Native Americans and Alaska Natives are known to have significantly increased rates of abuse and addiction than other races, an a circumstance which must be addressed for these people to survive. Although the causes may differ from person to person, many of the causes for the higher rates of substance abuse among Native American and Alaska Natives have to do with their culture. In fact, Native American and Alaska Native youth appear to have some of the highest rates of alcohol and drug abuse in the nation. The most obvious obstacles to helping Native Americans and Alaska Natives for addiction are cultural ones and language. For this reason it is crucial that Native Americans and Alaska Natives in Pleasant View obtain substance abuse treatment in a drug rehabilitation program that is understanding of their culture, but more importantly in a drug rehab that takes into the account the need to offer drug rehabilitation in their language.