Native Americans and Alaska Natives have considerably increased rates of substance abuse and addiction than other races, an a situation which has to be resolved for these cultures to survive. Although the causes may vary from individual to person, many of the causes for the higher rates of substance abuse amongst 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 country. The most obvious obstacles to treating Native Americans and Alaska Natives for addiction are cultural ones and language. This is why it is crucial that Native Americans and Alaska Natives in Kwigillingok, Alaska receive substance abuse treatment in an alcohol and drug rehab center that is culturally acceptable, and more importantly in a drug rehab program that takes into the account the need to provide alcohol and drug rehabilitation in their native tongue.