In 2005, Ketcham directed an instructional video for Shane’s World Studios. She also directed the pornographic films Shane’s World: Girls Night Out 1–3, Blazed and Confused 1–3 and Penny Flame’s Out of Control. In 2008, she signed a deal with Vivid Entertainment and Tristan Taormino to direct her own line of movies under the studio’s sex education imprint, Vivid-Ed; the first film was “Penny Flame’s Expert Guide to Handjobs”, and the second “Penny Flame’s Expert Guide to Rough Sex”. She retired from the industry in 2009 to enroll in college, and to work as a writer and illustrator.

In April 2009, Ketcham checked into the Pasadena Recovery Center for sex addiction, as depicted in Sex Rehab with Dr. Drew, a VH1 spinoff of Celebrity Rehab with Dr. Drew (celebrity co-stars included Amber Smith, Nicole Narain, Kari Ann Peniche and Duncan Roy). Ketcham has said that she originally intended to disrupt the process in order to gain publicity and increase marketability as a porn star, but that after the first five days of treatment, she began to have a change of heart. She came to accept that she suffered from a problem which she needed to resolve, took the process seriously and became a model participant. With the help of Dr. Drew and Jill Vermeire, she graduated from the program. Afterward, she entered a sober living facility, as depicted in the second season of Sober House, which premiered in March 2010.

In April 2009, Ketcham started a blog titled “Becoming Jennie”, after participating in VH1’s Sex Rehab with Dr. Drew. In her first entry, dated April 29, 2009, she wrote, “My name is Jennie Ketcham, and I am a recovering pornstar, and addict. This day, as every day, is the first day of the rest of my life, and I intend to live it to the fullest.” According to the blog, she does not regret having been in pornography, was living a sober lifestyle, and is working on a memoir.

In December 2009, Ketcham began contributing to the Huffington Post, on the inauguration of their Los Angeles edition.

She published a memoir in July 2012 titled I Am Jennie.