Native Americans and Alaska Natives are known to have considerably very high rates of drug abuse and alcohol and drug addiction than other ethnicities, an an issue which must be addressed for these people to endure. While the reasons may vary from individual to person, many of the factors for the higher rates of substance abuse among Native American and Alaska Natives have to do with their culture. First of all, Native American and Alaska Native adolescents appear to have some of the highest rates of alcohol and drug abuse in the U.S.. The most obvious obstacles to helping Native Americans and Alaska Natives for substance abuse are cultural challenges and their language. Due to this it is crucial that Native Americans and Alaska Natives in St. Marie, Montana obtain rehab treatment in an alcohol and drug rehab facility that is culturally acceptable, and most importantly in a drug rehab program that takes into the account the need to offer drug and alcohol rehab in their language.