The development of trust is essential to building alliances. The first step in building trust is to select with care the partners with whom you will work - if the people are not trustworthy, the practices will not be trusted. In our dissemination efforts, we have also learned that it is more difficult to establish an inter-institutional program among dissimilar types of institutions, i.e. community colleges, private, city, or state institutions, 4-year institutions, and universities. It must be recognized that a pecking order exists and will need to be overcome. Everyone must contribute to the project and everyone must benefit, although contributions and benefits may not be equal.