Due to the fact that Native American and Alaska Native cultures typically have very high rates of drug abuse, it is crucial that alcohol and drug rehab centers be made offered to those in Gadsden which are culturally suitable and offer rehabilitation in their native tongue if required. Due to the fact Native Americans and Alaska Natives often use drugs and alcohol because of cultural problems, it is evident that these issues may be a challenge in treatment. If the treatment center understands these challenges, rehabilitation will progress more smoothly and there will be a significantly better likelihood at total rehabilitation. For instance, rehabilitation which is provided in the native tongue of Native Americans and Alaska Natives is going to provide much better final results for these cultures in Gadsden, simply because this will ensure that each and every phase of the process is understood by both client and rehab professionals.