The first Belgian drug treatment court (DTC) was implemented in May 2008 at the Ghent court of first amendement. In this study the outcomes of the Ghent DTC were scientifically evaluated. The outcomes and experiences of Ghent DTC clients (with a specific focus on drug related life domains), the estimated public expenditures associated with the Ghent DTC and the experiences of counselors involved with the Ghent DTC were examined.