Native Americans and Alaska Natives are known to have significantly higher rates of abuse and addiction than other ethnicities, an a circumstance which must be aknowledged for these people to survive. Although the causes may vary from person to individual, the majority of of the causes for the high rates of abuse among Native American and Alaska Natives are cultural ones. In fact, Native American and Alaska Native adolescents appear to have some of the highest rates of alcohol and drug abuse in the nation. The most evident hurdles to treating Native Americans and Alaska Natives for drug and alcohol addiction are cultural ones and language. Due to this it is vital that Native Americans and Alaska Natives in Springerville, Arizona obtain treatment services in an alcohol and drug rehabilitation center that is culturally acceptable, and most importantly in one that understand the need to provide drug and alcohol rehab in their native tongue.