Native Americans and Alaska Natives are known to have much higher rates of drug abuse and addiction than other ethnicities, an an issue which must be addressed for these cultures to survive. Although the reasons may vary from person to individual, many of the causes for the high rates of 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 U.S.. The most obvious barriers to helping Native Americans and Alaska Natives for substance abuse are cultural ones and their language. For this reason it is vital that Native Americans and Alaska Natives in Nenzel receive treatment services in a drug and alcohol rehabilitation facility that is culturally acceptable, and more importantly in one that considers the need to supply drug rehab in their native tongue.