{"id":19235,"date":"2026-04-16T12:41:20","date_gmt":"2026-04-16T16:41:20","guid":{"rendered":"https:\/\/www.med.unc.edu\/psych\/?page_id=19235"},"modified":"2026-04-23T13:53:43","modified_gmt":"2026-04-23T17:53:43","slug":"fast-de","status":"publish","type":"page","link":"https:\/\/www.med.unc.edu\/psych\/suicide-prevention-institute\/our-programs\/fast-de\/","title":{"rendered":"FAST-DE"},"content":{"rendered":"<h2><h2 class=\"www-somHeader\">Program Overview<\/h2><\/h2>\n<p>FAST-DE stands for First Approach Skills Training \u2013 Disordered Eating. In Spanish, it is First Approach Skills Training \u2013 Trastornos de la Conducta Alimentaria (FAST-TCA). The vision for this program is to transform service delivery for young people who experience eating disorders and disordered eating. It trains primary care providers to provide brief, effective interventions in primary care settings. The training raises their skill levels around eating disorders and turns primary care offices into key touchpoints to identify and treat at-risk youth. This approach connects people to care faster and expands access to treatment for people of all backgrounds.<\/p>\n<script>\n\n    (function($) {\n        $(\"body, html\").addClass(\"heels_full_width_overflow\");\n    })(jQuery);\n\n   <\/script>\n   <div style=\"background-color:#257cb7;\" class=\"full-width-contained whitebackground \">\n<som-cell cell-info=\"{&quot;ID&quot;:19152,&quot;post_author&quot;:&quot;122763&quot;,&quot;post_date&quot;:&quot;2026-03-17 19:08:39&quot;,&quot;post_date_gmt&quot;:&quot;2026-03-17 23:08:39&quot;,&quot;post_content&quot;:&quot;&quot;,&quot;post_title&quot;:&quot;SPI - FAST-DE Stats&quot;,&quot;post_excerpt&quot;:&quot;&quot;,&quot;post_status&quot;:&quot;publish&quot;,&quot;comment_status&quot;:&quot;closed&quot;,&quot;ping_status&quot;:&quot;closed&quot;,&quot;post_password&quot;:&quot;&quot;,&quot;post_name&quot;:&quot;spi-fast-de-stats&quot;,&quot;to_ping&quot;:&quot;&quot;,&quot;pinged&quot;:&quot;&quot;,&quot;post_modified&quot;:&quot;2026-03-17 19:08:39&quot;,&quot;post_modified_gmt&quot;:&quot;2026-03-17 23:08:39&quot;,&quot;post_content_filtered&quot;:&quot;&quot;,&quot;post_parent&quot;:0,&quot;guid&quot;:&quot;https:\\\/\\\/www.med.unc.edu\\\/psych\\\/cell\\\/spi-fast-de-stats\\\/&quot;,&quot;menu_order&quot;:0,&quot;post_type&quot;:&quot;somcell&quot;,&quot;post_mime_type&quot;:&quot;&quot;,&quot;comment_count&quot;:&quot;0&quot;,&quot;filter&quot;:&quot;raw&quot;}\" cell-meta=\"{&quot;_wpv_contains_gutenberg_views&quot;:[&quot;&quot;],&quot;_upd_sortorder&quot;:[&quot;1&quot;],&quot;layout&quot;:[&quot;RepeatableBoxes&quot;],&quot;cellInformation&quot;:[&quot;{\\&quot;singleCellBlocks\\&quot;:{},\\&quot;repeatableBoxes\\&quot;:[{\\&quot;includeLink\\&quot;:0,\\&quot;boxUrl\\&quot;:\\&quot;\\&quot;,\\&quot;statSubheading\\&quot;:\\&quot;people in NC will have an eating disorder in their lives\\&quot;,\\&quot;stat\\&quot;:\\&quot;1 million+\\&quot;}],\\&quot;boxCustomStyles\\&quot;:{\\&quot;includeUnderline\\&quot;:1,\\&quot;includeLink\\&quot;:1,\\&quot;backgroundColor\\&quot;:\\&quot;mediumBlue\\&quot;},\\&quot;boxType\\&quot;:\\&quot;statInfo\\&quot;,\\&quot;boxStyleOption\\&quot;:\\&quot;statistics\\&quot;}&quot;],&quot;apiCallInformation&quot;:[&quot;{}&quot;]}\"><\/som-cell>\n<\/div>\n<script>\n\n    (function($) {\n        $(\"body, html\").addClass(\"heels_full_width_overflow\");\n    })(jQuery);\n\n   <\/script>\n   <div style=\"background-color:#f5f5f5;\" class=\"full-width-contained whitebackground \">\n<som-cell cell-info=\"{&quot;ID&quot;:19157,&quot;post_author&quot;:&quot;122763&quot;,&quot;post_date&quot;:&quot;2026-03-17 19:15:47&quot;,&quot;post_date_gmt&quot;:&quot;2026-03-17 23:15:47&quot;,&quot;post_content&quot;:&quot;&quot;,&quot;post_title&quot;:&quot;SPI - FAST-DE Callout 1&quot;,&quot;post_excerpt&quot;:&quot;&quot;,&quot;post_status&quot;:&quot;publish&quot;,&quot;comment_status&quot;:&quot;closed&quot;,&quot;ping_status&quot;:&quot;closed&quot;,&quot;post_password&quot;:&quot;&quot;,&quot;post_name&quot;:&quot;spi-fast-de-callout-1&quot;,&quot;to_ping&quot;:&quot;&quot;,&quot;pinged&quot;:&quot;&quot;,&quot;post_modified&quot;:&quot;2026-03-17 19:15:47&quot;,&quot;post_modified_gmt&quot;:&quot;2026-03-17 23:15:47&quot;,&quot;post_content_filtered&quot;:&quot;&quot;,&quot;post_parent&quot;:0,&quot;guid&quot;:&quot;https:\\\/\\\/www.med.unc.edu\\\/psych\\\/cell\\\/spi-fast-de-callout-1\\\/&quot;,&quot;menu_order&quot;:0,&quot;post_type&quot;:&quot;somcell&quot;,&quot;post_mime_type&quot;:&quot;&quot;,&quot;comment_count&quot;:&quot;0&quot;,&quot;filter&quot;:&quot;raw&quot;}\" cell-meta=\"{&quot;_wpv_contains_gutenberg_views&quot;:[&quot;&quot;],&quot;_upd_sortorder&quot;:[&quot;1&quot;],&quot;layout&quot;:[&quot;SingleCellBlocks&quot;],&quot;cellInformation&quot;:[&quot;{\\&quot;singleCellBlocks\\&quot;:{\\&quot;quoteText\\&quot;:\\&quot;\\u201cThis project will transform best practices in terms of point of care and clinician qualifications to accelerate and immediately expand treatment access and reduce delays in care for youth experiencing disordered eating, who are at elevated risk of suicidality.\\u201d\\&quot;,\\&quot;backgroundColor\\&quot;:\\&quot;mediumBlue\\&quot;},\\&quot;repeatableBoxes\\&quot;:[],\\&quot;blockType\\&quot;:\\&quot;textBlocks\\&quot;,\\&quot;blockStyle\\&quot;:\\&quot;cleanQuote\\&quot;}&quot;],&quot;apiCallInformation&quot;:[&quot;{}&quot;]}\"><\/som-cell>\n<\/div>\n<p>&nbsp;<\/p>\n<h2><h2 class=\"www-somHeader\">Program Impact<\/h2><\/h2>\n<div class=\"elementor-element elementor-element-9ef8fd1 elementor-widget__width-initial elementor-widget elementor-widget-text-editor\" data-id=\"9ef8fd1\" data-element_type=\"widget\" data-widget_type=\"text-editor.default\">\n<div class=\"elementor-widget-container\">\n<div class=\"elementor-element elementor-element-aa39cb8 elementor-widget__width-initial elementor-widget elementor-widget-heading\" data-id=\"aa39cb8\" data-element_type=\"widget\" data-widget_type=\"heading.default\">\n<div class=\"elementor-widget-container\">\n<h2 class=\"elementor-heading-title elementor-size-default\">Program Impact<\/h2>\n<\/div>\n<\/div>\n<div class=\"elementor-element elementor-element-9ef8fd1 elementor-widget__width-initial elementor-widget elementor-widget-text-editor\" data-id=\"9ef8fd1\" data-element_type=\"widget\" data-widget_type=\"text-editor.default\">\n<div class=\"elementor-widget-container\">\n<p>Eating disorders are among the most lethal of all mental health conditions. In fact, death by suicide is one of the leading causes of mortality for eating disorders. Data show that 9% of the