The rates of fatalities caused by alcohol or drug related causes are a lot higher among Native Americans and Alaska Natives than all other race of people, due to significantly higher rates of drug and alcohol abuse within these groups of people. Native Americans and Alaska Natives have a tendency to begin using drugs and alcohol at much earlier ages than most races of people, which is a big part of the problem. Because there are countless racial and cultural issues and challenges involved when working with Native Americans and Alaska Natives, it is essential that people from these cultures which need help receive substance abuse treatment at a drug and alcohol treatment program in Talihina that can at the same time address their particular treatment needs and more importantly offer rehabilitation in their native tongue. This will ensure that there is a comprehensive understanding between the individuals in rehabilitation and rehab specialists as to their successes and challenges.