Native Americans and Alaska Natives are known to have considerably higher rates of drug abuse and alcohol and drug addiction than other ethnicities, an an issue which has to be resolved for these people to survive. Although the things which trigger substance abuse may differ from person to person, the majority of of the reasons for the high rates of substance abuse among Native American and Alaska Natives related to their culture. First of all, Native American and Alaska Native adolescents appear to have some of the highest rates of drug and alcohol abuse in the nation. The most evident obstacles to treating Native Americans and Alaska Natives for drug and alcohol addiction are cultural differences and language. For this reason it is vital that Native Americans and Alaska Natives in Ingomar, MT. receive rehab treatment in a drug and alcohol treatment center that is culturally acceptable, but more importantly in one that considers the need to provide alcohol and drug rehab in their native tongue.