U.S. population and nearly one million people in North Carolina will have an eating disorder in their lifetime. This group of illnesses (anorexia nervosa, bulimia nervosa, binge-eating disorder, and avoidant\/restrictive food intake disorder [ARFID]) impact people across age, sex, gender, race, ethnicity, geographic location, and socioeconomic backgrounds. FAST-DE and FAST-TCA help address the shortage of clinicians and specialist centers that provide eating disorders care. It empowers primary care providers with skills and knowledge\u2014in both English and Spanish\u2014that make care for eating disorders accessible, brief, effective, and affordable.<\/p>\n<\/div>\n<\/div>\n<div class=\"elementor-element elementor-element-8553e16 elementor-icon-list--layout-traditional elementor-list-item-link-full_width elementor-widget elementor-widget-icon-list\" data-id=\"8553e16\" data-element_type=\"widget\" data-widget_type=\"icon-list.default\">\n<div class=\"elementor-widget-container\">\n<ul class=\"elementor-icon-list-items\">\n<li class=\"elementor-icon-list-item\"><span class=\"elementor-icon-list-text\">An initial pilot study of FAST-DE is underway within UNC Health Pediatric Primary Care Clinics.<\/span><\/li>\n<li class=\"elementor-icon-list-item\"><span class=\"elementor-icon-list-text\">Right now, FAST-DE focuses on adolescents ages 12-17 and their caregivers who speak English and\/or Spanish.<\/span><\/li>\n<li class=\"elementor-icon-list-item\"><span class=\"elementor-icon-list-text\">The program includes interventions for a range of disordered eating behaviors, such as food restriction, purging, and\/or binge eating.<\/span><\/li>\n<li class=\"elementor-icon-list-item\"><span class=\"elementor-icon-list-text\">The project team includes expertise in eating disorders, brief interventions and integrated pediatric primary care, with specialties in psychology, dietetics, and medicine.<\/span><\/li>\n<li class=\"elementor-icon-list-item\"><span class=\"elementor-icon-list-text\">The program has a dedicated team of Latinx providers working on cultural adaptation(s) of materials based on feedback from focus groups with Latinx youth and parents.<\/span><\/li>\n<li class=\"elementor-icon-list-item\"><span class=\"elementor-icon-list-text\">Long-term plans for this program include fully accessible training materials so primary care clinics across North Carolina can deliver FAST-DE and FAST-TCA.<\/span><\/li>\n<\/ul>\n<\/div>\n<\/div>\n<\/div>\n<\/div>\n<p>&nbsp;<\/p>\n<script>\n\n    (function($) {\n        $(\"body, html\").addClass(\"heels_full_width_overflow\");\n    })(jQuery);\n\n   <\/script>\n   <div style=\"background-color:#257cb7;\" class=\"full-width-contained whitebackground \">\n<som-cell cell-info=\"{&quot;ID&quot;:19154,&quot;post_author&quot;:&quot;122763&quot;,&quot;post_date&quot;:&quot;2026-03-17 19:13:24&quot;,&quot;post_date_gmt&quot;:&quot;2026-03-17 23:13:24&quot;,&quot;post_content&quot;:&quot;&quot;,&quot;post_title&quot;:&quot;SPI - FAST-DE Images&quot;,&quot;post_excerpt&quot;:&quot;&quot;,&quot;post_status&quot;:&quot;publish&quot;,&quot;comment_status&quot;:&quot;closed&quot;,&quot;ping_status&quot;:&quot;closed&quot;,&quot;post_password&quot;:&quot;&quot;,&quot;post_name&quot;:&quot;spi-fast-de-images&quot;,&quot;to_ping&quot;:&quot;&quot;,&quot;pinged&quot;:&quot;&quot;,&quot;post_modified&quot;:&quot;2026-03-17 