Native Americans and Alaska Natives have significantly increased rates of abuse and drug addiction than other races, an a circumstance which has to be aknowledged for these people to endure. While the reasons may differ from individual to individual, the majority of of the factors for the higher rates of drug abuse among Native American and Alaska Natives related to their culture. First of all, Native American and Alaska Native adolescents appear to have some of the highest rates of alcohol and drug abuse in the U.S.. The most evident hurdles to helping Native Americans and Alaska Natives for drug addiction are cultural ones and their language. For this reason it is crucial that Native Americans and Alaska Natives in Marsland obtain rehab treatment in an alcohol and drug treatment program that is culturally acceptable, and more importantly in one that takes into the account the need to provide drug and alcohol rehabilitation in their language.