Native Americans and Alaska Natives have considerably higher rates of substance abuse and addiction than other ethnicities, an a situation which must be aknowledged for these people to survive. Although the things which trigger substance abuse may differ from person to individual, most of the causes for the higher rates of abuse among Native American and Alaska Natives are cultural ones. First of all, Native American and Alaska Native youth appear to have some of the highest rates of drug and alcohol abuse in the country. The most evident hurdles to treating Native Americans and Alaska Natives for addiction are cultural differences and language. This is why it is crucial that Native Americans and Alaska Natives in Rappahannock Academy, Virginia obtain rehab treatment in an alcohol and drug treatment facility that is understanding of their culture, and most importantly in one that considers the need to offer alcohol and drug treatment in their native tongue.