The instances of fatalities as a result of drug or alcohol related causes are significantly higher among Native Americans and Alaska Natives than most any other category of drug user, due to high rates of substance abuse within these ethnicities. Native Americans and Alaska Natives tend to start using alcohol and drugs at significantly earlier ages than most ethnicities, which appears to be a big part of the issue. Because there are countless racial and cultural limitations and problems which may arise when treating Native Americans and Alaska Natives, it is important that men and women from these cultures which need help obtain help at a drug treatment program in Mott which can at the same time address their cultural needs and much more importantly provide treatment in their native tongue. This will guarantee that there is a total understanding between the persons in rehab and treatment specialists when considering their successes and challenges.