Because the Native American and Alaska Native cultures struggle with very high rates of alcohol and drug abuse, it is vital that drug and alcohol rehabilitation facilities be made offered to those in Russian Mission which are culturally acceptable and supply rehab in their native tongue if required. Because Native Americans and Alaska Natives may use drugs and alcohol because of cultural difficulties, it is evident that these issues may be a challenge in treatment. If the rehab program recognize these challenges, rehabilitation will progress more smoothly and there will be a much better probability at complete rehab. For example, rehab which is supplied in the language of Native Americans and Alaska Natives will ultimately result in much better outcomes for these cultures in Russian Mission, because this will ensure that each and every step of the way is understood by both client and rehab specialists.