Native Americans and Alaska Natives have much increased rates of drug abuse and drug addiction than other ethnicities, an an issue which has to be resolved for these cultures to survive. Although the causes may differ from person to individual, many of the factors for the significantly higher rates of drug abuse amongst 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 alcohol and drug abuse in the nation. The most obvious hurdles to helping Native Americans and Alaska Natives for addiction are cultural challenges and their language. For this reason it is important that Native Americans and Alaska Natives in Pagosa Springs receive treatment services in an alcohol and drug treatment center that is culturally acceptable, and most importantly in one that understand the need to provide drug and alcohol rehab in their native tongue.