Because the Native American and Alaska Native people struggle with very high rates of alcohol and drug misuse, it is critical that alcohol and drug treatment programs be made available to those in Ekalaka which are culturally acceptable and provide treatment in their native tongue if required. Due to the fact Native Americans and Alaska Natives may use drugs due to cultural difficulties, it is evident that these issues may be a challenge in treatment. If the rehab provider recognize these problems, rehab will progress more smoothly and there will be a significantly better chance at full recovery. For instance, rehab which is offered in the language of Native Americans and Alaska Natives will ultimately provide much better final results for these people in Ekalaka, because this will ensure that each phase of the process is understood by both client and rehabilitation specialists.