Native Hawaiians and other Pacific Islanders represent diverse groups with unique histories and rich cultural traditions. They also confront significant challenges in health and education, experiencing disproportionally higher rates of violence and substance abuse. Policy recommendations regarding youth delinquency, substance abuse, and positive development include: (1) application of a socio-ecological approach; (2) utilization of a positive youth development and restorative approach; (3) development of culturally based interventions; (4) the building of capacity for youth-serving organizations; (5) development and strengthening of collaborations; (6) juvenile justice reforms; and (7) encouragement of research that disaggregates ethnic groups and gives greater consideration to community perspectives.