we do find that programs that are run by american indians, alaska natives, for american indians, alaska natives or programs that target hispanics, run by hispanics, tend to produce better outcomes than programs that are not sensitive to those issues. so we use sort of a bias force paradigm. there are programs that are not run by the specific population group, but have modules that are targeted to the unique needs of that group. so they do not as well as the programs that are run by the specific population group, but they do better than programs that are general. so when we look at the outcomes of, say, a woman in a male program or a general program that doesn't have any gender specific programming, she doesn't do as well as the program that is targeted to, for women, run for women or a program that has gender-specific issues. the same thing for american indian, alaska natives, hispanics, african americans, and the same thing would be applicable to gay, lesbian, bisexual, and transgender. the key issue is of cultural competence and that is the thing that if indeed you know you've got a d