Native Americans and Alaska Natives have much higher rates of drug abuse and addiction than other races, an an issue which must be addressed for these people to endure. Although the reasons may vary from person to individual, the majority of of the causes for the high rates of substance abuse amongst Native American and Alaska Natives related to their culture. In fact, Native American and Alaska Native youth appear to have some of the highest rates of drug and alcohol abuse in the country. The most evident obstacles to helping Native Americans and Alaska Natives for drug and alcohol addiction are cultural challenges and language. For this reason it is important that Native Americans and Alaska Natives in Marmarth obtain treatment services in a drug rehab facility that is culturally acceptable, and most importantly in one that understand the need to supply drug rehabilitation in their language.