Native Americans and Alaska Natives are known to have much very high rates of drug abuse and alcohol and drug addiction than other ethnicities, an a situation which must be aknowledged for these cultures to endure. Although the things which trigger substance abuse may differ from individual to individual, the majority of of the causes for the higher rates of drug abuse amongst Native American and Alaska Natives are cultural ones. 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 differences and language. Due to this it is crucial that Native Americans and Alaska Natives in Mildred, Montana receive substance abuse treatment in a drug treatment facility that is culturally acceptable, but more importantly in a drug rehab that considers the need to offer drug and alcohol rehabilitation in their native tongue.