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We are experiencing extremely high demand in our Emergency Department. Learn more.

High Priority Alert

Masking and Visitation Changes: Due to high rates of respiratory illnesses in our community, we’ve made changes to our masking and visitation guidelines. Learn more.

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.

What's New With FAST?  Read Our Newsletter

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 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 (
        • 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 fellow is China Bolden.

      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:

      Patricia “Trish” Beagle, LSWAIC
      Integrated Behavioral Health Specialist
      Skagit Pediatrics, Mount Vernon

      Jennifer Bloom, MA, LMHCA, NCCC
      Behavioral Healthcare Manager
      HopeSparks Family Services, Tacoma

      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

      Anne Koomen, ARNP, MS
      Integrated Behavioral Health Director of Program Development
      Jefferson Healthcare Primary Care, Port Townsend

      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
      Behavioral Healthcare Manager
      HopeSparks Family Services, Tacoma

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

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

      Kara Smith, LSWAIC
      Integrated Behavioral Health Specialist
      Skagit Pediatrics, Mount Vernon

      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

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