This report is necessary reading for anyone working with or concerned about girls who are incarcerated in adult correctional facilities. "Adult jails and prisons are not designed for the confinement of youth, and as a result most are not equipped to meet the inherent and specific needs of adolescents. Studies show that youth in adult confinement do not receive age-appropriate educational, medical, or rehabilitative services. They are subject to conditions that are developmentally inappropriate and physically and emotionally unsafe; these conditions run counter to rehabilitative goals. In addition, a growing body of research shows that youth confined in adult facilities are exposed to seasoned offenders and, as compared to youth who are placed in juvenile facilities, are more likely to recidivate with more severe crimes upon release ... This bulletin focuses on the population of girls under age 18 who are confined to adult facilities in the United States. It provides a summary of current research, incorporates the voices of practitioners, and offers recommendations for improving conditions and outcomes for girls who are sentenced to adult facilities" (p. 1-2). Sections of this publication cover: mechanisms that move girls into adult courts; profile of justice-involved girls; challenges to providing adequate programming and services; challenges to keeping girls safe; staffing challenges; and concluding remarks and six recommendations. An appendix provides results from a National Institute of Corrections /National Council on Crime and Delinquency (NIC/NCCD) Survey of Association of State Correctional Administrators (ASCA) regarding issues and challenges that adult facilities deal with related to youth under the age of 18, particularly girls.