Native Americans and Alaska Natives have significantly very high rates of alcohol and drug abuse and alcohol and drug addiction than other ethnicities, an an issue which must be resolved for these cultures to survive. Although the reasons may differ from individual to person, most of the factors for the significantly higher rates of substance abuse among Native American and Alaska Natives have to do with their culture. First of all, Native American and Alaska Native youth appear to have some of the highest rates of drug and alcohol abuse in the nation. The most obvious obstacles to treating Native Americans and Alaska Natives for drug addiction are cultural differences and language. This is why it is vital that Native Americans and Alaska Natives in Pinos Altos obtain treatment services in a drug and alcohol rehabilitation center that is culturally acceptable, but more importantly in a drug rehab program that considers the need to offer alcohol and drug treatment in their language.