Native Americans and Alaska Natives have much increased rates of substance abuse and alcohol and drug addiction than other ethnicities, an a situation which has to be resolved for these people to survive. While the things which trigger substance abuse may differ from person to person, the majority of of the causes 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 adolescents appear to have some of the highest rates of alcohol and drug abuse in the U.S.. The most evident obstacles to helping Native Americans and Alaska Natives for substance abuse are cultural ones and language. This is why it is important that Native Americans and Alaska Natives in Parks, Arizona obtain treatment services in a drug and alcohol rehab program that is understanding of their culture, but more importantly in a drug rehab program that takes into the account the need to offer alcohol and drug rehabilitation in their language.