Native Americans and Alaska Natives are known to have much increased rates of alcohol and drug abuse and alcohol and drug addiction than other races, an a circumstance which has to be aknowledged for these cultures to endure. Although the reasons may vary from person to person, many of the factors for the high 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 have some of the highest rates of drug and alcohol abuse in the nation. The most evident barriers to helping Native Americans and Alaska Natives for drug addiction are cultural challenges and language. Due to this it is vital that Native Americans and Alaska Natives in Sutherland receive treatment services in an alcohol and drug rehabilitation facility that is culturally acceptable, and most importantly in a drug rehab that understand the need to provide drug rehabilitation in their language.