Native Americans and Alaska Natives have much higher rates of alcohol and drug abuse and alcohol and drug addiction than other ethnicities, an a circumstance which must be addressed for these people to endure. Although the things which trigger substance abuse may vary from individual to individual, many of the causes for the high rates of abuse among Native American and Alaska Natives have to do with their culture. In fact, Native American and Alaska Native adolescents appear to have some of the highest rates of alcohol and drug abuse in the country. The most obvious barriers to helping 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 Nanjemoy, MD. obtain substance abuse treatment in a drug rehabilitation program that is culturally acceptable, but more importantly in a drug rehab program that considers the need to supply drug rehab in their language.