Native Americans and Alaska Natives have considerably very high rates of alcohol and drug abuse and addiction than other races, an a circumstance which must be aknowledged for these cultures to survive. Although the things which trigger substance abuse may vary from individual to individual, many of the factors for the high rates of abuse among Native American and Alaska Natives related to their culture. First of all, Native American and Alaska Native adolescents 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 addiction are cultural ones and language. Due to this it is important that Native Americans and Alaska Natives in Trenton, MI. receive substance abuse treatment in a drug and alcohol treatment program that is culturally acceptable, and more importantly in one that takes into the account the need to offer drug treatment in their native tongue.