Despite the continuing problem of repeat drunk driving (DUI) offenders, little is known of the characteristics of this population. This article reports findings from qualitative interviews with 12 incarcerated men who had been convicted for 5 or more DUIs. Participants' sociodemographic characteristics, patterns of substance abuse, treatment history, attitudes toward positive behavioral change, and recommendations for improving treatment are described. Three groups were identified in regard to the degree of recognition of substance abuse and level of motivation to engage in treatment and post-release rehabilitation. Participants also offered suggestions to improve treatment strategies for repeat DUI offenders by tailoring diverse educational and counseling programs that target the differing types of DUI recidivists. The findings provide preliminary qualitative insight into a unique population that may be used to inform future studies.