Because the Native American and Alaska Native people struggle with incredibly high rates of alcohol and drug abuse, it is vital that alcohol and drug rehabilitation centers be made offered to those in Washington which are culturally appropriate and offer rehab in their native tongue if required. Due to the fact Native Americans and Alaska Natives may use drugs due to cultural difficulties, it is evident that such problems may be a challenge in treatment. If the rehab center understands these challenges, rehab will progress more smoothly and there will be a significantly better chance at full rehab. For instance, treatment which is supplied in the language of Native Americans and Alaska Natives is going to produce much better results for these people in Washington, simply because this will ensure that each phase of the process is grasped by both client and rehab experts.