CLINICAL HANDBOOK OF SCHIZOPHRENIA

Index 639metabolism of, 166tduring pregnancy, 474–475advantages/disadvantages/metabolic change, 475tstrategies for, 162–163Harm reduction approach, 421Healers, traditional, 549–551Healthreligion/spirituality and, 593WHO definition of, 581Health care, traditional, 549–551Heart disease, comorbid, 429–430, 432Hebephrenia, 3, 4Hematological side effects, 176clozapine-related, 181–182,181tHepatitis, 21Hepatitis B, 424comorbid, 432–433risk behaviors for, 432tHepatitis C, 424comorbid, 128–130, 432–433risk behaviors for, 432tscreening for, 130Heredity, Morel’s theory of, 11Heritabilitytwin studies of, 57See also Genetic factors;GeneticsHerpes simplex virus–2, 69High expressed emotion, 22, 215HIV infection, 21, 424, 606comorbid, 128–130, 432–433laboratory testing for, 129risk behaviors for, 432tHomeless people, prevalence ofschizophrenia in, 412–413Homelessness, 153, 411–423assertive community treatmentand, 416–417case management and, 415–416critical time intervention and,417deinstitutionalization and, 411housing approaches, 417–418integrated dual-disorderstreatment, 418–419key points, 422model programs and bestpractices, 414–415outreach and drop-ins, 415prevalence of, 412severe mental illness and, 411–412individual-level factors in,413–414treatment guidelines, 419–422supported housing response to,288–289, 292treatment approaches, 414Hopefulness, spirituality/religionand, 601Hopelessness, 237Hospitalism, 84Hospitalization, 6suicide risk and, 501–502Housingtransitional, 349See also Supported housingHousing approaches, 417–418Housing assistance, best-practiceguidelines for, 293–294Housing First, 418, 420, 421Housing instability, 411–423. Seealso HomelessnessHousing needsinterventions for, 153treatment of, 149tunmet, responses to, 289–920Human capital approach, 509Human Genome Project, 11Human Rights Act, UK, 519Huntington’s disease, 62Hyperlipidemia, assessment for,370tHyperprolactinemia,antipsychotic-induced, 171–172Hypertensionclozapine-related, 183–184comorbid, 132, 429–430Hyperthyroidism, versusschizophrenia, 123Hypofrontality, 38Hypotension, orthostatic,antipsychotic-induced, 175–176Hypoxia, fetal, 68–69Identity, spirituality/religion and,597IL-1 complex, 71Illness courseassessment and classification,104–111domains of, 105–106, 105flong-term, 106–109prognostic indicators, 110–111psychotic relapses in, 106short-term, 106social course, 109–110types, 104, 105fIllness management, evidencebased,542Illness management and recovery,275tIllness Perception Questionnaire,222Illness self-managementwith coping strategies forpersistent symptoms, 273–274, 274tby enhancing social support,274, 276establishing motivation for, 270by improving medicationadherence, 271key points, 277psychoeducation in, 270–271by reducing drug and alcoholuse, 272with relapse prevention plan,272–273standardized programs for,275t–276t, 276–277teaching stress reductiontechniques, 273Illness self-management training,268–278clinical guidelines, 270–276key points, 277principles of, 268–269research evidence for, 269–270standardized programs, 276–277Imagery, CBT approach to, 235Imaging methodsfunctional, interpretivechallenges to, 41–42types of, 35See also Brain imagingImmigrants, 23schizophrenia incidence, 17Inattentiveness, 88Incidence, 16–17defined, 16Income, treatment availabilityand, 619Incontinence, urinary, clozapinerelated,183Independent living skills, 275tassessment of, 136–137Independent Living Skills Survey,140t, 141–142India, multipurpose healthworkers in, 552Individual placement andsupport, for older adults,394–395Infectionintrauterine, 19, 26during pregnancy, 69–71Infectious diseaseassessment for, 370tco-occurring, 128–130Influenza virus, 69