Depression is common among disadvantaged, rural women. Few of these wo
men are treated because of access barriers or because treatment does n
ot meet their needs. A treatment program for major depressive disorder
(MDD) was designed based on biopsychosocial perspectives of the cause
of MDD and practice roles of psychiatric nurses. The Nursing Practice
Paradigm for Depressed Rural Women (NPP) guides a structured shortter
m nursing care program for MDD, the Women's Affective Illness Treatmen
t Program (WAIT). The NPP and its theoretical basis are described. Cop
yright (C) 1996 by W.B. Saunders Company