resolved for these cultures to endure. While the causes may differ from individual to individual, most of the causes for the significantly higher rates of substance abuse among Native American and Alaska Natives are cultural ones. First of all, Native American and Alaska Native youth have some of the highest rates of drug and alcohol abuse in the country. The most apparent barriers to treating 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 Circle receive treatment services in a drug treatment program that is understanding of their culture, but more importantly in a drug rehab program that considers the need to provide drug rehab in their native tongue.