Native Americans and Alaska Natives are known to have much higher rates of alcohol and drug abuse and drug addiction than other races, an a circumstance which must be resolved for these people to endure. Although the things which trigger substance abuse may vary from individual to individual, many of the reasons 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 adolescents appear to have some of the highest rates of drug and alcohol abuse in the U.S.. The most evident hurdles to helping Native Americans and Alaska Natives for substance abuse are cultural differences and their language. This is why it is crucial that Native Americans and Alaska Natives in Diomede, Alaska obtain substance abuse treatment in a drug and alcohol treatment facility that is culturally acceptable, but most importantly in one that takes into the account the need to provide drug and alcohol rehabilitation in their native tongue.