Native Americans and Alaska Natives have significantly higher rates of abuse and addiction than other ethnicities, an a situation which has to be addressed for these cultures to endure. While the things which trigger substance abuse may differ from person to individual, many of the factors for the significantly higher rates of alcohol and drug abuse amongst Native American and Alaska Natives have to do with their culture. First of all, Native American and Alaska Native youth appear to have some of the highest rates of drug and alcohol abuse in the nation. The most evident obstacles to helping Native Americans and Alaska Natives for drug and alcohol addiction are cultural differences and their language. Due to this it is important that Native Americans and Alaska Natives in Nokesville, VA. receive rehab treatment in a drug rehabilitation program that is understanding of their culture, and more importantly in one that understand the need to offer drug and alcohol rehabilitation in their native tongue.