Native Americans and Alaska Natives have significantly increased rates of substance abuse and alcohol and drug addiction than other races, an a situation which has to be addressed for these cultures to survive. Although the causes may vary from person to person, most of the causes for the significantly higher rates of alcohol and drug abuse amongst Native American and Alaska Natives have to do with their culture. First of all, Native American and Alaska Native youth appear to have some of the highest rates of alcohol and drug abuse in the U.S.. The most obvious hurdles to helping Native Americans and Alaska Natives for drug and alcohol addiction are cultural challenges and their language. This is why it is crucial that Native Americans and Alaska Natives in Heuvelton receive rehab treatment in a drug treatment program that is culturally acceptable, but more importantly in a drug rehab program that considers the need to provide drug and alcohol rehab in their language.