Native Americans and Alaska Natives have much higher rates of substance abuse and alcohol and drug addiction than other races, an a circumstance which should be aknowledged for these people to endure. While the reasons may vary from person to individual, most of the factors for the significantly higher rates of abuse among Native American and Alaska Natives related to their culture. First of all, Native American and Alaska Native adolescents have some of the highest rates of drug and alcohol abuse in the U.S.. The most evident obstacles to treating Native Americans and Alaska Natives for addiction are cultural challenges and their language. Due to this it is vital that Native Americans and Alaska Natives in Silverton receive treatment services in a drug and alcohol rehab center that is understanding of their culture, but most importantly in a drug rehab program that takes into the account the need to supply drug treatment in their language.