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Background: Auditory hallucinations are a symptom that often appears in schizophrenia sufferers. Distraction techniques in nursing interventions to divert attention to what is being presented. This distraction technique is very influential for individuals with mental disorders, especially those who experience auditory hallucinations. Objective: To determine the effect of distraction techniques on patients with auditory hallucinations. Method: This research uses a quasi-experimental research design with a one group pre-post-test design approach and non-probability sampling techniques with a purposive sampling model. Results: This research found that 4 respondents experienced moderate hallucinations (26.7%), respondents with the criteria of experiencing severe hallucinations as many as 6 respondents (40%), and very severe hallucinations as many as 5 respondents (33.3%). After being given the treatment of conversing with other people, 7 respondents (46.7%) experienced a decrease in their voices, namely they became mild, and 8 respondents (53.3%) experienced a decrease in their voices to moderate. Conclusion: There is an effect distraction technique to reduce voices in patients with auditory hallucinations based on the results of data processing using the paired T-Test.    

According to WHO (World Health Organization), health is a state of complete physical, mental and social well-being, not just freedom from disease or weakness/disability. From this description it can be concluded that health implies ideal health conditions, both from a biological, psychological and social perspective. Apart from that, WHO also describes several health characteristics that need to be known, including physical and spiritual health without involving external elements, health related to the internal or external environment, spiritual health, mental health or what is usually called mental health (WHO, 2022). Mental disorders are disorders in the way of thinking (cognitive), will (volition), emotions (affective), actions (psychomotor). One of the mental disorders that greatly affects and disrupts an individual's life is schizophrenia (Makhruzah et al, 2021).

Mental disorders are a group of symptoms characterized by changes in a person's thoughts, feelings and behavior that cause dysfunction in carrying out daily activities. Within mental disorders there are several diagnoses, one of which is schizophrenia. Schizophrenia is a serious mental disorder characterized by decreased or inability to communicate, cognitive impairment, inability to think abstractly, and experiencing difficulty in carrying out daily activities. Schizophrenia is a mental disorder that is a major problem in countries where schizophrenia is a type of psychosis that ranks at the top of all existing mental disorders. Schizophrenia is part of a mental disorder characterized by strange behavioral and speech deviations, incoherent thoughts, delusions, hallucinations, where this condition occurs due to changes in the physical structure and chemistry of the brain (Tri et al., 2020).

Background: Schizophrenia is a psychiatric disorder that affects the work of the brain. The resulting disorders can attack thoughts, perceptions, emotions, movements, and behaviors. Based on the records of the Indonesian Ministry of Health in 2019, the prevalence in Indonesia with the highest psychiatric disorders is found in Bali and Yogyakarta Provinces with each prevalence showing 11.1% and 10.4% per 1000 with people with schizophrenia / psychosis. One of the therapies to reduce anxiety in schizophrenic patients with hallucinations is environmental therapy using drawing methods. Objective: To know the results of the implementation of occupational therapy drawing on the decrease in signs and symptoms of hallucinations in patients with hallucinatory sensory perception disorders. Method: applying sensory stimulation therapy applied to 2 patients in the form of a case study. Results: After the application of occupational therapy, both respondents experienced a decrease in hallucination scores, with a total score of 14 and 5 classified as moderate hallucinations. Conclusion: Based on the data obtained, both respondents experienced a development that was originally classified as a very severe hallucination to moderate hallucination.

Background: Hallucinations are false perceptual distortions that occur in maladaptive neurobiological responses, sufferers actually experience sensory distortions as real things and respond accordingly. Hallucination sufferers will find it difficult to distinguish between stimuli that arise from internal sources such as thoughts, feelings, somatic sensations and external impulses and stimuli. According to the World Health Organization 2019 mental disorders around the world, according to data, there are 264 million people experiencing depression, 45 million people suffering from bipolar disorder, 50 million people experiencing dementia, and 20 million people experiencing schizophrenia. In this study, how to see an increase in the ability to control hallucinations by using the AHRS scale used to measure the score of auditory hallucinations Objective: Determine the results of the application of generalist hallucination therapy with increased ability to control hallucinations with hallucinatory sensory perception disorders Method: The application of generalist therapy was carried out using a case study descriptive method to 2 respondents for 2 consecutive days. The instrument used is the Auditory Hallucinations Rating Scale (AHRS). Results: based on the results of the application that has been carried out, there is a decrease in the symptoms of auditory hallucinations in patients, with a comparison of the final results between the two respondents for the level of auditory hallucinations, namely 29:34. Conclusion: Generalist therapy can be used as an intervention to improve the ability to control hallucinations in patients with auditory hallucination psychiatric disorders.

