1. The primary efficacy measure for this study will be the Micro-Module Learning Tests (MMLT) (Silverstein et al., in press). This is a set of 7 psychometrically equivalent tests that assess responsiveness to the key components of skills training. Each test has 3 parts: 1) a verbal learning component wherein the patient is read material from an actual skills training group and then asked questions about the material; 2) a modeling component in which the patient views a model performing a specific behavior on a videotape, and is then asked questions about what was viewed; and 3) a role-play component in which the patient is asked to demonstrate, via a role-play, the behavior that the model demonstrated in the prior section. The MMLT is a dynamic assessment measure in that, in addition to measuring what people can recall/perform after an initial presentation of information, it allows for a determination of learning potential after repeated exposure to the information. With the MMLT, each time a question is initially answered incorrectly, a briefer version of the material, that highlights the most relevant information is presented. If an incorrect answer is given at this point, an even more focused version of the item is presented. With this scoring system, responsiveness to skills training as it occurs in the real world (where repetition of material is built into the teaching method) can be assessed more accurately than when using a static assessment (where information is only presented once).