The recent shift in the delivery of mental health services from tradit
ional inpatient care to community-based treatment has amplified the ne
ed for psychiatric-mental health nurses to develop effective strategie
s for depressed clients in community settings. This study examined cha
racteristics of 126 depressed outpatients with and without prior hospi
talization and compared the two groups on variables related to depress
ion using Schlotfeldt's health-seeking model. Results for both groups
showed that absence of depressive symptoms and learned resourcefulness
were significant predictors of adaptive functioning. Social interest
was significant only for those without prior hospitalization. These fi
ndings support the use of interventions that minimize depressive sympt
oms, teach resourcefulness and encourage social interest in depressed
outpatients. Copyright (C) 1995 by W.B. Saunders Company