Native Americans and Alaska Natives have considerably very high rates of drug abuse and alcohol and drug addiction than other races, an an issue which must be resolved for these people to survive. Although the reasons may differ from person to individual, the majority of of the causes for the high rates of alcohol and drug abuse among Native American and Alaska Natives have to do with their culture. First of all, Native American and Alaska Native youth have some of the highest rates of alcohol and drug abuse in the country. The most apparent hurdles to helping Native Americans and Alaska Natives for substance abuse are cultural challenges and language. For this reason it is vital that Native Americans and Alaska Natives in Bard receive substance abuse treatment in a drug and alcohol rehabilitation center that is understanding of their culture, but more importantly in a drug rehab program that takes into the account the need to supply drug treatment in their language.