Native Americans and Alaska Natives have much higher rates of abuse and addiction than other races, an a circumstance which should be addressed for these cultures to endure. Although the reasons may vary from person to person, many of the factors for the higher rates of substance abuse among Native American and Alaska Natives are cultural ones. First of all, Native American and Alaska Native youth have some of the highest rates of drug and alcohol abuse in the country. The most evident hurdles to treating Native Americans and Alaska Natives for substance abuse are cultural challenges and their language. This is why it is important that Native Americans and Alaska Natives in Lavina obtain substance abuse treatment in a drug and alcohol treatment center that is culturally acceptable, but most importantly in one that understand the need to offer drug rehabilitation in their native tongue.