Native Americans and Alaska Natives have significantly higher rates of drug abuse and alcohol and drug addiction than other ethnicities, an an issue which must be aknowledged for these people to endure. Although the causes may differ from person to person, most of the causes for the higher rates of drug abuse amongst Native American and Alaska Natives have to do with their culture. First of all, Native American and Alaska Native adolescents have some of the highest rates of drug and alcohol abuse in the country. The most obvious obstacles to treating Native Americans and Alaska Natives for drug and alcohol addiction are cultural ones and language. For this reason it is important that Native Americans and Alaska Natives in Dunning, Nebraska obtain treatment services in an alcohol and drug rehabilitation center that is understanding of their culture, but most importantly in a drug rehab program that considers the need to supply drug and alcohol treatment in their language.