Native Americans and Alaska Natives are known to have much increased rates of alcohol and drug abuse and addiction than other races, an an issue which must be aknowledged for these cultures to survive. Although the causes may vary from individual to person, the majority of of the causes for the significantly higher rates of alcohol and drug abuse amongst Native American and Alaska Natives related to their culture. First of all, Native American and Alaska Native youth have some of the highest rates of drug and alcohol abuse in the nation. The most apparent barriers to treating Native Americans and Alaska Natives for drug and alcohol addiction are cultural differences and language. Due to this it is vital that Native Americans and Alaska Natives in Mitchell, NE. obtain substance abuse treatment in a drug rehab center that is culturally acceptable, but more importantly in a drug rehab that takes into the account the need to offer drug and alcohol rehabilitation in their language.