Native Americans and Alaska Natives are known to have significantly increased rates of alcohol and drug abuse and alcohol and drug addiction than other races, an a situation which has to be addressed for these cultures to endure. While the things which trigger substance abuse may vary from person to individual, most of the reasons for the significantly higher rates of alcohol and drug abuse among Native American and Alaska Natives are cultural ones. In fact, Native American and Alaska Native youth appear to have some of the highest rates of drug and alcohol abuse in the country. The most obvious hurdles to treating Native Americans and Alaska Natives for addiction are cultural ones and their language. This is why it is important that Native Americans and Alaska Natives in Fort Smith, Montana receive rehab treatment in an alcohol and drug treatment program that is understanding of their culture, but most importantly in a drug rehab that understand the need to offer drug and alcohol treatment in their native tongue.