Native Americans and Alaska Natives have significantly higher rates of alcohol and drug abuse and alcohol and drug addiction than other races, an a circumstance which has to be addressed for these cultures to endure. Although the things which trigger substance abuse may differ from person to person, many of the causes for the higher rates of substance abuse among Native American and Alaska Natives have to do with their culture. In fact, Native American and Alaska Native adolescents have some of the highest rates of alcohol and drug abuse in the country. The most obvious obstacles to treating Native Americans and Alaska Natives for addiction are cultural differences and language. This is why it is vital that Native Americans and Alaska Natives in Columbia Falls, Maine obtain treatment services in a drug rehab center that is culturally acceptable, but more importantly in one that considers the need to provide alcohol and drug rehab in their language.