Native Americans and Alaska Natives are known to have considerably increased rates of abuse and addiction than other races, an an issue which must be addressed for these people to endure. Although the things which trigger substance abuse may vary from individual to person, many of the reasons for the higher rates of abuse amongst Native American and Alaska Natives related to their culture. In fact, Native American and Alaska Native adolescents have some of the highest rates of alcohol and drug abuse in the U.S.. The most obvious hurdles to treating Native Americans and Alaska Natives for addiction are cultural differences and language. Due to this it is vital that Native Americans and Alaska Natives in Duchesne receive substance abuse treatment in a drug rehabilitation center that is culturally acceptable, but more importantly in one that understand the need to supply drug and alcohol treatment in their native tongue.