Native Americans and Alaska Natives are known to have significantly very high rates of abuse and drug addiction than other ethnicities, an an issue which has to be resolved for these cultures to survive. Although the reasons may differ from individual to individual, many of the causes for the higher rates of substance abuse amongst Native American and Alaska Natives have to do with their culture. In fact, Native American and Alaska Native youth appear to have some of the highest rates of alcohol and drug abuse in the country. The most apparent barriers to helping Native Americans and Alaska Natives for drug addiction are cultural challenges and their language. For this reason it is vital that Native Americans and Alaska Natives in Cove, AR. receive substance abuse treatment in a drug and alcohol rehabilitation facility that is culturally acceptable, but more importantly in a drug rehab program that takes into the account the need to supply drug treatment in their native tongue.