Native Americans and Alaska Natives have significantly higher rates of substance abuse and addiction than other races, an a circumstance which has to be addressed for these cultures to survive. While the causes may vary from person to person, most of the factors for the high rates of alcohol and drug abuse among Native American and Alaska Natives have to do with their culture. First of all, Native American and Alaska Native adolescents have some of the highest rates of drug and alcohol abuse in the country. The most obvious hurdles to treating Native Americans and Alaska Natives for addiction are cultural ones and their language. For this reason it is crucial that Native Americans and Alaska Natives in Modesto, CA. obtain treatment services in an alcohol and drug rehab program that is understanding of their culture, and more importantly in a drug rehab program that understand the need to provide drug rehabilitation in their language.