Native Americans and Alaska Natives are known to have much increased rates of drug abuse and drug addiction than other ethnicities, an an issue which has to be resolved for these cultures to survive. While the causes may differ from individual to person, many of the factors for the high 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 drug and alcohol abuse in the nation. The most evident barriers to treating Native Americans and Alaska Natives for drug addiction are cultural differences and their language. Due to this it is vital that Native Americans and Alaska Natives in Indian, AK. obtain treatment services in an alcohol and drug rehabilitation facility that is culturally acceptable, and most importantly in a drug rehab that considers the need to offer drug treatment in their language.