There is striking overlap between the public health threats of drug abuse a
nd crime. Crimes are often drug related, and drug abusers frequently encoun
ter the criminal justice system. However, with few exceptions (e.g., Treatm
ent Alternatives to Street Crime, TASC), the intersection of drug abusers w
ith the courts has rarely addressed the defendants' drug problems. Drug cou
rts represent an innovative approach to addressing both crime and drug abus
e. Especially promising, and of great importance given that drug abuse is a
ssociated with a host of other health and social service needs, is the link
that drug courts represent between the criminal justice and health service
s systems. Connections to health services are considered vital to drug cour
ts but are poorly understood. The need for a bridge between criminal justic
e and health services is discussed, and a conceptual framework for its inve
stigation is presented. Using data collected from site visits of 14 drug co
urts across the United States and Puerto Rico, the services available to dr
ug court clients are described and linkages between drug courts and health
services (including drug treatment providers) are explained. (C) 2001 Elsev
ier Science Ltd. All rights reserved.