Future directions for social skills training will include integration of assertive case management with the skills training, using in vivo skills training in the community to create even more opportunities, encouragement, and reinforcement for the individual to use enhanced skills and coping abilities in everyday life with natural caregivers. Another evolving innovation is the use of cognitive remediation to improve the basic learning capacities of individuals with schizophrenia (R15581618–R15581620). If intensive neurocognitive training of persons who lack attentional and social perception abilities can be linked to the naturalistic situations in which these abilities must be used, patients might be able to embark on their endeavors in social skills training from a higher plateau and possibly achieve more durable and generalizable results from the training.