Income represents one pillar that supports a psychologist's work. Such support now lies precariously on an economic and organizational terrain that has been transformed by changes in the health care delivery system. These changes include managed care, trends in public and private mental health financing, and the steady growth in the supply of the nation's mental health workforce, including the supply of psychologists. This study uses data from the 2000 California Survey of Psychological Practice to determine whether variation in psychologists' income is associated with those changes. The approach taken in this study represents one of the first efforts to comprehensively measure how income variation among psychologists is associated with practitioner demographics, managed care, and mental health workforce supply dynamics.
Findings From Previous Surveys of PsychologistsIncome differences based on psychologists' demographic characteristics are prevalent within the profession. In the 1999 American Psychological Association (APA) Salary Survey (Williams, Wicherski, & Kohout, 2000), differences in mean and median income were reported among clinical psychologists based on gender, race-ethnicity, and years of experience. For example, mean and median incomes were higher among men than among women, and income increased with years of clinical experience.Data from APA salary surveys conducted throughout the 1990s also revealed negative trends in psychologists' income attributed to managed care and other changes in the mental health delivery system (Williams, Kohout, & Wicherski, 1999;Williams et al., 2000). The number of psychologists who reported salary declines DAVID PINOITORE received his PhD in clinical psychology from the Wright Institute Graduate School of Psychology in 1990. This study was conducted while he was a