Native HOPE curriculum addresses suicide prevention, violence and bullying, depression, and substance abuse. The process in the Native H.O.P.E. program intentionally creates a safe and sacred place through culture, spirituality, and humor for participants to address suicide, depression, trauma, violence, and substance misuse. Themes in the Native HOPE curriculum are introduced by American Indian Ledger Art, poetry, and personal stories. Role plays are used to depict ongoing trauma in the lives of Native youth and present positive solutions and coping skills, as well as, providing positive peer support. Participants are placed in teams with team leaders skilled in group process and facilitation skills. A sense of belonging occurs quickly for participants due to establishing norms and expectations and in particular using a trauma-informed, culture and resilience-based approach.