Outcome is an unsettled area of debate in psychiatry that has varied historically and across investigative sites. It has included symptoms as well as social indices. This chapter examines various outcome dimensions in older adults with schizophrenia (OAS) as well as the associations between them and various predictor variables. Based on cross-sectional and longitudinal data from a community sample of OAS living in New York City, contrary to earlier views of a quiescent end stage in later life, heterogeneity in course persists into later life. Because of the fluidity of outcome and the various combinations of favorable outcomes, “recovering” remains a viable conceptual framework in later life. Although the outcome indices are largely independent of each other, provisional data suggest that, over time, alleviation of depressive symptoms is associated with improved community integration, which in turn is associated with higher rates of remission; improved cognitive function may also augment remission. There were few other predictors of the various outcome indices suggesting that clinical strategies need to target the specific clinical or social domain. Because of the various combinations of outcome and the high independence among outcome dimensions, an individualized care approach can achieve the optimal outcome.