Due to the fact that Native American and Alaska Native people struggle with extremely high rates of alcohol and drug misuse, it is vital that drug and alcohol rehab centers are offered to those in Manassa which are culturally acceptable and provide rehab in their language as needed. Due to the fact Native Americans and Alaska Natives do sometimes use drugs because of cultural problems, it is clear that these issues may present a challenge in treatment. If the rehabilitation facility recognize these problems, rehabilitation will go much more smoothly and there will be a significantly better chance at full rehabilitation. For example, rehab which is provided in the native tongue of Native Americans and Alaska Natives will ultimately produce much better outcomes for these people in Manassa, due to the fact this will guarantee that each step of the way is understood by both client and rehabilitation professionals.