Native Americans and Alaska Natives have considerably very high rates of alcohol and drug abuse and addiction than other races, an a situation which has to be addressed for these people to survive. Although the reasons may differ from individual to person, the majority of of the reasons for the significantly higher rates of abuse amongst Native American and Alaska Natives related to their culture. In fact, Native American and Alaska Native youth appear to have some of the highest rates of drug and alcohol abuse in the nation. The most obvious hurdles to helping Native Americans and Alaska Natives for drug and alcohol addiction are cultural differences and their language. For this reason it is crucial that Native Americans and Alaska Natives in Eagle River, AK. receive substance abuse treatment in a drug rehabilitation program that is understanding of their culture, and more importantly in a drug rehab program that understand the need to offer drug and alcohol rehabilitation in their language.