Native Americans and Alaska Natives have considerably very high rates of substance abuse and drug addiction than other races, an a situation which has to be aknowledged for these cultures to survive. While the reasons may differ from individual to individual, the majority of of the reasons for the high rates of abuse amongst Native American and Alaska Natives related to their culture. In fact, Native American and Alaska Native youth have some of the highest rates of alcohol and drug abuse in the nation. The most evident obstacles to treating Native Americans and Alaska Natives for drug addiction are cultural ones and language. Due to this it is vital that Native Americans and Alaska Natives in Winger, Minnesota receive rehab treatment in a drug rehab center that is understanding of their culture, but most importantly in a drug rehab program that takes into the account the need to offer drug and alcohol rehabilitation in their language.