As part of a research team on the Office of Juvenile Justice and Delinquency Prevention (OJJDP) Initiative to Develop and Test Guidelines for Juvenile Drug Treatment Courts, WestEd conducted a policy and practice scan (also called an “environmental scan”) to provide data on a small sample of local Juvenile Drug Treatment Courts (JDTCs) in the United States. This article is a synthesis of the information collected from 25 JDTCs on their current operations. The article first reviews key literature on JDTCs, followed by a description of the methodology used in this policy and practice scan. Then, the article presents findings about history, funding sources, partnerships, structures and operations, treatment options, challenges, and successes. We found little systematic performance evaluation or long‐term sustainability planning among the participating JDTCs. Finally, the article discusses the limitations of this study, implications for the new version of the JDTC guidelines, and practical recommendations for stakeholders in this field.