Native Americans and Alaska Natives are known to have significantly very high rates of drug abuse and drug addiction than other races, an an issue which must be aknowledged for these people to endure. While the things which trigger substance abuse may vary from individual to person, many of the causes for the significantly higher rates of abuse amongst Native American and Alaska Natives are cultural ones. First of all, Native American and Alaska Native adolescents appear to have some of the highest rates of drug and alcohol abuse in the nation. The most apparent obstacles to helping Native Americans and Alaska Natives for addiction are cultural challenges and language. For this reason it is vital that Native Americans and Alaska Natives in Ocate receive rehab treatment in a drug treatment program that is understanding of their culture, and most importantly in a drug rehab program that considers the need to provide drug and alcohol treatment in their native tongue.