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First Approach Skills Training (FAST) Program

First Approach Skills Training (FAST) programs are designed to provide brief, evidence-based behavioral therapy for youth and families with common mental health concerns, in settings such as primary care clinics or schools where longer-term treatment is not typically provided.

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FAST Resources for Mental Health Clinicians

Program materials, as well as engagement and assessment tools for Mental Health Clinicians, are provided below.

FAST Programs

For each FAST program, there is a two-page "Snapshot" educational handout that can be given out as a first step in care, prior to referral for the clinician-guided intervention. Click a focus area below to access its program materials or browse all programs.

Anxiety

FAST- A - Exposure-based treatment for anxiety in a brief, easy to use, workbook-guided format.

Child Behavior Problems

FAST B - Evidence-based parent/caregiver coaching to address behavior problems in children ages 4–11.

Depression

FAST- D - Evidence-based behavioral activation skills for teens and their caregivers.

Parenting Teens

FAST-P - Adapted from evidence-based parent behavior management training and emotion coaching programs.

Trauma

FAST-T - A brief intervention covering core components of longer, evidence-based treatments for child and adolescent post-traumatic stress.

Early Childhood

FAST- E - Supports caregivers of children 1-4 yrs to promote child development, strengthen positive connection, & manage challenging behavior.

FAST Patient Engagement Tools

FAST Assessment Tools

Below are links to the free measures we recommend for initial screening, treatment planning and progress monitoring. These were selected based on their efficiency and utility for primary care settings. We recommend you assess all four domains using the “core” measures at your baseline assessment to inform FAST programming decisions.

Core measures

       

      • Early Childhood
        • Preschool Pediatric Symptoms Checklist:   PSC.Preschool.pdf (ahpnetwork.com)
        • PROMIS Early Childhood Measures (engagement, self-regulation, physical activity, anger-irritability, anxiety/fear, sleep problems, positive affect/depression, social relationships) – English & Spanish
      • Adolescent Behavior (caregiver report)

      Additional measures

      FAST Program Team

      Co-directors of FAST programming are Drs. Nat Jungbluth and Erin Gonzalez.

      FAST research director is Dr. Jennifer Blossom.

      FAST post-doctoral fellows are China Bolden and Kate Benjamin.

      FAST program coordinator is Andrea Barnett.

      Program materials were developed by child and adolescent psychologists Drs. Nat Jungbluth, Erin Gonzalez, Kendra Read, Jennifer Blossom, Jessica Jenness, Maggie Sibley, Cindy Ola, Courtney Zulauf-McCurdy and Lucia Cicciola, with funding support from the Washington State Healthcare Authority.

      Ongoing case consultation support calls are hosted by Drs. Jungbluth, Gonzalez, Blossom, Jenness and Bolden.

      Meet the Washington State FAST Integrated Primary Care (IPC) Advisory Committee  

      We are incredibly fortunate to benefit from the expert guidance and ongoing collaboration of the following behavioral health providers across Washington state:

      Jennifer Bloom, MA, LMHCA, NCCC
      Pediatric Integrated Therapist Lead Clinician
      HopeSparks Family Services, Tacoma

      Kathryn Boelk, MSW, LICSW
      Pediatric Integrated Therapist Lead Clinician
      HopeSparks Family Services, Tacoma

      Amy Bosch, MA, LMHCA
      Pediatric Integrated Therapist
      HopeSparks Family Services, Tacoma

      Zoey Cedarholm, MSW, LICSW
      Pediatric Integrated Therapist Senior Lead Clinician
      HopeSparks Family Services, Tacoma

      Ellie Cowal, MSW, LICSW
      Adolescent Medicine Social Worker
      Seattle Children’s Hospital, Seattle

      Jacob Cowan, MSW, LICSW
      Director of Pediatric Healthcare Integration 
      HopeSparks Family Services, Tacoma

      Andrew Gehl, MSW, LICSW
      Adolescent Medicine Social Worker
      Seattle Children’s Hospital, Seattle

      Leslie Graham, MSW, LICSW
      Integrated Behavioral Health Provider
      UW Neighborhood Kent-Des Moines Clinic

      Grace Lee, MSW, LICSW
      Integrated Behavioral Health Provider
      UWMC Pediatric Care Center

      Peter Loft, MSW, LICSW
      Clinical Social Worker
      General Internal Medicine Clinic, UW Medicine

      Wendy Pringle, LMHC
      Senior Director of Pediatric Healthcare Integration
      HopeSparks Family Services, Tacoma

      Adilenne Reveles, SWAIC
      Pediatric Integrated Therapist Lead Clinician
      HopeSparks Family Services, Tacoma

      Violet Rush, MSW, LICSWA
      Pediatric Integrated Therapist Lead Clinician
      HopeSparks Family Services, Tacoma

      Lai Wan Scheibe, LMHC, MHP
      Integrated Care Therapist
      South Sound Pediatrics, Olympia

      Kristopher Schultz, MA Ed., LMHC
      Pediatric Integrated Therapist
      HopeSparks Family Services, Tacoma

      Kristina Taylor, MS, LMFT
      Collaborative Care Program Clinical Lead
      Optum Washington, Mukilteo

      Rose Welser, MSW
      Integrated Behavioral Health Provider
      Walla Walla Clinic, Walla Walla

      Mary Ann Woodruff, MD, FAAP
      Pediatrician Lead for Care Transformation
      Pediatrics Northwest, Tacoma

      Seattle Children’s complies with applicable federal and other civil rights laws and does not discriminate, exclude people or treat them differently based on race, color, religion (creed), sex, gender identity or expression, sexual orientation, national origin (ancestry), age, disability, or any other status protected by applicable federal, state or local law. Financial assistance for medically necessary services is based on family income and hospital resources and is provided to children under age 21 whose primary residence is in Washington, Alaska, Montana or Idaho.