The instances of deaths as a result of drug or alcohol related circumstances are a lot higher among Native Americans and Alaska Natives than all other ethnicity, because of high instances of abuse among these groups of people. Native Americans and Alaska Natives tend to commence abusing drugs at much earlier ages than most ethnicities, which appears to be a large part of the problem. Because there are quite a few cultural issues and other circumstances involved when treating Native Americans and Alaska Natives, it is essential that persons from these cultures which need help receive treatment services at a drug rehabilitation center in Scappoose which can at the same time address their particular needs and more importantly offer rehab in their language. This will ensure that there is a complete understanding between the individuals in treatment and treatment specialists as to their successes and problems.