Native Americans and Alaska Natives have much very high rates of abuse and addiction than other ethnicities, an an issue which should be addressed for these cultures to endure. While the causes may vary from individual to person, the majority of of the causes for the significantly higher rates of abuse amongst Native American and Alaska Natives are cultural ones. First of all, Native American and Alaska Native youth appear to have some of the highest rates of drug and alcohol abuse in the country. The most apparent obstacles to treating Native Americans and Alaska Natives for drug and alcohol addiction are cultural challenges and language. Due to this it is important that Native Americans and Alaska Natives in Toutle, Washington obtain substance abuse treatment in an alcohol and drug rehabilitation facility that is culturally acceptable, and more importantly in a drug rehab program that takes into the account the need to offer alcohol and drug treatment in their language.