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 2-page educational handout that can be given out as a first step in care, prior to referral for the clinician-guided intervention.

 

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 4 sessions, or in an open-ended way. The 2-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 only available in English at this time; check back for translations.)

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 4 sessions, or in an open-ended way. Each session includes 1-2 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 2-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 2-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. There is also a new FAST-D workbook, designed to teach skills in a flexible and engaging way, and requiring minimal clinician training and preparation. A much more detailed treatment manual, from the Healthcare Authority-funded pilot project in Benton & Franklin counties, remains available with handouts in English and Spanish.

FAST-D materials

First Approach Skills Training for Trauma (FAST-T)

Currently under development…check back for more information!

Other FAST Resources

FAST Program Training Opportunities

At this time, the Partnership Access Line (PAL) is offering free trainings and case consultation to Washington state mental health providers serving kids, teens or families in integrated primary care settings only.

We may be able to provide asynchronous training videos to interested behavioral health providers in other settings.

Please email us to participate.

Our Team

FAST programs were developed by Child and Adolescent Psychologists, Drs. Erin Gonzalez, Nat Jungbluth, Kendra Read and Jennifer Blossom with funding support from the WA State Healthcare Authority. Drs. Gonzalez and Jungbluth host ongoing case consultation support calls for trained primary care-based providers.

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 WA State:

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

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

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

Becca Disbrow, LMHC
Clinical Supervisor, Pediatric Integrated Care Program
Catholic Community Services, Kitsap County

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

Nicole Hamilton, LMHC, CMHS
Counselor & Benton-Franklin PAL Plus Integration Pilot Clinician
Nicole Hamilton, PLLC, Kennewick

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

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