Research has demonstrated that a higher incidence of drug abuse, alcohol abuse and depression exists in the gay/lesbian community than in most others. The heterosexual community. In most cases the drug abuse and alcohol abuse was a means to cope with issues such as; internalized homophobia, prejudice, alienation, coming out, high risk behavior or depression. Unfortunately, the drug abuse and alcohol abuse gave birth to drug addiction and alcoholism creating additional challenges to resolve. The question to address is which addiction treatment program or drug rehab will provide the best opportunity for long term recovery? When choosing a drug rehab center or drug addiction treatment program there are many factors to consider. When looking for addiction treatment program or drug rehab where sexual preference (gay, lesbian, bisexual or transgender) is an issue, additional addiction treatment factors need to be considered.