Native Americans and Alaska Natives are known to have much very high rates of drug abuse and drug addiction than other ethnicities, an an issue which must be aknowledged for these cultures to survive. While the reasons may differ from individual to person, most of the factors for the significantly higher rates of drug abuse among Native American and Alaska Natives have to do with their culture. First of all, Native American and Alaska Native youth appear to have some of the highest rates of alcohol and drug abuse in the U.S.. The most obvious hurdles to treating Native Americans and Alaska Natives for substance abuse are cultural differences and language. This is why it is important that Native Americans and Alaska Natives in Southgate, Michigan receive treatment services in a drug rehab center that is understanding of their culture, and more importantly in one that understand the need to supply drug and alcohol rehabilitation in their language.