Cognitive Behavioral Social Skills Training (CBSST) is a program for middle-aged and older outpatients with chronic schizophrenia. The program teaches cognitive and behavioral coping techniques, social functioning skills, problem-solving, and compensatory aids for neurocognitive impairments. Consisting of 24 to 36 weeks of 2-hour group psychotherapy sessions (1 session per week), CBSST targets the range of multidimensional deficits that can lead to disability in middle-aged and older people with schizophrenia. The social skills training component is based on modules for symptom management, communication role-play, and problem-solving social skills developed by Psychiatric Rehabilitation Consultants, a group of clinicians and researchers from the University of California, Los Angeles. The cognitive behavioral training component of CBSST was specifically developed for patients with schizophrenia. The compensatory aids are designed to address the cognitive impairment associated with both aging and schizophrenia. The program incorporates modifications specific to this target population, such as identifying and challenging ageist beliefs (e.g., “I’m too old to learn”), age-relevant role-play situations (e.g., talking to a doctor about eyeglasses), and age-specific problem-solving (e.g., finding transportation, coping with hearing and vision problems).