Program growth appears to be in response to the growing need for providing access. About half (25) of the states reported that in the past 10 years the need for improved access has increased significantly and access is a much more important issue to their agency. An additional third (16 states) indicated that the need for improved access has increased slightly. Only one state indicated that in the past 10 years this need has been adequately addressed with current programs. In 1986, 55% of the states indicated that access was a "major problem" (see Highlights of Key Access Research).