Native Americans and Alaska Natives are known to have considerably higher rates of alcohol and drug abuse and addiction than other races, an a circumstance which should be addressed for these people to survive. Although the causes may vary from person to individual, many of the factors 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 youth appear to have some of the highest rates of drug and alcohol abuse in the country. The most obvious barriers to treating Native Americans and Alaska Natives for addiction are cultural ones and language. This is why it is important that Native Americans and Alaska Natives in Twain Harte obtain treatment services in a drug rehabilitation facility that is culturally acceptable, and more importantly in one that understand the need to supply drug rehabilitation in their language.