Native Americans and Alaska Natives are known to have considerably very high rates of alcohol and drug abuse and drug addiction than other ethnicities, an a situation which has to be addressed for these cultures to survive. While the causes may differ from person to individual, most of the reasons for the significantly higher rates of substance abuse amongst Native American and Alaska Natives related to 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 U.S.. The most evident barriers to treating Native Americans and Alaska Natives for substance abuse are cultural differences and their language. For this reason it is vital that Native Americans and Alaska Natives in Charleston receive treatment services in a drug rehab program that is culturally acceptable, and most importantly in a drug rehab that understand the need to provide drug and alcohol rehabilitation in their language.