Native Americans and Alaska Natives are known to have considerably increased rates of abuse and drug addiction than other ethnicities, an an issue which should be aknowledged for these cultures to survive. Although the causes may differ from individual to individual, most of the causes for the significantly higher rates of alcohol and drug abuse amongst Native American and Alaska Natives are cultural ones. First of all, Native American and Alaska Native adolescents appear to have some of the highest rates of drug and alcohol abuse in the nation. The most obvious hurdles to helping Native Americans and Alaska Natives for drug addiction are cultural challenges and their language. Due to this it is vital that Native Americans and Alaska Natives in Plevna, Montana obtain substance abuse treatment in a drug and alcohol treatment program that is understanding of their culture, but more importantly in a drug rehab that understand the need to offer drug rehab in their native tongue.