Native Americans and Alaska Natives are known to have significantly higher rates of substance abuse and drug addiction than other races, an a situation which has to be aknowledged for these cultures to survive. While the causes may vary from person to individual, the majority of of the factors for the high rates of abuse amongst Native American and Alaska Natives are cultural ones. In fact, 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 apparent obstacles to treating Native Americans and Alaska Natives for drug addiction are cultural challenges and language. This is why it is crucial that Native Americans and Alaska Natives in Mi Wuk Village, California obtain substance abuse treatment in a drug and alcohol rehabilitation program that is understanding of their culture, but more importantly in one that considers the need to provide drug rehab in their language.