Native Americans and Alaska Natives have much higher rates of alcohol and drug abuse and alcohol and drug addiction than other ethnicities, an a situation which has to be aknowledged for these cultures to survive. Although the things which trigger substance abuse may vary from individual to individual, the majority of of the reasons for the higher rates of abuse among Native American and Alaska Natives are cultural ones. 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 apparent obstacles to treating Native Americans and Alaska Natives for substance abuse are cultural differences and their language. Due to this it is important that Native Americans and Alaska Natives in Molt, MT. obtain substance abuse treatment in a drug and alcohol rehab program that is culturally acceptable, and most importantly in a drug rehab that takes into the account the need to offer drug and alcohol rehabilitation in their language.