Because the Native American and Alaska Native cultures typically have extremely high rates of drug misuse, it is crucial that alcohol and drug rehab programs are accessible to those in St. Paul Island, Alaska which are culturally acceptable and offer treatment in their native tongue as needed. Because Native Americans and Alaska Natives often use drugs due to cultural problems, it is evident that these issues may be a problem in rehab. If the rehab program understands these problems, treatment will progress smoother and there will be a significantly better chance at total rehab. For example, treatment which is supplied in the language of Native Americans and Alaska Natives will ultimately provide superior final results for these cultures in St. Paul Island, Alaska, because this will ensure that each and every step of the way is understood by both the individual in treatment and rehabilitation specialists.