Native Americans and Alaska Natives are known to have much increased rates of alcohol and drug abuse and addiction than other races, an an issue which should be aknowledged for these cultures to survive. While the reasons may vary from individual to individual, most of the reasons for the higher rates of drug abuse amongst 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 country. The most apparent obstacles to treating Native Americans and Alaska Natives for drug and alcohol addiction are cultural challenges and language. This is why it is vital that Native Americans and Alaska Natives in Nikolai, AK. receive rehab treatment in an alcohol and drug treatment program that is culturally acceptable, and more importantly in a drug rehab program that understand the need to offer drug rehabilitation in their native tongue.