Native Americans and Alaska Natives are known to have considerably very high rates of drug abuse and alcohol and drug addiction than other ethnicities, an an issue which must be resolved for these people to survive. While the causes may vary from individual to individual, the majority of of the factors for the higher rates of substance abuse amongst Native American and Alaska Natives have to do with their culture. First of all, Native American and Alaska Native youth appear to have some of the highest rates of alcohol and drug abuse in the nation. The most obvious obstacles to helping Native Americans and Alaska Natives for substance abuse are cultural ones and language. Due to this it is crucial that Native Americans and Alaska Natives in Cold Bay receive substance abuse treatment in an alcohol and drug rehab center that is culturally acceptable, and most importantly in a drug rehab program that takes into the account the need to provide drug rehabilitation in their native tongue.