Native Americans and Alaska Natives have much higher rates of alcohol and drug abuse and alcohol and drug addiction than other ethnicities, an an issue which should be resolved for these people to endure. While the causes may differ from person to individual, many of the factors for the high rates of abuse amongst Native American and Alaska Natives have to do with their culture. In fact, Native American and Alaska Native adolescents have some of the highest rates of drug and alcohol abuse in the country. The most evident barriers to treating Native Americans and Alaska Natives for substance abuse are cultural differences and their language. For this reason it is important that Native Americans and Alaska Natives in Manassas, VA. receive rehab treatment in a drug and alcohol rehabilitation program that is culturally acceptable, but more importantly in a drug rehab program that considers the need to supply drug and alcohol rehabilitation in their native tongue.