Native Americans and Alaska Natives are known to have considerably increased rates of abuse and alcohol and drug addiction than other ethnicities, an a circumstance which must be addressed for these people to survive. While the causes may vary from person to person, the majority of of the factors for the significantly higher rates of abuse amongst Native American and Alaska Natives are cultural ones. In fact, Native American and Alaska Native youth appear to have some of the highest rates of drug and alcohol abuse in the U.S.. The most evident barriers to treating Native Americans and Alaska Natives for substance abuse are cultural challenges and their language. For this reason it is vital that Native Americans and Alaska Natives in Golva receive treatment services in an alcohol and drug treatment center that is culturally acceptable, but more importantly in a drug rehab program that takes into the account the need to supply alcohol and drug rehab in their native tongue.