Due to the fact that Native American and Alaska Native cultures struggle with incredibly high rates of alcohol and drug misuse, it is essential that drug rehab facilities be made accessible to those in La Madera which are culturally acceptable and offer treatment in their native tongue as needed. Because Native Americans and Alaska Natives often use drugs or alcohol because of cultural problems, it is evident that these issues may be a challenge in rehab. If the rehab program understands these challenges, treatment will go much more smoothly and there will be a significantly better likelihood at full recovery. For example, rehab which is provided in the language of Native Americans and Alaska Natives will ultimately provide much better final results for these cultures in La Madera, due to the fact this will guarantee that each and every step of the way is understood by both client and rehab professionals.