This study focuses on the Ohio’s Behavioral Health Juvenile Justice (BHJJ) Initiative. Three groups were examined: (1) youth appropriate for BHJJ but did not participate, (2) youth who participated but did not complete treatment, and (3) youth who completed treatment. Results show that youth who completed BHJJ had lower odds Impact Justice 6 of offending as young adults in comparison to youth who did not complete or participate in the initiative