19:13:24&quot;,&quot;post_modified_gmt&quot;:&quot;2026-03-17 23:13:24&quot;,&quot;post_content_filtered&quot;:&quot;&quot;,&quot;post_parent&quot;:0,&quot;guid&quot;:&quot;https:\\\/\\\/www.med.unc.edu\\\/psych\\\/cell\\\/spi-fast-de-images\\\/&quot;,&quot;menu_order&quot;:0,&quot;post_type&quot;:&quot;somcell&quot;,&quot;post_mime_type&quot;:&quot;&quot;,&quot;comment_count&quot;:&quot;0&quot;,&quot;filter&quot;:&quot;raw&quot;}\" cell-meta=\"{&quot;_wpv_contains_gutenberg_views&quot;:[&quot;&quot;],&quot;_upd_sortorder&quot;:[&quot;1&quot;],&quot;layout&quot;:[&quot;RepeatableBoxes&quot;],&quot;cellInformation&quot;:[&quot;{\\&quot;singleCellBlocks\\&quot;:{},\\&quot;repeatableBoxes\\&quot;:[{\\&quot;includeLink\\&quot;:1,\\&quot;boxImage\\&quot;:\\&quot;https:\\\/\\\/www.med.unc.edu\\\/psych\\\/wp-content\\\/uploads\\\/sites\\\/839\\\/2017\\\/06\\\/SPI-800x500-_0000_Suicide-Prevention-Institute-Programs-FAST-DE-6.jpg\\&quot;},{\\&quot;includeLink\\&quot;:1,\\&quot;boxImage\\&quot;:\\&quot;https:\\\/\\\/www.med.unc.edu\\\/psych\\\/wp-content\\\/uploads\\\/sites\\\/839\\\/2017\\\/06\\\/SPI-800x500-_0001_Suicide-Prevention-Institute-Programs-FAST-DE-5.jpg\\&quot;},{\\&quot;includeLink\\&quot;:1,\\&quot;boxImage\\&quot;:\\&quot;https:\\\/\\\/www.med.unc.edu\\\/psych\\\/wp-content\\\/uploads\\\/sites\\\/839\\\/2017\\\/06\\\/SPI-800x500-_0002_Suicide-Prevention-Institute-Programs-FAST-DE-4.jpg\\&quot;},{\\&quot;includeLink\\&quot;:1,\\&quot;boxImage\\&quot;:\\&quot;https:\\\/\\\/www.med.unc.edu\\\/psych\\\/wp-content\\\/uploads\\\/sites\\\/839\\\/2017\\\/06\\\/SPI-800x500-_0003_Suicide-Prevention-Institute-Programs-FAST-DE-3.jpg\\&quot;}],\\&quot;boxCustomStyles\\&quot;:{\\&quot;textAlign\\&quot;:\\&quot;center\\&quot;,\\&quot;includeImage\\&quot;:1,\\&quot;includeImagePadding\\&quot;:1,\\&quot;imageAspectRatio\\&quot;:\\&quot;original\\&quot;,\\&quot;includeLink\\&quot;:1,\\&quot;backgroundColor\\&quot;:\\&quot;mediumBlue\\&quot;,\\&quot;columnLayout\\&quot;:\\&quot;4\\&quot;},\\&quot;boxType\\&quot;:\\&quot;imageBoxes\\&quot;,\\&quot;boxStyleOption\\&quot;:\\&quot;content-boxes\\&quot;}&quot;],&quot;apiCallInformation&quot;:[&quot;{}&quot;]}\"><\/som-cell>\n<\/div>\n<script>\n\n    (function($) {\n        $(\"body, html\").addClass(\"heels_full_width_overflow\");\n    })(jQuery);\n\n   <\/script>\n   <div style=\"background-color:#f5f5f5;\" class=\"full-width-contained whitebackground \">\n<som-cell cell-info=\"{&quot;ID&quot;:19158,&quot;post_author&quot;:&quot;122763&quot;,&quot;post_date&quot;:&quot;2026-03-17 19:16:40&quot;,&quot;post_date_gmt&quot;:&quot;2026-03-17 23:16:40&quot;,&quot;post_content&quot;:&quot;&quot;,&quot;post_title&quot;:&quot;SPI - FAST-DE Callout 2&quot;,&quot;post_excerpt&quot;:&quot;&quot;,&quot;post_status&quot;:&quot;publish&quot;,&quot;comment_status&quot;:&quot;closed&quot;,&quot;ping_status&quot;:&quot;closed&quot;,&quot;post_password&quot;:&quot;&quot;,&quot;post_name&quot;:&quot;spi-fast-de-callout-2&quot;,&quot;to_ping&quot;:&quot;&quot;,&quot;pinged&quot;:&quot;&quot;,&quot;post_modified&quot;:&quot;2026-03-17 19:16:40&quot;,&quot;post_modified_gmt&quot;:&quot;2026-03-17 