Native Americans and Alaska Natives are known to have considerably increased rates of abuse and alcohol and drug addiction than other ethnicities, an a situation which should be aknowledged for these cultures to endure. Although the reasons may vary from person to individual, many of the causes for the significantly higher rates of abuse among Native American and Alaska Natives are cultural ones. 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 apparent obstacles to helping Native Americans and Alaska Natives for substance abuse are cultural challenges and their language. This is why it is crucial that Native Americans and Alaska Natives in Ruidoso obtain rehab treatment in an alcohol and drug rehabilitation program that is culturally acceptable, but more importantly in a drug rehab that understand the need to supply drug rehabilitation in their language.