Native Americans and Alaska Natives are known to have considerably very high rates of abuse and addiction than other ethnicities, an an issue which should be addressed for these cultures to endure. While the things which trigger substance abuse may vary from individual to person, the majority of of the causes for the high rates of alcohol and drug abuse amongst 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 drug and alcohol abuse in the country. The most obvious barriers to helping Native Americans and Alaska Natives for substance abuse are cultural challenges and their language. This is why it is crucial that Native Americans and Alaska Natives in Pilot Station obtain rehab treatment 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 treatment in their native tongue.