The study found that adolescent female recidivists had significantly more emotional and behavioral problems than the first-time adolescent offenders. The study also showed that the recidivist female had an unstable lifestyle and a less dependable family situation. The data found supports the need for adequate mental health staffing and services in the juvenile justice system to allow for better intervention or coordination of resources to aid first-time offenders and recidivists. The study also found that the percentages needing mental health medications were identical for first-time offenders and recidivists, nearly 50 percent of recidivists were not taking mental health medications at the time of incarceration. Mental health workers should try to lessen the stigma of taking mental health medications. Areas of focus to aid in reducing recidivism include effective family living situations, effective anger processing, reduction of drug and alcohol use, and regular school attendance. The study used the Massachusetts Youth Screening Inventory, Version Two (MAYSI-2) and demographic data. The study was conducted between June 7 and October 26, 2004. Survey packets were distributed for first-time offenders (n=38), and recidivists (n=78) were used for the exploratory Pierce County, Washington survey. Tables, references