Native Americans and Alaska Natives are known to have significantly higher rates of drug abuse and drug addiction than other races, an an issue which has to be aknowledged for these people to survive. While the causes may differ from person to person, most of the reasons for the high rates of alcohol and drug abuse among Native American and Alaska Natives are cultural ones. First of all, Native American and Alaska Native youth appear to have some of the highest rates of drug and alcohol abuse in the U.S.. The most apparent obstacles to helping Native Americans and Alaska Natives for substance abuse are cultural challenges and language. Due to this it is vital that Native Americans and Alaska Natives in Turlock, California obtain substance abuse treatment in an alcohol and drug rehabilitation facility that is understanding of their culture, but more importantly in one that understand the need to provide drug and alcohol rehab in their native tongue.