PROJECT SUMMARY The Aaniiih and Nakoda Tribes of the Fort Belknap Reservation have established a trusting research partnership with the Johns Hopkins School of Nursing and look forward to the expansion of this partnership through the NARCH XI proposal. This proposal will allow us to work toward a future in which health disparities are eliminated on the Fort Belknap Reservation. The overall goals of the NARCH XI proposal are threefold: (1) train Aaniiih and Nakoda NARCH scholars to reduce health disparities and promote wellness through academic opportunities, public health and research training, and research field experiences; (2) build research capacity through two community-based research projects to address priority health concerns; and (3) build factors which promote resiliency across all NARCH trainings and interventions. We will address these aims through three projects: (1) the Aaniiih and Nakoda Student, Tribal Health Leader, Faculty, and Nurse Training Program, which will advance research and behavioral health provider capacity while developing a pathway for success of future Aaniiih and Nakoda nurses, researchers, and healthcare providers at Fort Belknap; (2) Improving Suicide and Suicide Cluster Prevention in High-Risk Remote Reservation Settings research project; and (3) Adapt and evaluate an evidence- and technology-based safety planning intervention, myPlan app, to improve the safety and health of Native American adolescents in rural settings research project. The research projects will provide applied training opportunities for Aaniiih and Nakoda NARCH scholars from high school, to graduate, and to tribal health leaders. The projects have been designed to facilitate collaboration and learning across projects, with the goal of increasing research and training capacity, understanding risks and protective factors against suicide, and helping our youth establish safe, healthy relationships. These research projects were determined based on Fort Belknap Tribal Council priorities and through the input of community stakeholders. Two Tribal Advisory Boards (TAB) will guide and oversee all projects over the course of the projects. Community-based participatory research methods will be utilized for all projects; our team believes that community leadership is essential to the success of the proposed projects and continued development and sustainability of research and training in the Fort Belknap Community.

PROJECT NARRATIVE: The Fort Belknap Community (FBC)-Johns Hopkins School of Nursing (JHU) NARCH XI programs will build individual and tribal capacity to address health disparities and promote wellness on the Fort Belknap Reservation through research and training. Aaniiih and Nakoda students, faculty members, tribal health leaders, and nurses will complete training in STEM, public health, and nursing, and engage in the adaptation and evaluation of the JHSON Mental Health Training program. Additionally, they will participate in hands-on community-based research training through the two research studies to: (1) reduce risk and promote healing after a suicide death and to develop a suicide cluster response plan, and (2) adapt the myPlan app to improve safety and health of adolescents.