Native Americans are not “alcoholics.” However, Native communities do suffer from incredibly high rates of alcohol abuse. Native American alcohol use disorders are closely linked with the fallout from colonialism and poverty that tribal communities have long struggled against. As a result, alcoholism in Native American communities often occurs as a way to escape their pain. Additionally, after developing an addiction to alcohol, it can be extremely difficult for Natives struggling with addiction to find help due to a lack of healthcare services in their area.  In light of this, Native American treatment centers offer culturally competent substance abuse programs to assist Native Americans in recovery from alcoholism and drug abuse.