Native Americans and Alaska Natives have significantly very high rates of alcohol and drug abuse and alcohol and drug addiction than other races, an an issue which must be addressed for these people to survive. While the reasons may differ from individual to individual, many of the causes for the high rates of abuse among Native American and Alaska Natives related to their culture. In fact, 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 hurdles to treating Native Americans and Alaska Natives for drug addiction are cultural challenges and language. This is why it is crucial that Native Americans and Alaska Natives in Ouzinkie obtain substance abuse treatment in an alcohol and drug rehab program that is understanding of their culture, but more importantly in a drug rehab program that takes into the account the need to supply drug rehabilitation in their native tongue.