Native Americans and Alaska Natives have much increased rates of abuse and drug addiction than other races, an a circumstance which has to be aknowledged for these cultures to endure. While the reasons may vary from person to person, the majority of of the reasons for the high rates of abuse among Native American and Alaska Natives are cultural ones. First of all, Native American and Alaska Native youth appear to have some of the highest rates of alcohol and drug abuse in the U.S.. The most apparent hurdles to helping Native Americans and Alaska Natives for substance abuse are cultural challenges and language. For this reason it is important that Native Americans and Alaska Natives in Kotlik, Alaska obtain treatment services in a drug and alcohol rehabilitation program that is culturally acceptable, and most importantly in a drug rehab that takes into the account the need to supply drug and alcohol rehab in their native tongue.