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The 2018 Washington State Legislature directed WSIPP to conduct a statewide study on the needs of girls and young women involved in both the juvenile justice and child welfare systems, referred to in the legislation as “dually involved females.” This study compared dually involved females to dually involved males and to females with only juvenile justice involvement in criminal justice system involvement, mental health and substance abuse diagnoses and treatment, medical care, employment, homelessness, teen birth, and use of Temporary Assistance to Needy Families and the Supplemental Nutritional Assistance Program. The study includes a survey of other states regarding systems to address and treat the needs of dually involved youth.