A profession can be considered in terms of its specialised knowledge, integrity of practice, and status and recognition. Changes in government health care policy have resulted in an increasing prominence of generic positions and service provision via case management models. These changes pose a threat to clinical psychology practice. The potential for deprofessionalisation is heightened when there is no scope for monitoring of practice because of inadequate lines of accountability and supervisory structures. The present paper reported information from a sample of 145 members of the Victorian college of clinical psychology on their classifications and position titles, accountability structures, and supervision practices. In addition, the concerns of these psychologists in regard to ten professional and industrial issues were explored. It was found that the approximately one third of clinical psychologists employed in the public health sector held generic positions, a majority were accountable to nonpsychologists, and most did not receive supervision from a psychologist. Few private sector psychologists received supervision. Although public sector psychologists identified generic models of practice as a major professional concern, this issue was not a priority for academic or private practice psychologists. The professional implications of these findings are discussed and recommendations for future research made.