Due to the fact that Native American and Alaska Native people struggle with extremely high rates of drug and alcohol misuse, it is crucial that drug and alcohol treatment programs are offered to those in Nikolski, AK. which are culturally suitable and supply treatment in their native tongue if required. Because Native Americans and Alaska Natives may use drugs due to cultural issues, it is evident that these issues may be a problem in rehab. If the rehab center understands these challenges, rehabilitation will progress more smoothly and there will be a much better chance at total rehab. For example, treatment which is supplied in the language of Native Americans and Alaska Natives will ultimately produce superior final results for these cultures in Nikolski, AK., simply because this will ensure that each step of the way is understood by both the individual in treatment and treatment professionals.