We present calculations for circumstellar OH masers which explicitly a
ccount for the nonlocal interaction throughout the masing region. Exci
tation temperatures and the observed emission are calculated for all f
our ground-state maser lines. All other transitions, including far-inf
rared and excited state microwave transitions, are treated using a mod
ified Sobolev approximation for the lowest 24 hyperfine levels. Calcul
ations are performed within the context of a simplified, self-consiste
nt dust/outflow model which provides the pumping conditions and their
variation with radius. Total velocity relaxation is implicitly assumed
. We, find general agreement with the qualitative results of earlier w
ork (Collison & Nedoluha 1994) and agree with the conclusions of Alcoc
k & Ross (1986b) who showed that observed profiles cannot be produced
by the ''standard model'' description of a smooth, spherically symmetr
ic, steady, windlike mass loss. Alternative descriptions of the circum
stellar outflow are discussed, and it is shown that the observed maser
line profiles cannot be explained by minor changes to the standard mo
del. Instead, a combination of significant clumping, sporadic mass los
s, and/or deviations from spherical symmetry are required. The sensiti
ve dependence of the observed emission on the physical conditions with
in the circumstellar shell implies that detailed information can be ob
tained by self-consistent modeling of both the outflow and the OH mase
rs. Such models will require a method for solving the maser radiative
transfer within a clumpy, possibly turbulent, medium.