 Objectives: The proposed grant seeks to compare the effects of a manualized form of Cognitive Behavior Therapy CBT combined with Cognitive Remediation CR with CBT alone and Support Services SS alone on vocational outcomes for persons with schizophrenia spectrum disorders. Key hypotheses are: I Participants receiving CBT CR will work more weeks and hours than participants receiving CBT alone or SS alone; II Participants receiving CBT CR condition will show better work performance than the CBT alone and SS alone conditions; III Participants receiving CBT CR will experience greater improvements in symptoms, dysfunctional beliefs and quality of life than the CBT alone or SS alone conditions Research Plan: One hundred twenty participants with Structured Clinical Interview for DSM-IV SCID confirmed diagnoses of schizophrenia or schizoaffective disorder will be recruited from the Roudebush VA Medical Center , surrounding mental health centers and the Marion VA Medical Center. Participants with these diagnoses will be eligible if they are sufficiently stable to sustain participant in rehabilitation, as defined by no hospitalizations, medication or housing changes in the last 30 days. Participants will be offered a 6 month paid job placement and randomly assigned to receive either CBT CR, CBT only or SS only. 