Table 2.

Recommendations to Guide the Initial Steps toward Implementation of a Newly Conceptualized System^a

1. Infrastructure Development	Reporting Standards - Create a network within Native Hawaiian communities across the State to increase engagement capacity (accountability and ongoing feedback loop). Inter-agency - With other State departments, develop a cross-discipline group to focus on creating inter-agency engagement strategies (protocols) and outcomes (procedures) (i.e., specialty cultural court). - Identify areas where language and processes can be updated to shift the narrative and create a more inclusive space for integrating Native Hawaiian values and beliefs. Peer Support - Value and uplift lived experience - Develop culturally grounded, resonant, inclusive, and supportive peer spaces for Indigenous people on their healing journey from substance use. - Create reimbursement pathways for care systems employing peers.
2. Data Collection & Disaggregation	Data Disaggregation - Address the need for data sovereignty that allows Native Hawaiians to develop data collected for, by, and about us. - Create mechanisms that identify culturally relevant data collection. - Develop culturally anchored evaluation tools that state-funded treatment programs use related to the efficacy of programming specific to Native Hawaiians.
3. Funding & Monitoring/Oversight	Funding - Track federal dollars that are sought after and awarded to the State of Hawai‘i where Native Hawaiians (and or other marginalized groups indicated on request for proposal) are targeted, and create a clear plan for accountability and meaningfulness of programming. - Analyze spending on Native Hawaiian programs throughout the department. - Create a policy oversight position to develop criteria and monitor cultural adherence. Advisory Council - Establish a council of relevant partners (providers, government, stakeholders) to monitor compliance and review accountability of funds and programming related to Native Hawaiians. - Convene a group of Native Hawaiian health and well-being specialists from across the state to provide feedback and guidance on the process of funding.

^aDr. Sheri Daniels, Papa Ola Lōkahi (2021)