Native Americans and Alaska Natives are known to have much very high rates of alcohol and drug abuse and addiction than other ethnicities, an an issue which has to be addressed for these cultures to endure. Although the causes may differ from individual to individual, the majority of of the reasons for the significantly higher rates of alcohol and drug abuse among Native American and Alaska Natives are cultural ones. In fact, Native American and Alaska Native adolescents have some of the highest rates of drug and alcohol abuse in the country. The most obvious hurdles to treating Native Americans and Alaska Natives for drug addiction are cultural challenges and their language. This is why it is vital that Native Americans and Alaska Natives in Nicholville receive rehab treatment in an alcohol and drug rehabilitation facility that is culturally acceptable, but most importantly in one that takes into the account the need to offer drug treatment in their native tongue.