Native Americans and Alaska Natives have much higher rates of alcohol and drug abuse and drug addiction than other ethnicities, an a situation which has to be aknowledged for these cultures to endure. While the things which trigger substance abuse may vary from individual to individual, the majority of of the causes for the high rates of abuse among 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 drug and alcohol addiction are cultural differences and language. Due to this it is crucial that Native Americans and Alaska Natives in Ellenburg Center, New York obtain substance abuse treatment in a drug and alcohol treatment facility that is understanding of their culture, but most importantly in a drug rehab program that understand the need to offer alcohol and drug treatment in their native tongue.