Because the Native American and Alaska Native cultures struggle with incredibly high rates of drug abuse, it is vital that drug and alcohol rehab centers be made offered to those in Karluk, AK. which are culturally acceptable and offer rehabilitation in their language as needed. Since Native Americans and Alaska Natives often use drugs because of cultural issues, it is clear that such problems may present a challenge in rehabilitation. If the treatment provider recognize these challenges, rehabilitation will go much more smoothly and there will be a much better chance at total recovery. For instance, treatment which is supplied in the native tongue of Native Americans and Alaska Natives will ultimately provide much better outcomes for these cultures in Karluk, AK., because this will ensure that each phase of the process is understood by both client and treatment specialists.