The goals of this project were to: describe the implementation of holistic defense principles in three indigent defense programs; measure each program's impact on pretrial court practices, manner of disposition, sentencing, and other case outcomes; and explore an appropriate methodology to assess the cost-efficiency of these programs in comparison with traditional criminal defense practice. Researchers collected data on both holistic and traditional defense delivery via interviews, surveys, focus groups, observation during site visits, and administrative data from public defender and court information systems. This evaluation was conducted in three research sites: Rhode Island Public Defender (Providence office); Minnesota Public Defender (Minneapolis office); and the Kentucky Department of Public Advocacy (Bowling Green office). The evaluation focused on adult criminal cases. A process evaluation examined how holistic defense has been implemented in each site. The impact evaluation used a quasi-experimental design that includes matched comparison groups and alternative statistical models to examine the relative impact of holistic defense on a range of outcomes, controlling for defendant characteristics. The project investigated the parameters necessary to conduct a cost-efficiency analysis within the context of holistic defense and, to the extent possible, began to estimate the costs/benefits of holistic defense services. In addition to data sets for archiving and a summary report to NIJ, anticipated work products include professional conference presentations, manuscripts for submission to professional journals, and research briefs.