The instances of deaths due to alcohol or drug related causes are considerably higher amongst Native Americans and Alaska Natives than all other ethnicity, as a result of significantly higher instances of substance abuse within these races of people . Native Americans and Alaska Natives have a tendency to begin abusing drugs and alcohol at much earlier ages than most other ethnicities, which is a big part of the issue. Because there are many racial and cultural limitations and problems which may arise when rehabbing Native Americans and Alaska Natives, it is essential that people from these cultures which require drug rehab acquire treatment services at a drug rehab program in Gibraltar which can cater to their cultural requirements and more importantly provide treatment in their language. This will ensure that there is a comprehensive understanding between the men and women in treatment and rehabilitation specialists regarding their advancement and obstacles.