Because the Native American and Alaska Native people typically have incredibly high rates of drug misuse, it is essential that alcohol and drug rehabilitation facilities are offered to those in Middletown which are culturally appropriate and supply rehab in their native tongue as needed. Because Native Americans and Alaska Natives often use drugs or alcohol because of cultural problems, it is evident that these issues may be a problem in rehab. If the rehabilitation facility understands these problems, treatment will go much more smoothly and there will be a much better probability at full recovery. For instance, treatment which is offered in the language of Native Americans and Alaska Natives will ultimately provide much better final results for these people in Middletown, simply because this will ensure that each phase of the process is grasped by both the individual in treatment and treatment professionals.