This document presents the 1989 Annual Statistical Report on the three major Program Activities of the National Association of Protection and Advocacy Systems, a federally funded agency designed to directly impact the delivery of state social, medical, and legal services to persons with disabilities. Data on the three programs--The Client Assistance Program (CAP), the Protection and Advocacy System for Persons with Developmental Disabilities (PADD), and Protection and Advocacy for Mentally Ill Individuals (PAMII)--are presented as state by state totals with graphics that display total clients served for the past 3 years. Program narrative analyses provide a broad overview of activities undertaken nation-wide. Conclusions include the following: services have increased in the PADD (13%) and PAMII (19%) programs whereas the CAP program experienced a 6% drop in services; PADD services appear to be increasing in institutions; case problem areas have increased in the areas of offenders, housing, and guardianship issues; PAMII has experienced marked increases in cases involving private psychiatric hospitals. Other changes are reported in the areas of establishing priorities, accountability and oversight, access, and federal administrative rulings. Also included is a statement of principles for the association and a list of CAP state offices and state protection and advocacy agencies. (DB)