Native Americans and Alaska Natives are known to have significantly higher rates of alcohol and drug abuse and drug addiction than other ethnicities, an an issue which has to be addressed for these people to endure. Although the causes may differ from person to individual, many of the causes for the higher rates of drug abuse amongst 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 U.S.. The most apparent hurdles to treating Native Americans and Alaska Natives for addiction are cultural challenges and their language. This is why it is crucial that Native Americans and Alaska Natives in Vallecitos receive substance abuse treatment in a drug rehabilitation center that is understanding of their culture, but more importantly in one that takes into the account the need to offer drug and alcohol rehabilitation in their language.