Native Americans and Alaska Natives have much very high rates of abuse and addiction than other ethnicities, an a situation which must be aknowledged for these people to survive. Although the causes may differ from person to individual, most of the factors for the significantly higher rates of abuse among Native American and Alaska Natives are cultural ones. First of all, Native American and Alaska Native adolescents have some of the highest rates of alcohol and drug abuse in the country. The most apparent barriers to treating Native Americans and Alaska Natives for addiction are cultural ones and their language. This is why it is crucial that Native Americans and Alaska Natives in Makinen, Minnesota receive substance abuse treatment in a drug rehabilitation center that is understanding of their culture, but more importantly in a drug rehab that understand the need to offer drug and alcohol treatment in their native tongue.