Native Americans and Alaska Natives are known to have considerably very high rates of drug abuse and alcohol and drug addiction than other races, an a circumstance which has to be addressed for these cultures to endure. Although the things which trigger substance abuse may vary from individual to individual, many of the factors for the high rates of alcohol and drug abuse among Native American and Alaska Natives are cultural ones. First of all, Native American and Alaska Native youth have some of the highest rates of alcohol and drug abuse in the country. The most obvious barriers to helping Native Americans and Alaska Natives for addiction are cultural challenges and their language. Due to this it is important that Native Americans and Alaska Natives in Roosevelt, Arizona obtain substance abuse treatment in an alcohol and drug rehabilitation program that is culturally acceptable, but most importantly in one that considers the need to supply drug and alcohol treatment in their native tongue.