The purpose of this study was to examine the long-term effects of sport participation on the basketball skills and physical self-concept of adolescents with conduct disorders (CD). Participants were 24 adolescent males with CD, divided equally into three groups: (a) inter-establishment basketball (IEBB), (b) integrated scholastic basketball (ISBB), and (c) control-adapted physical activity (APA). The basketball skills tests and physical self-concept were both administrated 4 times over an 18-month period. Results indicated (a) an improvement in basketball skills in both competitive groups (i.e., ISBB, IEBB), (b) a significant curvilinear trend of physical self-worth scale in the three groups, and (c) no significant changes in physical self-concept in the three groups (ISBB, IEBB, and APA). In conclusion, the integrated and segregated competitive programs did not represent an effective means for improving the physical self-concept of adolescents with CD.