Native Americans and Alaska Natives are known to have considerably increased rates of alcohol and drug abuse and alcohol and drug addiction than other ethnicities, an a circumstance which should be resolved for these people to endure. While the causes may differ from individual to person, the majority of of the causes for the higher rates of substance abuse amongst Native American and Alaska Natives have to do with their culture. In fact, Native American and Alaska Native adolescents have some of the highest rates of drug and alcohol abuse in the U.S.. The most evident barriers to helping Native Americans and Alaska Natives for drug addiction are cultural differences and language. Due to this it is crucial that Native Americans and Alaska Natives in Hathaway Pines receive rehab treatment in an alcohol and drug rehabilitation program that is understanding of their culture, but most importantly in one that understand the need to provide drug rehab in their language.