Native Americans and Alaska Natives are known to have much increased rates of substance abuse and drug addiction than other ethnicities, an a circumstance which has to be aknowledged for these cultures to endure. Although the reasons may vary from person to individual, many of the reasons for the higher rates of abuse amongst Native American and Alaska Natives are cultural ones. In fact, Native American and Alaska Native adolescents appear to have some of the highest rates of alcohol and drug abuse in the U.S.. The most obvious obstacles to treating Native Americans and Alaska Natives for drug and alcohol addiction are cultural ones and language. This is why it is crucial that Native Americans and Alaska Natives in Forsyth, Montana obtain rehab treatment in a drug treatment center that is culturally acceptable, but most importantly in a drug rehab program that takes into the account the need to offer drug treatment in their native tongue.