Native Americans and Alaska Natives have much increased rates of alcohol and drug abuse and drug addiction than other ethnicities, an an issue which has to be addressed for these cultures to endure. Although the things which trigger substance abuse may vary from individual to individual, the majority of of the causes for the higher rates of abuse amongst Native American and Alaska Natives related to 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 obvious obstacles to treating Native Americans and Alaska Natives for substance abuse are cultural ones and their language. This is why it is vital that Native Americans and Alaska Natives in Duluth, Minnesota receive treatment services in a drug and alcohol rehabilitation center that is understanding of their culture, but more importantly in a drug rehab that takes into the account the need to provide drug and alcohol treatment in their language.