Native Americans and Alaska Natives are known to have considerably very high rates of drug abuse and alcohol and drug addiction than other ethnicities, an a circumstance which has to be aknowledged for these people to survive. Although the causes may vary from individual to individual, most of the factors for the higher rates of drug abuse amongst Native American and Alaska Natives related to their culture. First of all, Native American and Alaska Native adolescents appear to have some of the highest rates of alcohol and drug abuse in the nation. The most obvious obstacles to helping Native Americans and Alaska Natives for drug and alcohol addiction are cultural challenges and their language. Due to this it is important that Native Americans and Alaska Natives in Warren, OR. obtain rehab treatment in a drug and alcohol treatment center that is understanding of their culture, and most importantly in a drug rehab program that considers the need to supply alcohol and drug rehab in their language.