Native Americans and Alaska Natives are known to have much increased rates of abuse and alcohol and drug addiction than other ethnicities, an a circumstance which has to be addressed for these cultures to survive. While the things which trigger substance abuse may vary from person to person, most of the reasons for the high rates of alcohol and drug abuse among Native American and Alaska Natives related to their culture. First of all, Native American and Alaska Native youth appear to have some of the highest rates of alcohol and drug abuse in the nation. The most evident obstacles to helping Native Americans and Alaska Natives for drug addiction are cultural ones and their language. For this reason it is important that Native Americans and Alaska Natives in Ophir obtain rehab treatment in an alcohol and drug rehabilitation program that is culturally acceptable, and most importantly in a drug rehab program that takes into the account the need to supply drug and alcohol rehabilitation in their native tongue.