Native Americans and Alaska Natives have considerably higher rates of drug abuse and drug addiction than other ethnicities, an an issue which has to be aknowledged for these cultures to endure. While the things which trigger substance abuse may differ from individual to person, many of the factors for the high rates of substance abuse amongst Native American and Alaska Natives related to their culture. First of all, Native American and Alaska Native adolescents have some of the highest rates of alcohol and drug abuse in the nation. The most evident hurdles to helping Native Americans and Alaska Natives for addiction are cultural differences and language. This is why it is vital that Native Americans and Alaska Natives in Oakdale obtain substance abuse treatment in a drug rehab program that is culturally acceptable, and most importantly in a drug rehab program that takes into the account the need to offer alcohol and drug treatment in their native tongue.