Native Americans and Alaska Natives have considerably higher rates of alcohol and drug abuse and addiction than other races, an a circumstance which has to be resolved for these people to survive. While the causes may differ from person to individual, most of the causes for the significantly higher rates of substance abuse amongst Native American and Alaska Natives related to 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 nation. The most evident barriers to treating Native Americans and Alaska Natives for addiction are cultural challenges and language. For this reason it is important that Native Americans and Alaska Natives in Cohagen receive rehab treatment in a drug rehabilitation facility that is understanding of their culture, but most importantly in a drug rehab that considers the need to supply drug and alcohol rehabilitation in their native tongue.