Native Americans and Alaska Natives are known to have considerably increased rates of alcohol and drug abuse and drug addiction than other ethnicities, an a circumstance which should be addressed for these people to endure. While the causes may differ from individual to individual, many of the causes for the higher rates of abuse amongst Native American and Alaska Natives have to do with their culture. First of all, Native American and Alaska Native youth appear to have some of the highest rates of alcohol and drug abuse in the country. The most apparent barriers to helping Native Americans and Alaska Natives for drug addiction are cultural ones and language. Due to this it is vital that Native Americans and Alaska Natives in Milburn receive substance abuse treatment in a drug treatment program that is culturally acceptable, and most importantly in one that takes into the account the need to offer drug and alcohol rehab in their language.