Native Americans and Alaska Natives are known to have considerably higher rates of drug abuse and alcohol and drug addiction than other ethnicities, an a circumstance which must be addressed for these cultures to endure. Although the things which trigger substance abuse may differ from person to individual, most of the reasons for the higher rates of alcohol and drug abuse amongst Native American and Alaska Natives related to their culture. In fact, 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 hurdles to treating 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 Valentine, NE. receive treatment services in a drug treatment center that is understanding of their culture, and more importantly in one that takes into the account the need to supply drug rehab in their language.