Native Americans and Alaska Natives have much increased rates of abuse and alcohol and drug addiction than other ethnicities, an an issue which has to be resolved for these cultures to endure. Although the causes may differ from person to individual, most of the factors for the higher rates of abuse among Native American and Alaska Natives have to do with their culture. In fact, Native American and Alaska Native adolescents appear to have some of the highest rates of drug and alcohol abuse in the U.S.. The most obvious hurdles to helping Native Americans and Alaska Natives for drug and alcohol addiction are cultural ones and language. This is why it is vital that Native Americans and Alaska Natives in Wapanucka, Oklahoma obtain substance abuse treatment in a drug and alcohol rehabilitation facility that is culturally acceptable, and more importantly in one that takes into the account the need to supply drug and alcohol treatment in their native tongue.