Native Americans and Alaska Natives have much very high rates of abuse and addiction than other ethnicities, an a situation which should be aknowledged for these cultures to survive. While the things which trigger substance abuse may differ from person to individual, many of the causes for the significantly higher rates of abuse amongst Native American and Alaska Natives are cultural ones. First of all, Native American and Alaska Native adolescents have some of the highest rates of alcohol and drug abuse in the nation. The most obvious hurdles to helping Native Americans and Alaska Natives for addiction are cultural ones and their language. Due to this it is crucial that Native Americans and Alaska Natives in Hartford, Arkansas obtain rehab treatment in an alcohol and drug treatment center that is understanding of their culture, and more importantly in a drug rehab program that understand the need to offer drug rehab in their language.