The document discusses integrated skills approaches to teaching English as a second language. It contrasts integrated skills approaches with traditional segregated skills approaches. Integrated skills approaches view language learning as involving multiple skills together through content-based instruction. Content-based instruction uses themes and activities to link reading, writing, listening and speaking skills. It reflects learners' needs to use language as a means to acquire information rather than just learning language itself. Effective content-based teachers employ varied instructional formats, group work, reading arrangements, define background knowledge and language skills needed, and help students develop coping strategies.