Partnership Access Line

First Approach Skills Training (FAST) Programs

Teens_Stock PhotoFAST 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.

For each program, there is a two-page educational handout that can be given out as a first step in care, prior to referral for the clinician-guided intervention.

Watch a video overview of the FAST programs in primary care.

FAST Program Training Opportunities

Learn about FAST Program training opportunities.

First Approach Skills Training for Anxiety (FAST-A)

FAST-A provides cutting-edge exposure-based treatment for anxiety in a brief, easy to use, workbook-guided format. FAST-A can be delivered in as few as four sessions, or in an open-ended way. The two-page educational caregiver handout can be given out by primary care or school-based providers as a first step in care. Some families may also benefit from using the FAST-A workbook independently when access to a counselor is limited. 

FAST-A materials

First Approach Skills Training for Behavior (FAST-B)

FAST-B provides evidence-based parent/caregiver coaching to address behavior problems in children ages 4–11. FAST-B can be delivered in as few as four sessions, or in an open-ended way. Each session includes one to two skills for the caregiver to try out with their child to build a strong relationship, encourage more positive behaviors and set limits with problematic behaviors. The two-page caregiver handout can be given out by primary care or school-based providers as a first step in care.

FAST-B materials

First Approach Skills Training for Depression (FAST-D)

FAST-D provides evidence-based behavioral activation skills to teens and their caregivers. Materials include a two-page educational handout for teens and caregivers, which can be given out by primary care or school-based providers as a first step in care. The new FAST-D workbook is designed to teach skills in a flexible and engaging way, and requires minimal clinician training and preparation. A much more detailed treatment manual, from the Healthcare Authority–funded pilot project in Benton and Franklin Counties, remains available with handouts in English and Spanish.

FAST-D materials

First Approach Skills Training for Parenting Teens (FAST-P)

FAST-P is a program for caregivers of teenagers ages 12–18 who want to work on family communication, dealing with teen emotions, improving family relationships and problem-solving around common issues such as homework and screen use. The program is adapted from evidence-based parent behavior management training and emotion coaching programs and incorporates guided problem solving and organizational skills. The workbook is organized into four “themes” and can be done in four sessions or broken down into smaller, shorter sessions. It can be used as a standalone program or alongside treatment for the teenager. FAST-P was evaluated for parents of teens with ADHD in a research study through Seattle Children’s Hospital.

First Approach Skills Training for Trauma (FAST-T) and First Approach Skills Training for Safety (FAST-S)

Currently under development… check back for more information!

Other FAST Resources

Our Team

FAST programming is directed by Drs. Erin Gonzalez and Nat Jungbluth.

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

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

Meet the Washington State FAST Stakeholder Advisory Committee

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

Kathryn Boelk, MSW, LICSWA
Behavioral Healthcare Manager
HopeSparks Family Services, Tacoma

Zoe Cedarholm, MSW, MHP, LICSWA
Behavioral Healthcare Manager
HopeSparks Family Services, Tacoma

Jacob Cowan, MSW, LICSW
Pediatric Healthcare Integration Clinical Supervisor
HopeSparks Family Services, Tacoma

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

Nancy Namkung, MSW, LICSW
Behavioral Health Consultant
Virginia Mason, Seattle

Violet Rush, MSW, LCSWA
Behavioral Healthcare Manager
HopeSparks Family Services, Tacoma

Sarah Trajano, LICSW
Integrated Behavioral Health Provider
Skagit Pediatrics, Mount Vernon

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

Recommended 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

Additional measures