Native Americans and Alaska Natives are known to have much increased rates of substance abuse and addiction than other races, an an issue which should be resolved for these cultures to survive. While the causes may vary from individual to person, the majority of of the factors for the higher rates of drug abuse amongst Native American and Alaska Natives related to their culture. In fact, Native American and Alaska Native adolescents appear to have some of the highest rates of alcohol and drug abuse in the country. The most apparent barriers to treating Native Americans and Alaska Natives for drug and alcohol addiction are cultural challenges and language. For this reason it is vital that Native Americans and Alaska Natives in Gainesville, VA. receive substance abuse treatment in a drug and alcohol treatment program that is understanding of their culture, but more importantly in a drug rehab program that takes into the account the need to supply alcohol and drug treatment in their language.