Answer:
a. funding for community programs has been inadequate.
Explanation:
The factor having the most influence on the current trend in treatment settings is the fact in recent years :funding for community programs has been inadequate.
Although, there has been some changes in the current trend for community programs but these changes are of less significant because the primary factor associated with creating community program had be neglected.
There is lack of funding for these program which lead to inadequate infrastructure and shortage of personnel, this lead to over-load on state hospitals, though the primary aim of community program was to replace much of state hospital inpatient care but funding has been inadequate for effective functioning.