Native Americans and Alaska Natives are known to have significantly increased rates of substance abuse and drug addiction than other ethnicities, an a circumstance which has to be addressed for these people to survive. Although the causes may vary from individual to individual, most of the causes for the higher rates of abuse amongst Native American and Alaska Natives are cultural ones. First of all, Native American and Alaska Native adolescents have some of the highest rates of drug and alcohol abuse in the U.S.. The most evident obstacles to helping Native Americans and Alaska Natives for drug and alcohol addiction are cultural differences and language. For this reason it is vital that Native Americans and Alaska Natives in Esko obtain rehab treatment in a drug and alcohol rehabilitation center that is culturally acceptable, but more importantly in one that understand the need to supply alcohol and drug rehabilitation in their language.