Native Americans and Alaska Natives are known to have much higher rates of substance abuse and addiction than other ethnicities, an a situation which has to be addressed for these cultures to endure. While the things which trigger substance abuse may vary from person to individual, most of the reasons for the high rates of abuse among Native American and Alaska Natives related to their culture. In fact, Native American and Alaska Native youth have some of the highest rates of alcohol and drug abuse in the U.S.. The most evident hurdles to helping Native Americans and Alaska Natives for drug addiction are cultural challenges and language. For this reason it is important that Native Americans and Alaska Natives in Kaycee obtain treatment services in an alcohol and drug rehabilitation program that is understanding of their culture, and more importantly in one that considers the need to provide drug rehab in their language.