Native Americans and Alaska Natives are known to have much very high rates of abuse and addiction than other ethnicities, an a circumstance which must be addressed for these people to endure. Although the reasons may vary from individual to person, many of the reasons 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 appear to have some of the highest rates of alcohol and drug abuse in the U.S.. The most evident barriers to treating Native Americans and Alaska Natives for drug addiction are cultural challenges and language. For this reason it is vital that Native Americans and Alaska Natives in Hogansburg obtain treatment services in an alcohol and drug rehabilitation program that is understanding of their culture, and most importantly in one that understand the need to supply alcohol and drug treatment in their language.