Native Americans and Alaska Natives have considerably higher rates of abuse and drug addiction than other races, an a circumstance which has to be aknowledged for these people to endure. While the things which trigger substance abuse may vary from individual to person, most of the factors for the high rates of abuse amongst Native American and Alaska Natives have to do with 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 apparent barriers to helping Native Americans and Alaska Natives for drug addiction are cultural challenges and language. Due to this it is vital that Native Americans and Alaska Natives in Pavillion obtain treatment services in an alcohol and drug treatment center that is culturally acceptable, but most importantly in a drug rehab program that considers the need to provide alcohol and drug rehab in their language.