Because the Native American and Alaska Native cultures struggle with extremely high rates of alcohol and drug misuse, it is crucial that drug and alcohol treatment programs are accessible to those in Sonora, California which are culturally appropriate and offer rehabilitation in their native tongue as needed. Since Native Americans and Alaska Natives do sometimes use drugs and alcohol due to cultural issues, it is evident that these issues may present a challenge in rehabilitation. If the rehabilitation provider recognize these problems, treatment will progress more smoothly and there will be a significantly better likelihood at total rehabilitation. For example, rehab which is provided in the native tongue of Native Americans and Alaska Natives is going to result in much better final results for these people in Sonora, California, simply because this will make certain that every phase of the process is grasped by both client and rehab specialists.