Among all offenders, only 20% reported that they had received at least 1 week of outpatient treatment services for mental health or substance abuse problems during the interval between screening and the 5-year follow-up interview; 26% reported treatment episodes during Time 2. Fifteen percent of the entire population received detoxification services, 13% were seen in an emergency department for mental health or substance-related problems, and 50% had attended at least one 12-step meeting. About half of those who attended a 12-step meeting reported that a judge had ordered them to go.