This report details the results of a first-of-its-kind study on the prevalence of Adverse Childhood Experiences (ACEs) and childhood trauma among people incarcerated in state prisons for crimes they committed as children. Additionally, the report highlights the experiences of this population when they first entered the system and the ways the system failed to protect them as children. Finally, the report summarizes the reform efforts in Maryland, successful and unsuccessful, the legal landscape, and the work left to do to protect the human rights of children in Maryland.