Native Americans and Alaska Natives are known to have significantly higher rates of substance abuse and alcohol and drug addiction than other races, an a circumstance which should be addressed for these cultures to survive. While the causes may vary from individual to individual, most of the causes for the higher rates of substance abuse amongst Native American and Alaska Natives have to do with their culture. In fact, Native American and Alaska Native youth have some of the highest rates of alcohol and drug abuse in the nation. The most evident obstacles to treating Native Americans and Alaska Natives for addiction are cultural challenges and their language. This is why it is vital that Native Americans and Alaska Natives in Midland obtain substance abuse treatment in a drug and alcohol treatment program that is culturally acceptable, and most importantly in one that considers the need to supply alcohol and drug treatment in their native tongue.