Native Americans and Alaska Natives have considerably increased rates of substance abuse and drug addiction than other ethnicities, an an issue which has to be aknowledged for these people to survive. Although the things which trigger substance abuse may vary from person to individual, most of the factors for the higher rates of substance abuse among Native American and Alaska Natives are cultural ones. In fact, Native American and Alaska Native youth have some of the highest rates of drug and alcohol abuse in the country. The most evident barriers to helping Native Americans and Alaska Natives for addiction are cultural challenges and language. This is why it is crucial that Native Americans and Alaska Natives in Gila, New Mexico obtain treatment services in an alcohol and drug rehab facility that is culturally acceptable, and most importantly in a drug rehab program that takes into the account the need to offer drug rehabilitation in their native tongue.