Native Americans and Alaska Natives have much very high rates of alcohol and drug abuse and drug addiction than other ethnicities, an a situation which must be aknowledged for these people to survive. While the things which trigger substance abuse may differ from individual to person, many of the causes for the significantly higher rates of drug abuse among Native American and Alaska Natives related to their culture. In fact, Native American and Alaska Native youth appear to have some of the highest rates of alcohol and drug abuse in the U.S.. The most evident barriers to helping Native Americans and Alaska Natives for drug addiction are cultural differences and their language. Due to this it is vital that Native Americans and Alaska Natives in Ann Arbor, MI. obtain substance abuse treatment in an alcohol and drug rehab center that is understanding of their culture, but more importantly in a drug rehab program that considers the need to provide drug and alcohol treatment in their language.