Native Americans and Alaska Natives are known to have much increased rates of alcohol and drug abuse and addiction than other ethnicities, an an issue which must be aknowledged for these people to endure. While the causes may differ from person to individual, most of the factors for the high 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 nation. The most obvious hurdles to treating Native Americans and Alaska Natives for drug addiction are cultural challenges and their language. For this reason it is important that Native Americans and Alaska Natives in Cheboygan 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 considers the need to provide drug treatment in their language.