Native Americans and Alaska Natives are known to have much very high rates of alcohol and drug abuse and alcohol and drug addiction than other races, an a circumstance which has to be addressed for these people to survive. While the causes may vary from individual to individual, many of the factors for the significantly higher rates of substance abuse amongst Native American and Alaska Natives are cultural ones. First of all, Native American and Alaska Native youth have some of the highest rates of drug and alcohol abuse in the nation. The most evident hurdles to treating Native Americans and Alaska Natives for substance abuse are cultural differences and their language. Due to this it is vital that Native Americans and Alaska Natives in Grawn, MI. obtain rehab treatment in a drug rehab program that is culturally acceptable, but most importantly in one that takes into the account the need to provide alcohol and drug treatment in their language.