Native Americans and Alaska Natives have much increased rates of substance abuse and drug addiction than other races, an a circumstance which must be addressed for these cultures to endure. Although the causes may vary from individual to individual, the majority of of the factors for the high rates of abuse among 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 country. The most evident hurdles to helping Native Americans and Alaska Natives for addiction are cultural challenges and language. Due to this it is crucial that Native Americans and Alaska Natives in Fort Thomas, Arizona obtain treatment services in an alcohol and drug rehabilitation center that is culturally acceptable, but more importantly in one that takes into the account the need to offer drug rehab in their native tongue.