This paper examines men and women methamphetamine (meth) users who participated in a community-based drug court. The treatment of female drug users is a particularly salient issue because of the concerns with relapse and recidivism. For the current study, we studied the impact of the drug court by gender on a group of high-risk/high-need meth users. The results of the multivariate analysis models indicate that men have a higher probability of failure over an 18-month follow-up period. These findings suggest that a comprehensive drug court can be an effective strategy for women meth users even with an assortment of needs. (Contains 5 tables, 2 figures, and 5 notes.)