Native Americans and Alaska Natives are known to have significantly very high rates of alcohol and drug abuse and drug addiction than other ethnicities, an an issue which has to be addressed for these people to endure. Although the things which trigger substance abuse may vary from person to individual, most of the causes for the higher rates of substance abuse amongst Native American and Alaska Natives have to do with their culture. In fact, Native American and Alaska Native youth have some of the highest rates of drug and alcohol abuse in the country. The most obvious obstacles to helping Native Americans and Alaska Natives for addiction are cultural ones and language. This is why it is vital that Native Americans and Alaska Natives in Sanostee obtain substance abuse treatment in an alcohol and drug rehab facility that is culturally acceptable, but most importantly in one that understand the need to provide alcohol and drug rehabilitation in their native tongue.