Native Americans and Alaska Natives are known to have much very high rates of alcohol and drug abuse and alcohol and drug addiction than other races, an an issue which has to be addressed for these cultures to survive. While the things which trigger substance abuse may vary from individual to individual, many of the causes for the significantly higher rates of substance abuse among Native American and Alaska Natives related to 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 hurdles to helping Native Americans and Alaska Natives for addiction are cultural challenges and their language. For this reason it is vital that Native Americans and Alaska Natives in Sand Point, Alaska receive substance abuse treatment in a drug and alcohol rehabilitation program that is culturally acceptable, but more importantly in one that considers the need to offer drug treatment in their native tongue.