Native Americans and Alaska Natives are known to have considerably higher rates of alcohol and drug abuse and alcohol and drug addiction than other races, an a circumstance which has to be addressed for these cultures to survive. Although the causes may vary from individual to individual, most of the factors for the significantly higher rates of alcohol and drug abuse amongst Native American and Alaska Natives are cultural ones. In fact, Native American and Alaska Native adolescents have some of the highest rates of drug and alcohol abuse in the U.S.. The most obvious barriers to helping Native Americans and Alaska Natives for drug and alcohol addiction are cultural ones and their language. This is why it is vital that Native Americans and Alaska Natives in Tanana, Alaska receive substance abuse treatment in a drug and alcohol rehabilitation facility that is understanding of their culture, but more importantly in a drug rehab that understand the need to offer drug and alcohol treatment in their native tongue.