The HEALTH Project (Healthy Eating and Activity Among Latinos Treated in the Heights) was started in March 2008. This program was based on a course developed by Rohan Ganguli, M.D., at the University of Pittsburgh, and we adapted it to meet the needs of our population. We reviewed the literature and conducted interviews with patients, clinicians, schizophrenia specialists, and cultural experts to develop our adaptations, which are described below. Adaptations for urban and low-income population characteristics were in three areas. First, the original program referred to shopping in malls, traveling by car, and using dishwashers—unlikely activities for our patients, who live in Manhattan—so instead, we refer to urban activities, such as taking the subway.