People who engages in substance abuse like drugs, alcohol and tobacco have their own different reason, some maybe complicated but whets evident is that the society plays a significant role why theses people are involve in substance abuse. The consequence for this abuse is seen in our hospitals and emergency departments through the direct damage to health by substance abuse and its relation to physical trauma. Those who are jailed and go to prison are known to have a strong connection to substance abuse and dependence.A high percentage of this substance abuse is very evident among the American Natives. American Natives are the indigenous people from the region of North Africa now encompassed by the continental United States. They comprise a large number of distinct tribes and ethnic groups, they are also known as American Indians or the first nation’s people. American Indians represent a unique population within the U. S not only because of their oppression suffered from the development of the country but also in gaining recognition. The long history of oppression in the U.S.
