ABSTRACT

By now it should be no surprise to any practicing psychologist that the mental health care

field has changed enormously since the 1980s. Of course, these changes affecting

professional psychology are just a part of the overall revamping of the American health

care system. In the late 1980s, Zimet (1989) warned psychology of the coming changes in

health care and urged psychologists to alter their perspective. He wrote, “The sooner we

psychologists put aside our thinking that magically the situation will reverse itself and

return to the free choice system that has been the standard for many years, the sooner we

can deal in an adaptive manner with the radical changes that are occurring” (p. 705). He

also urged psychologists to “take some control of managed health programs” (p. 707). At

that time, he also lamented the fact that organized professional psychology had taken a

position in opposition to managed care rather than try to make a place for psychologists

in the managed care market.