Native Americans and Alaska Natives are known to have significantly very high rates of alcohol and drug abuse and alcohol and drug addiction than other ethnicities, an an issue which has to be aknowledged for these people to endure. While the causes may vary from individual to person, the majority of of the factors for the high rates of drug abuse among Native American and Alaska Natives have to do with their culture. In fact, Native American and Alaska Native youth have some of the highest rates of drug and alcohol abuse in the country. The most evident barriers to helping Native Americans and Alaska Natives for drug and alcohol addiction are cultural challenges and language. Due to this it is important that Native Americans and Alaska Natives in Norfolk, New York receive rehab treatment in a drug rehabilitation center that is culturally acceptable, but most importantly in a drug rehab that considers the need to offer drug and alcohol rehabilitation in their language.