Background: Schizophrenia is a common health problem worldwide, around 70% of people suffering from schizophrenia experience auditory hallucinations. Auditory hallucinations are where patients feel that they can hear voices without a sound source. This situation causes the patient's inability to perceive reality accurately. One of the nursing interventions performed for auditory hallucinations is perceptual stimulation group activity therapy. Method: The method used in this application is descriptive with a case study research design, research subjects totaling 2 respondents, sheet research instruments observation that is AHRS . Findings: There were differences in scores before and after being given Group Activity Therapy (TAK), namely a decrease in the hallucination level score on Mr. F and Mr. W. Implication: Based on the results of the study, it was found that there was an effect of Group Activity Therapy (TAK) in controlling auditory hallucinations in schizophrenic patients after being given Group Activity Therapy (TAK) for 2 applications. In addition to providing Group Activity Therapy (TAK), the patient's recovery or stability is also supported by continued treatment and rehabilitation.

Background: Skizofrenia is a mental disorder where the prevalence is actually small, affecting about 1% of the world's population. In Central Java alone, there are 8.7% of the population who have schizophrenia, this is one of the fifth highest number of professions. Planting occupational therapy aims to minimize the patient's interaction with his unreal world, bring out thoughts, feelings, or emotions that have influenced unconscious behavior, provide joy, entertainment, and distract the patient from the hallucinations he is experiencing so that the patient's mind is not focused on his special hallucinations. in patients with auditory hallucinations (Yuniar N.S et al., 2019). Objective: To find out the results of the implementation of the application of occupancy therapy to control the level of hallucinations. Method: The method used in this application is descriptive with a case study research design totaling 2 respondents, the research instrument is the AHRS questionnaire observation sheet. Findings Before being given occupational therapy, Mrs. G was planted in the category of moderate hallucinations and Mrs. M was in the category of severe hallucinations. After being given occupational therapy, planting for 6 times, Mrs. G was in the category of mild hallucinations and Mrs. M was in the category of moderate hallucinations. Implication:  Planting Occupational Therapy has an effect on controlling the level of hallucinations in patients with auditory hallucinations.

Acute psychotic disorder is a mental disorder characterized by the onset of one or more symptoms, among which the symptoms are delusions, hallucinations, bizarre postures and behavior, and disorganized speech. The diagnosis of acute psychotic disorder was established based on the Diagnostic and Statistical Manual of Mental Disorders 5 (DSM-5) criteria. It is generally considered rare, as one study of military recruits found in which the estimated DSM-III-R incidence of brief reactive psychosis was 1.4 per 100,000 recruits. Schizoaffective is a mental disorder characterized by two recurrent features, namely schizophrenia (meets criterion A for schizophrenia) and mood episodes, both major depression and bipolar. Schizoaffective disorder, occurs in 0.2% of the general population in America, 9% of people with schizoaffective hospitalization.

Supportive Group Therapy is a therapy consisting of several people who plan, organize and respond directly to issues and pressures as well as adverse circumstances and is also a significant method of dealing with hallucination problems. Hallucinations experienced by individuals can be caused by precipitation and predisposing factors. The objective of research was to determine supportive group therapy on the ability to overcome hallucinations in schizophrenic clients at RSUD Tombulilato. Quasi-experimental research design with a group pretest – posttest one group design. Sampling used total sampling with 15 respondents. Data collection used an observation sheet with the results, there were 15 (100%) respondents controlling low hallucinations before being given supportive group therapy by 12 (80.0%) respondents and controlling high hallucinations by 3 (20.0%) respondents. After being given supportive group therapy, it controlled low hallucinations by 2 (13.3%) respondents and controlled high hallucinations by 13 (86.7%) respondents. Statistical test results used the paired t-test showed a p-value = 0.000 with ? <0.05, there was a significant influence between the effect of supportive group therapy on the ability to overcome hallucinations in clients with schizophrenia. It is expected the influence of supportive group therapy can improve the ability to deal with patient hallucinations.