Native Americans and Alaska Natives have considerably very high rates of drug abuse and addiction than other ethnicities, an a situation which should be resolved for these cultures to survive. While the things which trigger substance abuse may differ from individual to individual, many of the causes for the significantly higher rates of drug abuse among Native American and Alaska Natives related to 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 apparent hurdles to helping Native Americans and Alaska Natives for drug and alcohol addiction are cultural ones and their language. For this reason it is vital that Native Americans and Alaska Natives in Ironsides, MD. obtain treatment services in an alcohol and drug rehab program that is understanding of their culture, and most importantly in one that takes into the account the need to offer drug rehab in their language.