Native Americans and Alaska Natives have significantly higher rates of alcohol and drug abuse and alcohol and drug addiction than other ethnicities, an a circumstance which has to be resolved for these people to survive. Although the causes may differ from individual to individual, many of the factors for the high rates of abuse among Native American and Alaska Natives related to their culture. First of all, Native American and Alaska Native youth have some of the highest rates of drug and alcohol abuse in the country. The most apparent hurdles to helping Native Americans and Alaska Natives for substance abuse are cultural challenges and language. Due to this it is vital that Native Americans and Alaska Natives in Easton, Maine receive rehab treatment in an alcohol and drug rehabilitation center that is culturally acceptable, but most importantly in a drug rehab that understand the need to offer drug rehabilitation in their native tongue.