Native Americans and Alaska Natives have considerably very high rates of alcohol and drug abuse and drug addiction than other ethnicities, an a circumstance which must be resolved for these cultures to survive. Although the causes may differ from individual to individual, the majority of of the causes for the high rates of drug abuse amongst Native American and Alaska Natives related to their culture. First of all, Native American and Alaska Native youth appear to have some of the highest rates of drug and alcohol abuse in the nation. The most obvious obstacles to helping Native Americans and Alaska Natives for substance abuse are cultural differences and their language. Due to this it is vital that Native Americans and Alaska Natives in Signal Hill receive substance abuse treatment in a 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.