Native Americans and Alaska Natives have considerably increased rates of drug abuse and drug addiction than other races, an a situation which must be aknowledged for these people to endure. While the things which trigger substance abuse may differ from person to person, the majority of of the factors for the significantly higher rates of alcohol and drug abuse amongst Native American and Alaska Natives related to their culture. 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 apparent obstacles to helping Native Americans and Alaska Natives for drug addiction are cultural differences and language. Due to this it is crucial that Native Americans and Alaska Natives in Garryowen obtain rehab treatment in a drug rehab center that is culturally acceptable, but most importantly in one that understand the need to offer drug rehabilitation in their language.