Native Americans and Alaska Natives are known to have significantly increased rates of substance abuse and drug addiction than other races, an a situation which should be addressed for these people to endure. While the things which trigger substance abuse may vary from individual to individual, most of the factors for the high rates of drug abuse amongst Native American and Alaska Natives are cultural ones. In fact, Native American and Alaska Native adolescents 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 their language. This is why it is vital that Native Americans and Alaska Natives in Paul Smiths, New York receive treatment services in a drug rehab center that is understanding of their culture, but more importantly in a drug rehab that understand the need to provide drug and alcohol treatment in their language.