This paper examines the attitudes of adults and teenagers in 10 predominantly rural Alaskan communities toward their own health and well-being and that of children and families in their community. The communities were located across the state and ranged in size from populations of under 900 to over 50,000. The proportion of Alaska Natives in the communities varied from practically none to almost all. The focus groups included 267 participants. Half were teens recruited from schools and community organizations; one-quarter were Alaska Natives; about three-quarters were women and had completed high school. The focus groups chose from among a list of previously identified topics: basic family needs, child abuse, domestic violence, substance abuse, health services, teen pregnancy, and juvenile crime. Each focus group identified community problems in these areas, community strengths and resources that contribute to the health and well-being of adults and youth, and possible effective change strategies. These strategies involved teen participation, community-based problem solving, stories as educational tools, availability of health promotional materials, community-based paraprofessional delivery systems, changes to community norms, cross-generational community activities, parenting education, peer counseling and natural support programs, teen activities, public recognition of domestic violence and abuse, and parent-teen discussions of sexuality. Results are detailed for each of the communities: Barrow, Delta Junction, Emmonak, Homer, Mat-Su Valley, Metlakatla, Mountain View, Selawik, Unalaska and Dutch Harbor, and Yakutat. (SV)