Native Americans and Alaska Natives are known to have much higher rates of alcohol and drug abuse and alcohol and drug addiction than other races, an a situation which has to be aknowledged for these cultures to survive. Although the things which trigger substance abuse may vary from person to individual, the majority of of the causes for the high rates of drug abuse among Native American and Alaska Natives related to their culture. First of all, Native American and Alaska Native adolescents have some of the highest rates of drug and alcohol abuse in the nation. The most evident barriers to helping Native Americans and Alaska Natives for drug and alcohol addiction are cultural differences and language. Due to this it is crucial that Native Americans and Alaska Natives in Moccasin, California obtain substance abuse treatment in a drug and alcohol rehab program that is understanding of their culture, and most importantly in one that understand the need to provide alcohol and drug rehabilitation in their language.