Tribal Healing to Wellness Courts have emerged as a promising community-based, culturally competent solution to disproportionate Native incarceration in the United States, drawing on the community to appropriately address the needs of justice-involved Native Americans. This review examines the disparities in Native incarceration in federal and state systems, as well as how these disparities can be addressed, including the role of Tribal Healing to Wellness Courts in effectively improving outcomes for participants.