In 2016, she was designated a fellow in the American Institute of Architecture, a prestigious honor held by roughly 50 architects in Hawai‘i since 1948. In 2019, Bettina was named a Pacific Business News’ 2019 Career Achievement Honoree and Hawai‘i Business Magazine’s 2019 CEO of the Year, the first woman to receive this distinction. Most recently, she was honored as a Most Admired Leader in Hawai’i by Pacific Business News.

Following her tenure as a mayoral appointee to the Honolulu Climate Change Commission, she was appointed by former Governor Ige to the School Facilities Authority, newly established to generate preschool space, build new K-12 schools, and create affordable, desirable housing for teachers.

In 2006, Bettina instituted AHL’s 1% pro bono program, by which the firm annually donates 1% of its work effort to a worthy project. Each year AHL selects a nonprofit that has a building or planning project that would benefit the greater community by an increase in the number of people served or the addition of new services. This leadership has inspired the constellation of service providers surrounding AHL to chip in with their pro bono or discounted services. Two notable projects include Ho’ōla Nā Pua, the first rehabilitation campus in Hawai‘i dedicated to working with sexually exploited girls, and The Salvation Army’s Family Treatment Services Transitional Home in Mānoa accompanied by a roof garden to grow nutritious vegetables for the Institute of Human Services women’s shelter. The results have touched the lives of countless Hawaiʻi residents.