Native Americans and Alaska Natives are known to have considerably very high rates of abuse and drug addiction than other ethnicities, an a circumstance which must be aknowledged for these people to survive. Although the reasons may differ from person to individual, most of the reasons for the significantly higher rates of substance abuse amongst Native American and Alaska Natives related to their culture. In fact, Native American and Alaska Native adolescents appear to have some of the highest rates of drug and alcohol abuse in the U.S.. The most evident obstacles to helping Native Americans and Alaska Natives for substance abuse are cultural ones and their language. Due to this it is crucial that Native Americans and Alaska Natives in Tijeras obtain substance abuse treatment in a drug rehab program that is culturally acceptable, but most importantly in a drug rehab program that takes into the account the need to provide drug and alcohol treatment in their language.