The need for social interaction is frequently viewed as secondary to that of cognitive remediation in the rehabilitation of the head injured. This paper describes the Cognitive Group as an adjunct to individual occupational therapy treatment, designed specifically for inpatients, at Kessler Institute for Rehabilitation. The theoretical approach of the Cognitive Group is based upon Mosey’s developmental groups (A. C. Mosey, 1970. Three frames of reference for mental health. Thorofare, NJ: Charles B. Slack). The group’s format consists of structured cognitive activities in a controlled social environment. A sample week of group activities is included. We found a general trend of improvement in memory and social interaction skills among the 46 patients who participated in the program.