Native Americans and Alaska Natives have considerably higher rates of abuse and alcohol and drug addiction than other ethnicities, an a situation which must be addressed for these people to survive. Although the causes may differ from person to individual, most of the reasons for the higher rates of abuse among Native American and Alaska Natives are cultural ones. First of all, Native American and Alaska Native adolescents appear to have some of the highest rates of drug and alcohol abuse in the U.S.. The most evident obstacles to treating Native Americans and Alaska Natives for drug addiction are cultural differences and language. For this reason it is crucial that Native Americans and Alaska Natives in Stapleton, Nebraska receive treatment services in a drug and alcohol rehab center that is understanding of their culture, and more importantly in a drug rehab program that takes into the account the need to provide drug rehab in their language.