Objectives: This study aims to analyze the factors influencing drug use decisions among inmates in Palestinian correctional and rehabilitation centers. By understanding these factors, effective strategies can be developed to reduce the incidence of drug use and improve rehabilitation opportunities for inmates.

Methodology: A descriptive approach was employed to achieve the study's objectives. The study population consisted of inmates in correctional and rehabilitation centers in the Beitunia Center. The study sample included 70 inmates selected through convenience sampling. The "Decision-Making Trends Toward Drug Use" scale, which includes 20 items distributed across two domains—positive and negative trends—was utilized.

Results: The results showed statistically significant differences in negative attitudes toward drug use based on the type of drug, duration of imprisonment, and method of obtaining drugs. Inmates who found it difficult to obtain drugs showed more negative responses, as did those who spent longer periods in prison. Cocaine users showed more negative responses compared to cannabis users.

Conclusions: The results indicate that the type of drug, difficulty in obtaining it, and length of imprisonment affect inmates' attitudes toward drug use. Strategies should be developed to reduce drug use among inmates by raising awareness of risks and improving rehabilitation programs in prisons.

Keywords: Drug use, decision-making, inmates, correctional and rehabilitation centers, rehabilitation.