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.
FAST Patient Engagement Tools
- FAST Top Problems Tool: Information gathering, goal setting, and engagement tool ideal for a first session
- FAST Program Fact Sheet: Handout for providers and families
- Learning About You: Race, Culture & Identity
- Patient handout (English) (Spanish)
- Therapist how-to guide
- Video demonstration
- FAST Resource Posters for waiting or exam rooms:
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
- Trauma impact
- Child Trauma Screen (CTS) (follow link for self-report 7+ and caregiver-report 6+ in English and Spanish)
- For younger children, the Child and Adolescent Trauma Screen (CATS) (English) (Spanish)
- Disruptive behavior
- Anxiety
- Depression (ages 11+)
- PHQ9 teen self-report (English) (Spanish) (Other Languages)
- SMFQ caregiver-report (English)
- Optional: SMFQ child/tween self-report (English)
- 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)
- Pediatric Symptoms Checklist -17 items (English) (Spanish)
- Strengths and Difficulties Questionnaire (English) (Spanish) (Other languages)
Additional measures
- Alcohol/substance use: CAGE AID
- Attention deficit/hyperactivity problems: Vanderbilt
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 Erin Ambre.
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