The papers presented in this edited work represent a collection of writings focused on the challenges associated with difficult to treat criminal offenders. Originally presented at the Seventh Annual Research Conference of the International Community Corrections Association, the papers in this work discuss the direction that correctional practices should take in regard to the special needs of high-risk offenders. Following preliminary remarks from the editor setting the stage for the papers presented in this work, the first paper presents public support for correctional treatment, challenging the idea that rehabilitation does not work. Public opinion concerning corrections comprises the bulk of this paper. In the next chapter, the author discusses effective DWI interventions, highlighting DWI offender evaluations, programs, and treatment models in considerable detail. Adjunctive intervention and vehicle-based sanctions are discussed in conjunction with assessing the various treatment models. The next chapter assesses the reliability and validity of the Spousal Assault Risk Assessment Guide as used with an adult male offender sample. Effective intervention programs with sex offenders comprise the next chapter with the author highlighting various types of sexual offender treatment programs, their effectiveness, and their limitations. An extensive literature review is presented in this paper. In the next chapter, psychopathology is considered as a potential risk factor for and predictor of violence. Reponses to treatment and risk assessment are presented as well. Assessing psychopathy in juveniles comprises the next chapter with the authors detailing psychopathic characteristics, self-reported measurements, and psychopathology’s association with conduct disorder, attention deficit disorder, personality, and substance abuse. The last paper in this collection focuses on effective family-based treatments for juvenile offenders through a discussion of multisystemic and functional family therapies. References, index