Native Americans and Alaska Natives have significantly higher rates of alcohol and drug abuse and addiction than other ethnicities, an an issue which should be addressed for these people to endure. Although the causes may vary from individual to individual, most of the factors for the significantly higher rates of abuse amongst Native American and Alaska Natives have to do with their culture. First of all, Native American and Alaska Native adolescents appear to have some of the highest rates of drug and alcohol abuse in the country. The most evident obstacles to treating Native Americans and Alaska Natives for substance abuse are cultural ones and language. For this reason it is crucial that Native Americans and Alaska Natives in Locust Grove, Virginia receive treatment services in a drug and alcohol rehab program that is understanding of their culture, and most importantly in a drug rehab that takes into the account the need to provide alcohol and drug rehab in their native tongue.