Because the Native American and Alaska Native people struggle with incredibly high rates of alcohol and drug abuse, it is vital that alcohol and drug treatment programs are available to those in Nogal which are culturally suitable and supply treatment in their language if required. Since Native Americans and Alaska Natives may use drugs because of cultural issues, it is evident that these issues may present a challenge in treatment. If the treatment facility understands these challenges, treatment will go much smoother and there will be a significantly better probability at total recovery. For example, treatment which is offered in the language of Native Americans and Alaska Natives is going to result in superior final results for these people in Nogal, because this will guarantee that each phase of the process is grasped by both client and rehab professionals.