Native Americans and Alaska Natives are known to have considerably very high rates of drug abuse and alcohol and drug addiction than other ethnicities, an a circumstance which must be aknowledged for these people to survive. Although the things which trigger substance abuse may differ from person to individual, the majority of of the reasons for the high rates of abuse amongst Native American and Alaska Natives have to do with their culture. First of all, Native American and Alaska Native adolescents appear to have some of the highest rates of alcohol and drug abuse in the nation. The most obvious obstacles to helping Native Americans and Alaska Natives for drug and alcohol addiction are cultural differences and their language. Due to this it is important that Native Americans and Alaska Natives in Ogdensburg, New York receive rehab treatment in an alcohol and drug rehabilitation center that is culturally acceptable, but most importantly in a drug rehab program that considers the need to supply alcohol and drug treatment in their native tongue.