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This page provides information about public policy & legislative issues that may affect professional practice and clients receiving recreational therapy services. 

Recreational Therapy State Licensure

View our Licensure Fact Sheet here.


State licensure protects consumers by ensuring only qualified professionals, those who hold the CTRS credential, provide recreational therapy services.


Recreational therapy, or therapeutic recreation, is a healthcare profession carried out by trained providers who use recreational activities to help improve or maintain an individual's cognitive, emotional, social, or physical functioning. People who receive recreational therapy are often ill, disabled, or elderly. The therapist provides adapted recreation opportunities in order to help the patients develop independent living skills and improve quality of life. Recreational Therapists provide treatment in healthcare facilities in New Jersey including but not limited to VA hospitals, State psychiatric hospitals, pediatric health care facilities, inpatient acute and sub-acute rehabilitation centers, long term care facilities and nursing homes, and substance abuse programs. 


Since recreational therapists are not a licensed profession in this state, current regulations prevent them from providing services on child study teams in schools. If licensed, recreational therapists would be able to provide services in schools as a related service, pursuant to the Individuals with Disabilities Education Act (IDEA). 


Recreational Therapists work with vulnerable children and adults in facilities, and are expected to have extensive knowledge of anatomy and physiology, psychology, human development, CPR, and more. These professionals are tasked with completing assessments, creating treatment plans, and working independently with individuals with complex medical conditions in a hospital or in the community. Many of these therapists facilitate field trips for medically-complex patients in the community, oftentimes driving vehicles to transport patients on these trips; this requires professional skills and knowledge about medical conditions, CPR, crisis management, and safety. 


Qualified recreational therapists hold a national certification through the National Council on Therapeutic Recreation Certification (NCTRC) which requires a bachelor’s or Master’s degree, completion of clinical training, and passing of its certification exam. These certified individuals are required to complete continuing education and renew certifications annually. According to Bureau of Labor Statistics, there are 490 recreational therapists in New Jersey. However there are 354 certified recreational therapists in the state, leaving 136 unregulated and unqualified practitioners providing services. Individuals without an appropriate education, clinical training, and continuing education requirements place vulnerable New Jersey residents at risk for harm. Additionally, these residents are also at a disadvantage if the services they receive are not provided by qualified individuals and they lose an opportunity for high quality, evidence-based care.


Licensure Bills in the New Jersey Legislature:

  • A-1604 (Conaway) co-sponsored by Assemblyman Kennedy.
  • S-2374 (Singleton)


Licensure Bills in the

Pennsylvania State Legislature: Pending

Join the Public Policy Committee


Contact Caitlyn Foelsch, CTRS the NJ State Licensure Committee Chairperson for information about NJ State Licensure or call her at 732-428-9151.


  • The Licensure Committee has formed and is working hard on making forward movement.

Volunteers needed for the following work groups:


1. Education: Educating other professionals and legislators about recreational therapy, our scope of practice, what licensure means for our discipline, and collaborate to inform other disciplines  (PT, OT, ST, Music/Art, Drama, Activity


2. Marketing: Compile & distribute material for why we need a licensure bill (FAQ’s, advocacy “TR Fact Sheet”), including “purpose of licensure” points. This can be used to educate customers, consumers, administrators, and other professionals.


3. Networking: Contact other associations & disciplines for support and connect with key individuals that can help support our efforts (professional organizations and political figures).


4. Research: Look up statistics for injuries that occurred from a professional working as a Recreational Therapist in an unlicensed state, and compile any other information necessary to support our bill.


Submit the form below to join this committee:



Report Harm or Potential Harm 

Are you aware of any actual or potential harm or injury caused to an individual as a result of an unqualified/certified professional providing recreational therapy? If so, please submit this information below.


This information will help demonstrate the need for a licensure bill in NJ.