Native Americans and Alaska Natives have significantly 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 causes may differ from person to person, most of the factors for the high rates of substance abuse among Native American and Alaska Natives are cultural ones. First of all, Native American and Alaska Native youth appear to have some of the highest rates of alcohol and drug abuse in the country. The most apparent obstacles to treating Native Americans and Alaska Natives for drug addiction are cultural ones and language. Due to this it is important that Native Americans and Alaska Natives in Hardin, Montana obtain rehab treatment in an alcohol and drug treatment program that is culturally acceptable, and most importantly in a drug rehab program that takes into the account the need to supply alcohol and drug treatment in their native tongue.