Native Americans and Alaska Natives have considerably higher rates of abuse and alcohol and drug addiction than other races, an an issue which should be aknowledged for these cultures to endure. While the reasons may differ from person to person, many of the factors for the higher rates of substance abuse among Native American and Alaska Natives have to do with their culture. First of all, Native American and Alaska Native youth appear to have some of the highest rates of drug and alcohol abuse in the country. The most obvious hurdles to treating Native Americans and Alaska Natives for substance abuse are cultural ones and their language. Due to this it is important that Native Americans and Alaska Natives in Welcome, MD. receive treatment services in an alcohol and drug treatment program that is culturally acceptable, but more importantly in a drug rehab program that considers the need to offer drug treatment in their native tongue.