Native Americans and Alaska Natives are known to have considerably very high rates of drug abuse and drug addiction than other races, an a circumstance which should be addressed for these cultures to survive. Although the things which trigger substance abuse may vary from individual to individual, many of the causes for the higher rates of drug abuse among Native American and Alaska Natives are cultural ones. In fact, Native American and Alaska Native youth appear to have some of the highest rates of alcohol and drug abuse in the country. The most apparent barriers to helping Native Americans and Alaska Natives for addiction are cultural ones and their language. Due to this it is vital that Native Americans and Alaska Natives in Tillamook, Oregon obtain treatment services in a drug and alcohol rehabilitation center that is understanding of their culture, but most importantly in one that understand the need to provide alcohol and drug rehabilitation in their native tongue.