Because the Native American and Alaska Native people struggle with incredibly high rates of drug and alcohol abuse, it is crucial that alcohol and drug rehabilitation programs be made available to those in Salem, Oregon which are culturally acceptable and offer rehabilitation in their native tongue if required. Because Native Americans and Alaska Natives do sometimes use drugs because of cultural problems, it is clear that such problems may present a challenge in rehab. If the rehab center recognize these challenges, treatment will progress smoother and there will be a significantly better chance at full rehabilitation. For example, treatment which is supplied in the language of Native Americans and Alaska Natives is going to produce much better final results for these cultures in Salem, Oregon, because this will ensure that each phase of the process is comprehended by both client and rehabilitation professionals.