23:16:40&quot;,&quot;post_content_filtered&quot;:&quot;&quot;,&quot;post_parent&quot;:0,&quot;guid&quot;:&quot;https:\\\/\\\/www.med.unc.edu\\\/psych\\\/cell\\\/spi-fast-de-callout-2\\\/&quot;,&quot;menu_order&quot;:0,&quot;post_type&quot;:&quot;somcell&quot;,&quot;post_mime_type&quot;:&quot;&quot;,&quot;comment_count&quot;:&quot;0&quot;,&quot;filter&quot;:&quot;raw&quot;}\" cell-meta=\"{&quot;_wpv_contains_gutenberg_views&quot;:[&quot;&quot;],&quot;_upd_sortorder&quot;:[&quot;1&quot;],&quot;layout&quot;:[&quot;SingleCellBlocks&quot;],&quot;cellInformation&quot;:[&quot;{\\&quot;singleCellBlocks\\&quot;:{\\&quot;quoteText\\&quot;:\\&quot;\\u201cFAST-DE interventions are designed to be delivered in primary care clinics or remotely and are specifically targeted for rural populations who do not have access to face-to-face specialty care clinics.\\u201d\\\\n\\u201cThis project will transform best practices in terms of point of care and clinician qualifications to accelerate and immediately expand treatment access and reduce delays in care for youth experiencing disordered eating, who are at elevated risk of suicidality.\\u201d\\\\n\\&quot;,\\&quot;backgroundColor\\&quot;:\\&quot;mediumBlue\\&quot;},\\&quot;repeatableBoxes\\&quot;:[],\\&quot;blockType\\&quot;:\\&quot;textBlocks\\&quot;,\\&quot;blockStyle\\&quot;:\\&quot;cleanQuote\\&quot;}&quot;],&quot;apiCallInformation&quot;:[&quot;{}&quot;]}\"><\/som-cell>\n<\/div>\n<p>&nbsp;<\/p>\n","protected":false},"excerpt":{"rendered":"<p>FAST-DE stands for First Approach Skills Training \u2013 Disordered Eating. In Spanish, it is First Approach Skills Training \u2013 Trastornos de la Conducta Alimentaria (FAST-TCA). The vision for this program is to transform service delivery for young people who experience eating disorders and disordered eating. It trains primary care providers to provide brief, effective interventions &hellip; <a href=\"https:\/\/www.med.unc.edu\/psych\/suicide-prevention-institute\/our-programs\/fast-de\/\" aria-label=\"Read more about FAST-DE\">Read more<\/a><\/p>\n","protected":false},"author":122763,"featured_media":0,"parent":18361,"menu_order":0,"comment_status":"closed","ping_status":"closed","template":"","meta":{"_acf_changed":false,"layout":"","cellInformation":"","apiCallInformation":"","footnotes":"","_links_to":"","_links_to_target":""},"class_list":["post-19235","page","type-page","status-publish","hentry","odd"],"acf":[],"yoast_head":"<!-- This site is optimized with the Yoast SEO plugin v26.8 - https:\/\/yoast.com\/product\/yoast-seo-wordpress\/ -->\n<title>Brief and Effective Interventions for Eating Disorders<\/title>\n<meta name=\"description\" content=\"FAST-DE helps address the shortage of clinicians that provide eating disorders care. It trains primary care providers to provide brief, effective interventions.\" \/>\n<meta name=\"robots\" content=\"index, follow, max-snippet:-1, max-image-preview:large, max-video-preview:-1\" \/>\n<link rel=\"canonical\" href=\"https:\/\/www.med.unc.edu\/psych\/suicide-prevention-institute\/our-programs\/fast-de\/\" \/>\n<meta property=\"og:locale\" content=\"en_US\" \/>\n<meta property=\"og:type\" content=\"article\" \/>\n<meta property=\"og:title\" content=\"Brief and Effective Interventions for Eating Disorders\" \/>\n<meta property=\"og:description\" content=\"FAST-DE helps address the shortage of clinicians that provide eating disorders care. 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