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Table 1 FostrSpace app features and content

From: Advancing access to substance use prevention for foster youth through digital innovation: an open trial of fostrspace with court appointed special advocate programs

Type

Feature

Function

Self-Guided/

Asynchronous

Resource Directory

A curated resource directory of available resources and services in the user’s area, e.g., food pantries, employment orgs, free medical clinics, and substance use prevention and treatment resources.

Peer Created Resources

Videos, handouts, and guides to support users with navigating adulthood and building independence. Includes skill-building videos featuring the FAB to promote healthy coping and a 5-session series (Launchpad to FostrSuccess) providing practical guidance on financial literacy, housing, health and behavioral health care, college applications, and community building.

Mood Tracking

Emoji-based daily mood tracking, which provides opportunities for self-awareness and empowers users to take control of their emotional states.

Assessments

Assessments such as the Emotional Wellness Questionnaire (e.g., including items from the DSM-5 Level 1 Cross-Cutting Symptom measure) are available to support users in learning about their behavioral health. National Survey on Drug Use and Health items added to provide more detailed substance use self-assessment and modified by FAB to improve accessibility. Resources are curated based on user responses assessments.

Missions

Support goal organization (e.g., completing specific tasks such as attending health appointments) and psychoeducation, including a harm reduction mission to address substance use prevention.

Services/

Synchronous

Peer Support

The FAB team is available daily in-app via the “FAB Chat” to assist users with accessing resources and offer ongoing peer support and guidance.

Navigation

Personal care navigators support users in accessing and navigating social services, healthcare, and other resources, including substance use prevention and treatment services to meet their basic needs.

Clinical Care Services

Licensed clinicians provide evidence-based behavioral health services, by appointment, via telehealth, including cognitive behavioral therapy, relapse prevention, motivational interviewing/motivational enhanced therapy to reduce substance use.

In-App Chat

Allows users to communicate with their care team (including the FAB).