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The Washington State Legislature directed the Institute to evaluate the Juvenile Rehabilitation Administration’s Dialectical Behavior Therapy (DBT) pilot to determine if DBT reduces recidivism. DBT is a program for juvenile offenders who have mental health issues and reside in a state institution. The Institute conducted a preliminary study of the program in 2002, using a 12-month follow-up period, and found the program reduced felony recidivism. This report updates the 2002 study using a longer follow-up period to measure recidivism.