Native Americans and Alaska Natives are known to have considerably very high rates of drug abuse and drug addiction than other ethnicities, an a circumstance which should be addressed for these cultures to endure. Although the things which trigger substance abuse may differ from person to person, the majority of of the reasons for the significantly higher rates of 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 evident obstacles to treating Native Americans and Alaska Natives for addiction are cultural differences and language. This is why it is vital that Native Americans and Alaska Natives in Sheridan, Wyoming receive substance abuse treatment in a drug and alcohol rehabilitation program that is culturally acceptable, and most importantly in a drug rehab that understand the need to provide alcohol and drug treatment in their language.