Native Americans and Alaska Natives are known to have considerably very high rates of alcohol and drug abuse and addiction than other ethnicities, an a circumstance which has to be aknowledged for these cultures to survive. Although the things which trigger substance abuse may differ from individual to individual, most of the reasons for the higher rates of substance abuse amongst Native American and Alaska Natives related to their culture. 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 apparent barriers to treating Native Americans and Alaska Natives for substance abuse are cultural ones and their language. Due to this it is crucial that Native Americans and Alaska Natives in Hamtramck receive rehab treatment in an alcohol and drug rehabilitation program that is understanding of their culture, and most importantly in a drug rehab that takes into the account the need to provide drug treatment in their language.