Native Americans and Alaska Natives have considerably higher rates of abuse and drug addiction than other ethnicities, an a circumstance which has to be resolved for these people to endure. While the causes may differ from person to individual, most of the reasons for the high rates of alcohol and drug abuse among Native American and Alaska Natives have to do with their culture. First of all, Native American and Alaska Native adolescents have some of the highest rates of alcohol and drug abuse in the U.S.. The most evident hurdles to treating Native Americans and Alaska Natives for addiction are cultural challenges and language. Due to this it is crucial that Native Americans and Alaska Natives in Massena obtain treatment services in a drug and alcohol treatment facility that is culturally acceptable, but more importantly in a drug rehab program that understand the need to offer drug treatment in their language.