Native Americans and Alaska Natives have much higher rates of abuse and drug addiction than other ethnicities, an an issue which has to be aknowledged for these people to endure. Although the causes may vary from individual to individual, most of the factors for the significantly higher rates of substance abuse amongst Native American and Alaska Natives have to do with their culture. In fact, Native American and Alaska Native youth appear to have some of the highest rates of alcohol and drug abuse in the country. The most obvious barriers to helping Native Americans and Alaska Natives for drug and alcohol addiction are cultural ones and language. Due to this it is crucial that Native Americans and Alaska Natives in Heber, California obtain treatment services in a drug and alcohol rehab program that is culturally acceptable, and most importantly in a drug rehab that considers the need to supply drug treatment in their native tongue.