THE MODEL OF FUNCTIONAL DEFICITS ASSOCIATED WITH HALLUCINATIONS

Objectives. The Model of Functional Deficits associated with hallucina tions is used as part of the clinical documentation in the San Jose St ate University Psychosocial Occupational Therapy Clinic. On the basis of this model, hallucinations are classified according to functional d eficits and whether the deficits are a result of the content or intrus iveness of the hallucinations. This classification is important becaus e it helps occupational therapists know the full extent of the dysfunc tion through understanding the underlying pathology. The purpose of th is classification is to assist in the development of clinical treatmen t plans that incorporate techniques for coping with hallucinations. Me thod. The sample included 39 clients seen in the clinic over a 4-year period. Student occupational therapists were responsible for documenti ng the classifications using the Model of Functional Deficits associat ed with hallucinations. The clients' charts were then reviewed retrosp ectively to classify the hallucinations according to the clients funct ional deficits. The classification system ranged from Class O, insuffi cient information, to Class VI, persistent hallucinations with profoun d functional deficits. With these classifications, interventions were planned with the clients in order for them to practice coping mechanis ms (e.g., self-instruction, decreased stimulation, increased stimulati on) to maintain function during their hallucinations. Results. The fin dings indicated that 54% of the clients continued to experience halluc inations (i.e., Class II-Class V), although all received psychotropic medication, thus necessitating continuing therapeutic intervention. Co nclusion. This model helps identify specific client experiences that c an then be used to develop occupational therapy interventions.