Native Americans and Alaska Natives are known to have considerably very high rates of drug abuse and addiction than other races, an a circumstance which must be resolved for these people to endure. Although the reasons may differ from person to individual, most of the causes for the significantly higher rates of drug abuse amongst Native American and Alaska Natives have to do with their culture. In fact, Native American and Alaska Native adolescents appear to have some of the highest rates of alcohol and drug abuse in the country. The most apparent obstacles to treating Native Americans and Alaska Natives for substance abuse are cultural ones and their language. This is why it is crucial that Native Americans and Alaska Natives in St. Xavier, Montana receive substance abuse treatment in a drug rehab facility that is culturally acceptable, and most importantly in a drug rehab that takes into the account the need to offer drug and alcohol rehabilitation in their native tongue.