Native Americans and Alaska Natives have significantly very high rates of drug abuse and alcohol and drug addiction than other races, an a circumstance which has to be addressed for these cultures to endure. Although the things which trigger substance abuse may vary from individual to individual, many of the factors 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 have some of the highest rates of alcohol and drug abuse in the country. The most obvious obstacles to treating Native Americans and Alaska Natives for substance abuse are cultural challenges and language. Due to this it is vital that Native Americans and Alaska Natives in Ismay obtain substance abuse treatment in a drug rehabilitation program that is understanding of their culture, and more importantly in one that takes into the account the need to supply drug and alcohol rehab in their language.