Native Americans and Alaska Natives are known to have much higher rates of substance abuse and addiction than other races, an a situation which has to be aknowledged for these people to endure. Although the things which trigger substance abuse may differ from individual to individual, the majority of of the factors for the higher rates of alcohol and drug abuse among Native American and Alaska Natives are cultural ones. First of all, Native American and Alaska Native youth have some of the highest rates of drug and alcohol abuse in the nation. The most apparent hurdles to helping Native Americans and Alaska Natives for drug addiction are cultural differences and language. For this reason it is important that Native Americans and Alaska Natives in Tombstone obtain treatment services in an alcohol and drug rehab center that is understanding of their culture, but most importantly in a drug rehab program that understand the need to provide drug treatment in their native tongue.