Native Americans and Alaska Natives have significantly increased rates of abuse and alcohol and drug addiction than other races, an an issue which must be resolved for these people to survive. While the causes may differ from individual to person, many of the factors for the higher rates of alcohol and drug abuse amongst Native American and Alaska Natives are cultural ones. First of all, Native American and Alaska Native adolescents appear to have some of the highest rates of drug and alcohol abuse in the nation. The most obvious barriers to treating Native Americans and Alaska Natives for drug and alcohol addiction are cultural challenges and language. This is why it is vital that Native Americans and Alaska Natives in Manteca, California receive rehab treatment in a drug and alcohol rehabilitation center that is culturally acceptable, but most importantly in a drug rehab program that understand the need to offer drug treatment in their language.