Native Americans and Alaska Natives are known to have considerably increased rates of substance abuse and drug addiction than other races, an a circumstance which should be aknowledged for these people to endure. While the things which trigger substance abuse may vary from individual to individual, many of the reasons for the higher rates of substance abuse amongst Native American and Alaska Natives have to do with their culture. First of all, Native American and Alaska Native youth have some of the highest rates of drug and alcohol abuse in the U.S.. The most apparent obstacles to treating Native Americans and Alaska Natives for substance abuse are cultural differences and their language. Due to this it is vital that Native Americans and Alaska Natives in Tesuque, NM. receive treatment services in a drug and alcohol treatment facility that is culturally acceptable, and most importantly in one that considers the need to provide drug treatment in their language.