Native Americans and Alaska Natives are known to have much increased rates of abuse and drug addiction than other races, an an issue which should be aknowledged for these cultures to endure. Although the causes may differ from individual to person, the majority of of the causes for the higher rates of substance 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 drug and alcohol abuse in the nation. The most evident obstacles to helping Native Americans and Alaska Natives for substance abuse are cultural challenges and language. Due to this it is vital that Native Americans and Alaska Natives in Mcalester, Oklahoma obtain substance abuse treatment in an alcohol and drug treatment program that is culturally acceptable, but most importantly in a drug rehab that takes into the account the need to offer drug and alcohol rehab in their language.