Native Americans and Alaska Natives have considerably higher rates of substance abuse and alcohol and drug addiction than other ethnicities, an a circumstance which has to be addressed for these cultures to endure. While the things which trigger substance abuse may differ from person to person, the majority of of the causes for the significantly higher rates of abuse amongst Native American and Alaska Natives are cultural ones. In fact, Native American and Alaska Native adolescents have some of the highest rates of drug and alcohol abuse in the U.S.. The most obvious barriers to helping Native Americans and Alaska Natives for drug and alcohol addiction are cultural challenges and language. For this reason it is vital that Native Americans and Alaska Natives in Cleveland, New Mexico obtain substance abuse treatment in an alcohol and drug rehabilitation center that is culturally acceptable, and more importantly in a drug rehab program that understand the need to supply alcohol and drug rehab in their language.