Native Americans and Alaska Natives are known to have significantly very high rates of substance abuse and addiction than other ethnicities, an a circumstance which has to be aknowledged for these cultures to survive. While the reasons may differ from individual to individual, the majority of of the reasons for the higher rates of alcohol and drug 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 country. The most apparent barriers to treating Native Americans and Alaska Natives for drug and alcohol addiction are cultural ones and their language. This is why it is vital that Native Americans and Alaska Natives in Oxford, PA. obtain rehab treatment in a drug rehabilitation center that is culturally acceptable, but more importantly in a drug rehab program that takes into the account the need to provide alcohol and drug rehabilitation in their language.