Native Americans and Alaska Natives are known to have considerably higher rates of alcohol and drug abuse and addiction than other races, an a situation which has to be addressed for these people to endure. While the reasons may vary from individual to person, the majority of of the causes for the high rates of drug 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 drug and alcohol abuse in the U.S.. The most evident obstacles to treating Native Americans and Alaska Natives for substance abuse are cultural challenges and their language. This is why it is crucial that Native Americans and Alaska Natives in Kiowa, Oklahoma receive substance abuse treatment in an alcohol and drug rehabilitation facility that is understanding of their culture, and more importantly in a drug rehab program that considers the need to supply drug and alcohol rehab in their language.