This essay examines the vulnerabilities of youth in correctional settings, focusing on the social determinants of health, health inequities, and health outcomes. It explores the impact of factors like housing instability, lack of healthcare, and social support on young prisoners. The essay highlights the prevalence of mental health issues, substance abuse, and infectious diseases, emphasizing the health disparities faced by this population. It also addresses the challenges of transitioning from prison to the community and the lack of resources available to support young offenders. Furthermore, the essay discusses health outcomes, including high rates of mortality and morbidity, and the influence of policy decisions on the health of incarcerated youth. The analysis underscores the need for improved healthcare, social support, and policy changes to address the unique needs of this vulnerable population.