Native Americans and Alaska Natives have much higher rates of substance abuse and drug addiction than other ethnicities, an a circumstance which has to be aknowledged for these people to endure. While the things which trigger substance abuse may vary from individual to individual, most of the causes for the high rates of abuse among Native American and Alaska Natives are cultural ones. In fact, Native American and Alaska Native youth appear to have some of the highest rates of alcohol and drug abuse in the nation. The most evident barriers to helping Native Americans and Alaska Natives for addiction are cultural challenges and language. This is why it is important that Native Americans and Alaska Natives in Manderson, Wyoming obtain treatment services in an alcohol and drug rehab facility that is culturally acceptable, but most importantly in one that considers the need to provide drug and alcohol rehab in their language.