Native Americans and Alaska Natives are known to have significantly higher rates of alcohol and drug abuse and addiction than other races, an a situation which should be aknowledged for these cultures to survive. While the causes may vary from person to individual, many of the reasons for the higher rates of substance abuse among Native American and Alaska Natives are cultural ones. 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 apparent barriers to treating Native Americans and Alaska Natives for addiction are cultural differences and their language. Due to this it is vital that Native Americans and Alaska Natives in Kalskag obtain substance abuse treatment in a drug treatment center that is understanding of their culture, and most importantly in a drug rehab that takes into the account the need to supply drug rehabilitation in their native tongue.