Due to the fact that Native American and Alaska Native cultures typically have incredibly high rates of alcohol and drug abuse, it is essential that alcohol and drug rehab facilities are accessible to those in Manokotak which are culturally suitable and provide rehabilitation in their language if required. Because Native Americans and Alaska Natives often use drugs because of cultural difficulties, it is evident that such problems may be a challenge in rehab. If the rehab provider recognize these challenges, rehab will progress more smoothly and there will be a much better chance at complete rehab. For example, rehab which is offered in the language of Native Americans and Alaska Natives is going to result in much better outcomes for these cultures in Manokotak, because this will guarantee that each phase of the process is understood by both client and rehab specialists.