Native Americans and Alaska Natives are known to have much increased rates of substance abuse and drug addiction than other ethnicities, an a situation which has to be addressed for these cultures to endure. While the things which trigger substance abuse may vary from person to individual, most of the factors for the higher rates of abuse amongst Native American and Alaska Natives related to 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 addiction are cultural ones and language. Due to this it is vital that Native Americans and Alaska Natives in Madrid obtain treatment services in a drug and alcohol rehabilitation facility that is understanding of their culture, and more importantly in a drug rehab program that takes into the account the need to supply drug and alcohol treatment in their language.