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A detailed understanding of the effectiveness of interventions designed to meet drug using women offenders' (DUWOs) complex needs is essential to maximise success. This article reports on a narrative literature review of evaluations of interventions designed to assist DUWOs in their recovery from drug use and in their desistance from offending. It aims to identify gaps in that research and point to possible directions for future studies. It shows that successful interventions are likely to be intensive, of significant duration, multi-dimensional and inter-disciplinary. Evaluations must similarly be designed to take into account all individual and structural factors. Qualitative longitudinal research which incorporates DUWOs' opinions on their needs might best inform the development of interventions tailored to meeting those needs. Evaluation design should acknowledge the importance of progress as well as outcomes and be designed to follow DUWOs through their whole sentence rather than focusing on a single intervention/point in time without the context of what came before and what might or should happen in the future.