Native Americans and Alaska Natives have considerably very high rates of abuse and alcohol and drug addiction than other ethnicities, an a situation which should be addressed for these people to survive. While the things which trigger substance abuse may vary from individual to individual, the majority of of the factors for the high rates of alcohol and drug abuse among Native American and Alaska Natives related to their culture. First of all, Native American and Alaska Native adolescents have some of the highest rates of drug and alcohol abuse in the nation. The most apparent obstacles to treating Native Americans and Alaska Natives for addiction are cultural differences and language. For this reason it is vital that Native Americans and Alaska Natives in Des Moines obtain rehab treatment in an alcohol and drug rehab program that is culturally acceptable, but more importantly in a drug rehab that understand the need to supply drug treatment in their language.