Alaska's alternative high schools use trauma-engaged practices in their education model. Thirteen focus groups with 100 alternative high school educators, staff and administrators were conducted. The study sought to describe the Alaska alternative high school staffs' perspectives on effective practices and impact of alternative education on drug and alcohol use, suicide ideation, feelings of hopelessness, and community support of alternative high school students. Seven overarching themes related to trauma-engaged education and a focus on social-emotional learning were described by educators. The Alaska alternative education model addresses the root causes of youth engagement in health risk factors.