Native Americans and Alaska Natives are known to have significantly higher rates of alcohol and drug abuse and alcohol and drug addiction than other races, an a situation which must be aknowledged for these cultures to survive. Although the reasons may differ from person to individual, many of the reasons for the higher rates of substance abuse amongst Native American and Alaska Natives are cultural ones. In fact, Native American and Alaska Native adolescents appear to have some of the highest rates of alcohol and drug abuse in the country. The most apparent barriers to treating Native Americans and Alaska Natives for drug and alcohol addiction are cultural differences and language. Due to this it is crucial that Native Americans and Alaska Natives in Douglas, AZ. receive treatment services in a drug and alcohol rehab program that is culturally acceptable, and most importantly in a drug rehab program that takes into the account the need to supply drug treatment in their language.