Native Americans and Alaska Natives have much increased rates of substance abuse and alcohol and drug addiction than other ethnicities, an an issue which must be resolved for these cultures to endure. While the things which trigger substance abuse may vary from individual to person, most of the factors for the significantly higher rates of abuse amongst Native American and Alaska Natives are cultural ones. In fact, Native American and Alaska Native youth have some of the highest rates of alcohol and drug abuse in the U.S.. The most apparent hurdles to helping Native Americans and Alaska Natives for substance abuse are cultural ones and their language. This is why it is vital that Native Americans and Alaska Natives in Unalakleet receive rehab treatment in a drug rehab center that is culturally acceptable, but most importantly in a drug rehab that understand the need to offer drug treatment in their native tongue.