{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,7,30]],"date-time":"2026-07-30T18:10:24Z","timestamp":1785435024769,"version":"3.56.0"},"reference-count":40,"publisher":"MDPI AG","issue":"8","license":[{"start":{"date-parts":[[2026,7,28]],"date-time":"2026-07-28T00:00:00Z","timestamp":1785196800000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"funder":[{"DOI":"10.13039\/100000002","name":"National Institutes of Health","doi-asserted-by":"crossref","award":["S06GM142116"],"award-info":[{"award-number":["S06GM142116"]}],"id":[{"id":"10.13039\/100000002","id-type":"DOI","asserted-by":"crossref"}]},{"award":["S06GM142116"],"award-info":[{"award-number":["S06GM142116"]}],"id":[{"id":"https:\/\/ror.org\/01cwqze88","id-type":"ROR","asserted-by":"publisher"}]},{"name":"Betty Irene Moore Nurse Fellowship for Nurse Leaders and Innovators","award":["144634"],"award-info":[{"award-number":["144634"]}]},{"name":"National Institutes of Health Native American Research Centers for Health","award":["S06GM142116"],"award-info":[{"award-number":["S06GM142116"]}]}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Nurs. Rep.","Nursing Reports"],"abstract":"<jats:p>Background\/Objective: The Behavioral and Mental Wellness in Indigenous Communities (BMWIC) education program was created to address mental health (MH) resource gaps in the Fort Belknap Community (FBC). Designed to enhance MH literacy, task-shifting capacity, and MH care coordination skills, the FBC partnered with Johns Hopkins School of Nursing (JHSON) to co-develop a culturally aligned MH training program. This protocol outlines the development of the BMWIC curriculum. Methods: Steps 1\u20135 of the 6-step Collaborative Participatory Adaptation Model (CPAM) guided the development of the BMWIC, including collaboration, review of evidence-based models, cultural adaptation of materials, and the creation of a robust evaluation plan to be conducted. Four courses were ultimately developed on: historical trauma, culturally informed MH screening and care, risk and protective factors and health-related Tribal, state and federal legal jurisdiction in American Indian and Alaska Native (AI\/AN) communities. Discussion: The BMWIC development process serves as a prime example of translating community priorities into an educational intervention through a combination of best practices in health science education with Indigenous ways of knowing (IWK). Targeted training and task shifting, such as through the BMWIC, may have the potential to expand MH-related knowledge and strengthen the capacity of community health systems to identify psychological and behavioral concerns early, coordinate care more effectively, and improve access to MH care and resources at the community level. Conclusions: This protocol may be useful for academic-community partnerships creating culturally informed educational programs across disciplines and specialties in service to Indigenous communities. The next steps will involve piloting and evaluating the curriculum and collaborating with healthcare organizations to determine sustainable pathways for scaling the BMWIC where it is most needed.<\/jats:p>","DOI":"10.3390\/nursrep16080260","type":"journal-article","created":{"date-parts":[[2026,7,28]],"date-time":"2026-07-28T15:57:28Z","timestamp":1785254248000},"page":"260","update-policy":"https:\/\/doi.org\/10.3390\/mdpi_crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["Behavioral and Mental Wellbeing in Indigenous Communities: A Protocol for Developing an Educational Program for Nurses, Community and the Health Care Workforce Serving Indigenous Communities"],"prefix":"10.3390","volume":"16","author":[{"given":"Michelle","family":"Kahn-John","sequence":"first","affiliation":[{"name":"Johns Hopkins School of Nursing, Baltimore, MD 21205-2110, USA"},{"name":"Center for Indigenous Health, Johns Hopkins University Bloomberg School of Public Health, Baltimore, MD 21210-9997, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Brinda","family":"Sivaramakrishnan","sequence":"additional","affiliation":[{"name":"Center for Indigenous Health, Johns Hopkins University Bloomberg School of Public Health, Baltimore, MD 21210-9997, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-0264-7292","authenticated-orcid":false,"given":"Katie E.","family":"Nelson","sequence":"additional","affiliation":[{"name":"Johns Hopkins School of Nursing, Baltimore, MD 21205-2110, USA"},{"name":"Center for Indigenous Health, Johns Hopkins University Bloomberg School of Public Health, Baltimore, MD 21210-9997, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Joshuaa","family":"Allison-Burbank","sequence":"additional","affiliation":[{"name":"Center for Indigenous Health, Johns Hopkins University Bloomberg School of Public Health, Baltimore, MD 21210-9997, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Nora","family":"Bambrick","sequence":"additional","affiliation":[{"name":"Johns Hopkins School of Nursing, Baltimore, MD 21205-2110, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-6074-0359","authenticated-orcid":false,"given":"Rita","family":"D\u2019Aoust","sequence":"additional","affiliation":[{"name":"Johns Hopkins School of Nursing, Baltimore, MD 21205-2110, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Lisa","family":"Dickson","sequence":"additional","affiliation":[{"name":"Johns Hopkins School of Nursing, Baltimore, MD 21205-2110, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Mina","family":"Kazemi","sequence":"additional","affiliation":[{"name":"Johns Hopkins School of Nursing, Baltimore, MD 21205-2110, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Deserae","family":"Kill Eagle","sequence":"additional","affiliation":[{"name":"Johns Hopkins School of Nursing, Baltimore, MD 21205-2110, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-8484-6502","authenticated-orcid":false,"given":"Karan","family":"Kverno","sequence":"additional","affiliation":[{"name":"Johns Hopkins School of Nursing, Baltimore, MD 21205-2110, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jessica","family":"Meese","sequence":"additional","affiliation":[{"name":"Center for Indigenous Health, Johns Hopkins University Bloomberg School of Public Health, Baltimore, MD 21210-9997, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Julie","family":"Nanavati","sequence":"additional","affiliation":[{"name":"Johns Hopkins School of Nursing, Baltimore, MD 21205-2110, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Tamar","family":"Rodney","sequence":"additional","affiliation":[{"name":"Johns Hopkins School of Nursing, Baltimore, MD 21205-2110, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Janai","family":"Williams","sequence":"additional","affiliation":[{"name":"Johns Hopkins School of Nursing, Baltimore, MD 21205-2110, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Teresa","family":"Brockie","sequence":"additional","affiliation":[{"name":"Johns Hopkins School of Nursing, Baltimore, MD 21205-2110, USA"},{"name":"Center for Indigenous Health, Johns Hopkins University Bloomberg School of Public Health, Baltimore, MD 21210-9997, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"1968","published-online":{"date-parts":[[2026,7,28]]},"reference":[{"key":"ref_1","unstructured":"Health Resources and Services Administration (2025). 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