This report, for the Office of Juvenile Justice and Delinquency Prevention, provides a cross-case analysis of the systems of care that were developed, implemented, and institutionalized by the seven continuing Safe Start Demonstration Project sites. Of the 11 Demonstration Project sites, only seven were successful in institutionalizing systems of care for children exposed to violence. The report ends with a summary of accomplishments of the Demonstration Project and contributions made to the field of children exposed to violence.