Native Americans and Alaska Natives have much increased rates of substance abuse and addiction than other ethnicities, an an issue which must be addressed for these people to endure. Although the reasons may differ from person to person, most of the factors for the high rates of alcohol and drug abuse amongst Native American and Alaska Natives related to their culture. In fact, Native American and Alaska Native youth have some of the highest rates of drug and alcohol abuse in the U.S.. The most apparent hurdles to helping Native Americans and Alaska Natives for addiction are cultural challenges and language. Due to this it is vital that Native Americans and Alaska Natives in Los Alamos, New Mexico receive treatment services in a drug and alcohol rehabilitation program that is understanding of their culture, and most importantly in a drug rehab program that considers the need to supply alcohol and drug treatment in their language.