Native Americans and Alaska Natives have significantly very high rates of alcohol and drug abuse and alcohol and drug addiction than other ethnicities, an an issue which should be resolved for these people to survive. Although the things which trigger substance abuse may differ from person to person, the majority of of the factors for the high rates of alcohol and drug abuse among Native American and Alaska Natives are cultural ones. First of all, Native American and Alaska Native adolescents appear to have some of the highest rates of drug and alcohol abuse in the nation. The most obvious obstacles to treating Native Americans and Alaska Natives for substance abuse are cultural challenges and their language. For this reason it is crucial that Native Americans and Alaska Natives in Drummond receive substance abuse treatment in a drug and alcohol treatment center that is understanding of their culture, but more importantly in a drug rehab that takes into the account the need to supply alcohol and drug rehab in their language.